Observational studyJournal of perinatology : official journal of the California Perinatal Association2026
Wide variation in death rates and post-hemorrhagic hydrocephalus (PHH) treatment in preterm severe intraventricular hemorrhage (IVH).
Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveDetermine if decreased rates of severe IVH in VLBW infants in California translated to decreased rates of infant death or PHH treatment among those with severe IVH, and to evaluate variations in neurosurgical treatment of neonatal PHH. STUDY
designRetrospective observational cohort study of infants with severe IVH (grade III or IV) born at 22
resultSevere IVH rates declined in California with a concurrent decline in PHH treatment or infant death. Regional variability was observed in PHH treatment or infant death (range 38.0-55.9%, p < 0.0001) and the rates of utilizing a "shunt-first" PHH-treatment approach (range 25.5-81.5%, p < 0.0001).
conclusionThere is striking regional variation in the neurosurgical management of neonatal PHH and thus an urgent need to adopt standardized practices in IVH management.
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