Incidence of Traumatic Lumbar Punctures in Neonates and Infants
被引:4
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作者:
Sievanen, Harri
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机构:
Injeq Oy, Biokatu 8, Tampere 33520, FinlandInjeq Oy, Biokatu 8, Tampere 33520, Finland
Sievanen, Harri
[1
]
Palmu, Sauli
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机构:
Tampere Univ Hosp, Ctr Child Adolescent & Maternal Hlth Res, Dept Pediat, Tampere, Finland
Tampere Univ, Tampere Univ Hosp, Ctr Child Adolescent & Maternal Hlth Res, Fac Med & Hlth Technol, Tampere, FinlandInjeq Oy, Biokatu 8, Tampere 33520, Finland
Palmu, Sauli
[2
,3
]
Kari, Juho
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机构:
Injeq Oy, Biokatu 8, Tampere 33520, FinlandInjeq Oy, Biokatu 8, Tampere 33520, Finland
Kari, Juho
[1
]
Soukka, Hanna
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机构:
Turku Univ Hosp, Dept Pediat & Adolescent Med, Turku, Finland
Univ Turku, Turku, FinlandInjeq Oy, Biokatu 8, Tampere 33520, Finland
Soukka, Hanna
[4
,5
]
Lahteenmaki, Paivi
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机构:
Turku Univ Hosp, Dept Pediat & Adolescent Med, Turku, Finland
Univ Turku, Turku, FinlandInjeq Oy, Biokatu 8, Tampere 33520, Finland
Lahteenmaki, Paivi
[4
,5
]
Eskola, Vesa
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机构:
Tampere Univ Hosp, Ctr Child Adolescent & Maternal Hlth Res, Dept Pediat, Tampere, Finland
Tampere Univ, Tampere Univ Hosp, Ctr Child Adolescent & Maternal Hlth Res, Fac Med & Hlth Technol, Tampere, FinlandInjeq Oy, Biokatu 8, Tampere 33520, Finland
Eskola, Vesa
[2
,3
]
机构:
[1] Injeq Oy, Biokatu 8, Tampere 33520, Finland
[2] Tampere Univ Hosp, Ctr Child Adolescent & Maternal Hlth Res, Dept Pediat, Tampere, Finland
[3] Tampere Univ, Tampere Univ Hosp, Ctr Child Adolescent & Maternal Hlth Res, Fac Med & Hlth Technol, Tampere, Finland
[4] Turku Univ Hosp, Dept Pediat & Adolescent Med, Turku, Finland
Objective The objective of this study is to examine factors accounting for the incidence of traumatic lumbar puncture (TLP) in infants younger than 1 year old. Study Design Retrospective analysis of cerebrospinal fluid (CSF) data from 1,240 neonatal (<= 28 days) and 399 infant lumbar puncture (LP) procedures was conducted. Data from two successive LP procedures were obtained from 108 patients. Logistic regression analysis was used to assess factors accounting for the incidence of TLP in the second LP procedure. The following categorical variables were entered into the model: whether the first procedure was traumatic according to criteria of >= 500 and >= 10,000 erythrocytes/mu L, whether the LP procedures were performed within a week, and whether the patient was neonatal at the first procedure. Results The incidences of TLP were 42.9% in neonates and 22.5% in infants for the criterion of >= 500 erythrocytes/mu L, and 16.6 and 10.3% for the criterion of >= 10,000 erythrocytes/mu L. Compared with a nontraumatic first LP procedure, if the first procedure was traumatic according to the criterion of >= 10,000 erythrocytes/mu L, the odds ratio (OR) of TLP in the second procedure was 5.86 ( p = 0.006). Compared with a longer time, if the successive procedures were performed within a week, the OR of TLP was 9.06 ( p < 0.0001) according to the criteria of >= 500 erythrocytes/mu L and 3.34 ( p = 0.045) according to the criteria of >= 10,000 erythrocytes/mu L. If the patient was neonatal at the first procedure, the OR of TLP at the second puncture was 0.32 ( p = 0.031) according to the criterion of >= 500 erythrocytes/mu L. Conclusions The incidence of TLP in neonates is twice as high as that in infants. Successive LP procedures performed within a week and a highly blood-contaminated CSF sample in the first procedure each multiplied the odds of TLP in the second procedure, whereas being a neonate at the time of the first procedure reduced the odds of TLP.
机构:
Boston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Lyons, Todd W.
Cruz, Andrea T.
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机构:
Baylor Coll Med, Sect Pediat Emergency Med, Houston, TX 77030 USA
Baylor Coll Med, Sect Pediat Infect Dis, Houston, TX 77030 USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Cruz, Andrea T.
Freedman, Stephen B.
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机构:
Univ Calgary, Cumming Sch Med, Alberta Childrens Hosp, Sect Pediat Emergency Med & Gastroenterol,Res Ins, Calgary, AB, CanadaBoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Freedman, Stephen B.
Arms, Joseph L.
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机构:
Childrens Minnesota, Dept Pediat Emergency Med, Minneapolis, MN USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Arms, Joseph L.
Aronson, Paul L.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Sch Med, Dept Pediat & Emergency Med, New Haven, CT USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Aronson, Paul L.
Fleming, Alesia H.
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机构:
Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Fleming, Alesia H.
Kulik, Dina M.
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机构:
Hosp Sick Children, Div Pediat Emergency Med, Toronto, ON, CanadaBoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Kulik, Dina M.
Mahajan, Prashant
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机构:
Univ Michigan, Dept Emergency Med & Pediat, Ann Arbor, MI 48109 USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Mahajan, Prashant
Mistry, Rakesh D.
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机构:
Childrens Hosp Colorado, Sect Pediat Emergency Med, Aurora, CO USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Mistry, Rakesh D.
Pruitt, Christopher M.
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机构:
Univ Alabama Birmingham, Div Pediat Emergency Med, Birmingham, AL USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Pruitt, Christopher M.
Thompson, Amy D.
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机构:
Nemours Alfred I duPont Hosp Children, Dept Pediat & Emergency Med, Wilmington, DE USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
Thompson, Amy D.
Nigrovic, Lise E.
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机构:
Boston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USABoston Childrens Hosp, Div Emergency Med, 300 Longwood Ave, Boston, MA 02115 USA
机构:
Univ Hosp Columbia Coll Phys & Surg, Dept Emergency Med, St Lukes Roosevelt Hosp, New York, NY 10025 USAUniv Hosp Columbia Coll Phys & Surg, Dept Emergency Med, St Lukes Roosevelt Hosp, New York, NY 10025 USA
Shah, Kaushat H.
McGillicuddy, Daniel
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机构:Univ Hosp Columbia Coll Phys & Surg, Dept Emergency Med, St Lukes Roosevelt Hosp, New York, NY 10025 USA
McGillicuddy, Daniel
Spear, Jeffrey
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机构:Univ Hosp Columbia Coll Phys & Surg, Dept Emergency Med, St Lukes Roosevelt Hosp, New York, NY 10025 USA
Spear, Jeffrey
Edlow, Jonathan A.
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机构:Univ Hosp Columbia Coll Phys & Surg, Dept Emergency Med, St Lukes Roosevelt Hosp, New York, NY 10025 USA
Edlow, Jonathan A.
[J].
AMERICAN JOURNAL OF EMERGENCY MEDICINE,
2007,
25
(06):
: 608
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611