Effect of subdural hemorrhage on term infants development - a prospective study
Keywords:
term infants, subdural haemorrhage (SDH), Gross Motor Scale delay, Cognitive Scale delay, Mullen Scale test
Abstract
Background Subdural haemorrhage (SDH) is a common problemin infants under 6 months of age and it has a risk to develop into
developmental delay.
Objective To evaluate adverse effects of SDH on the development
of term infants.
Methods It was a prospective cohort study carried out on infants
below six months of age admitted to Sanglah Hospital due to
SDH. Control was healthy term infants born in Sanglah Hospital.
Mullen Scales test was performed at the age of 6 and 12 months.
Multivariate analysis was conducted to examine the relationship
between several independent variabels and developmental
outcome.
Results Sixty six infants were enrolled in this study (33 infants
with SDH and 33 infants without SDH), 52 (79%) were male
and 14 (21%) were female. Mean age was 1.53 (SD 0.75) months
vs 1.70 (SD 0.73) months. The result of Mullen Scales test at the
age of 6 and 12 months showed that very low category was higher
in infants with the history of SDH than that in control group.
Multivariate logistic regression analysis showed that only SDH
correlated with Gross Motor and Cognitive Scale delay at the
age of 6 months and 12 months (Gross motor 6 months: P=0.01;
OR 13.07; 95%CI 2.04;83.84; Gross motor 12 months: P=0.00;
OR 23.58; 95%CI 2.87;193.84); (Cognitive 6 months: P=0.00;
OR 12.11; 95%CI 2.44;59.90; Cognitive 12 months: P=0.00; OR
26.67; 95%CI 3.25;218.86).
Conclusion Term infants with history of subdural haemorrhage
are associated with increased Gross Motor and Cognitive Scale
delay at the age of 6 and 12 months.
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TS, Ismael Sofyan, editors. Buku ajar neurologi anak. Jakarta:
BP IDAI; 1999. p. 445-65.
3. Rosman NP. Acute Brain Injury. In: Swaiman KF, editor.
Pediatric neurology principles and practice. Vol. 2. ST Louis:
The CV Mosby Company; 1989. p. 715-34.
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Sharples P, et al. Subdural haemorrhages in infants: population
based study. BMJ 1998;317:1558-61.
5. Mullen EM. Theoritical Framework and Description of the
Scales. In: Mullen EM, editor. Mullen Scales of Early
Learning. AGS Edition. Manual. USA: American Guidance
Service Inc; 1995. p. 7-12.
6. Mullen EM. General Administration and Scoring Procedures.
In: Mulen EM, editor. Mullen Scales of Early Learning. AGS
Edition. Manual. USA: Amarican Guidance Service Inc;
1995. p. 19-31.
7. Soetjiningsih. Upaya peningkatan kualitas tumbuh kembang
anak. In: IGN Ranuh, editor. Tumbuh kembang anak.
Jakarta: EGC; 1995. p. 127-40.
8. Golden N. Clinical analysis of chronic subdural hematoma
in infants: Sanglah General Hospital, Udayana University,
2000.
9. Tzioumi D, Oates RK. Subdural hematoma in children under
2 years, accidental or inflicted? A 10-year experience. Child
Abuse and Neglect 1998;22:1105-12.
10. Parent AD. Pediatric chronic subdural hematoma: A
retrospective comparative analysis. Pediatric Neurosurgery
1992;18:266-71.
11. Kemp AM. Investigating subdural haemorrhage in infants.
Arch Dis Child 2002;86:98-102.
12. Gitlin D. Pathogenesis of subdural collections of fluid.
Pediatrics 1985;16:345-52.
13. Sukardi E. Cortex cerebri. Neuroanatomia medica. Jakarta:
Penerbit Universitas Indonesia; 1985. p. 232-57.
14. Duus P. Telensefalon atau korteks serebral. In: Wita JS, editor.
Diagnosis topik neurologi, anatomi, fisiologi, tanda, gejala.
Jakarta: EGC; 1994. p. 263-86.
15. Golden N. Non accidental subdural hamatoma in infant
clinical presentation, management and outcome. Naskah
Lengkap Pendidikan Kedokteran Berkelanjutan Ilmu
Kesehatan Anak FK UNUD V. FK UNUD; 25-26 Juli 2003;
Denpasar: 2003. p. 44-9.
16. Ewing L, Kramer L, Prasad M, Canales DN, Louis PT,
Fletcher JM, et al. Neuroimaging, physical, and develop-
mental findings after inflicted and noninflicted traumatic
brain injury in young children. Pediatrics 1998;102;300-7.
Published
2007-08-31
How to Cite
1.
Ariawati K, Soetjiningsih S, Kari I. Effect of subdural hemorrhage on term infants development - a prospective study. PI [Internet]. 31Aug.2007 [cited 25Apr.2024];47(4):156-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/391
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Received 2016-08-30
Accepted 2016-08-30
Published 2007-08-31
Accepted 2016-08-30
Published 2007-08-31
