Central edema in critically ill neonates

Background: We reviewed our cases of central edema defined as scalp/facial- and/or truncal edema or anasarca (Ana) hoping to identify prognostic factors that could aid in discussions of futility of care. Case presentation: This study was a retrospective chart review of all cases of central edema in our community level-3 neonatal intensive care unit (NICU) between 2006 and 2019. A total of 19 patients with central edema were found. In 6/19 the etiology was due to chylous losses and in 13/19 inflammation was believed to be the major cause. Outcome was known in 17 cases and only 41% survived. Among the survivors, 86% had a gestational age greater than 34 weeks and the edema resolved in less than 2 weeks in the majority. Fifty-nine percent of the patients expired. In those that expired, 80% were born at 30 weeks’ gestation or less and the duration of edema exceeded 2 weeks in all cases and 4 weeks in 60% of the subjects. Conclusion: To the best of our knowledge, this is the first retrospective study of the outcome of central edema in a neonatal population and the results can be useful when discussing futility of care in cases of severe and long-standing or worsening edema not responding to medical management.

Angaben zum Objekt

• Standort: Deutsche Nationalbibliothek Frankfurt am Main
• Umfang: Online-Ressource
• Sprache: Englisch

Verweise und Beziehungen

• Erschienen in: Central edema in critically ill neonates ; volume:8 ; number:2 ; year:2019 ; extent:7 ; Case reports in perinatal medicine ; 8, Heft 2 (2019) (gesamt 7)

Beteiligte, Orts- und Zeitangaben

• Urheber: Bengtsson, Bengt-Ola S. ; van Houten, John P.

Weitere Informationen

• DOI: 10.1515/crpm-2019-0037
• URN: urn:nbn:de:101:1-2411121541506.133759243346
• Rechteinformation: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Letzte Aktualisierung: 15.08.2025, 07:32 MESZ