Abstract
To the best of our knowledge, information regarding Kernlute test and long term follow-up in ≤1500 gm. very low birthweight (VLBW) neonates is not available. Previous work as well as ours have demonstrated the decreased incidence of handicap in Papile grades I and II paraventricular-intraventricular hemorrhage (PVH), which is comparable to the population with no hemorrhage in VLBW neonates (Fed Res 18:352, 1984). In order to determine the independent relationship of exceeded Kernlute test and presence of handicap (cerebral palsy and/or developmental delay ≤1 S.D. below the normal on Bayley Scales of Infant Development at 18 mo. of age), we compared 30 VLBW neonates who during the period July 1979 to December 1981 had an ultrasound/CT brain scan which demonstrated either no hemorrhage (n=21) or grade I and II PVH (n=9) and also had a Kernlute test done. When a Kernlute was reported exceeded, the patient had an exchange transfusion within a few hours. This population was a part of a prospective long term follow-up program from our Regional Perinatal Center. Fisher exact probability test was done.
In this limited population we found no statistically significant difference between the exceeded Kernlute test and evidence of handicap in the absence of a major hemorrhage.
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Urrutia, J., McQuiston, S. & Robinson, M. 1546 LACK OF CORRELATION BETWEEN EXCEEDED KERNLUTE AND PRESENCE OF HANDICAP IN LONG TERM FOLLOW-UP. Pediatr Res 19, 368 (1985). https://doi.org/10.1203/00006450-198504000-01570
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DOI: https://doi.org/10.1203/00006450-198504000-01570