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Neonatal Polycythemia and Hyperviscosity Syndrome

Year 2022, Volume: 31 Issue: 2, 82 - 86, 30.06.2022
https://doi.org/10.17827/aktd.1071087

Abstract

Neonatal polycythemia is a clinical condition frequently encountered in newborn babies. Although the definition of polycythemia in newborns, born with physiologically higher values than the adult hematocrit value, is well known, the issue of how to treat which hematocrit value remains unclear. Considering that polycythemia causes severe complications up to infarction in the central nervous system in addition to mild clinical symptoms, up-to-date management guidelines are needed. In this review, the approach to neonatal polycythemia was prepared based on current data.

References

  • 1. Shohat M, Merlob P, Reisner SH. Neonatal polycythemia: I. Early diagnosis and incidence relating to time of sampling. Pediatrics. 1984;73(1):7-10.
  • 2. Sarkar S, Rosenkrantz TS. Neonatal polycythemia and hyperviscosity. Seminars in fetal & neonatal medicine. 2008;13(4):248-55.
  • 3. Jeevasankar M, Agarwal R, Chawla D, Paul VK, Deorari AK. Polycythemia in the newborn. Indian journal of pediatrics. 2008;75(1):68-72.
  • 4. Gomella T EF, Bany-Mohammed F. Gomella’s Neonatology, Eighth Edition. 8th ed. Columbus, OH: McGraw-Hill Education; 2020.
  • 5. Black VD. Neonatal hyperviscosity syndromes. Current problems in pediatrics. 1987;17(2):73-130.
  • 6. Sankar MJ, Agarwal R, Deorari A, Paul VK. Management of polycythemia in neonates. Indian journal of pediatrics. 2010;77(10):1117-21.
  • 7. Werner EJ. Neonatal polycythemia and hyperviscosity. Clin Perinatol. 1995;22(3):693-710.
  • 8. Gordon EA. Polycythemia and hyperviscosity of the newborn. The Journal of perinatal & neonatal nursing. 2003;17(3):209-19; quiz 20-1.
  • 9. American Academy of Pediatrics Committee on Fetus and Newborn: Routine evaluation of blood pressure, hematocrit, and glucose in newborns. Pediatrics. 1993;92(3):474-6.
  • 10. Armentrout DC, Huseby V. Neonatal polycythemia. Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners. 2002;16(1):40-2.
  • 11. Eichenwald E, Martin C, Stark A, Hansen A. Cloherty y Stark. Manual de Neonatología, 8. ª. Philadelphia: Wolters Kluwer; 2017.
  • 12. Lubetzky R, Ben-Shachar S, Mimouni FB, Dollberg S. Mode of delivery and neonatal hematocrit. American journal of perinatology. 2000;17(3):163-5.
  • 13. Martin RJ FA, Walsh MC. Fanaroff and martin’s neonatal-perinatal medicine, 2-volume set: Diseases of the fetus and infant. 11th ed. Philadelphia, PA: Elsevier - Health Sciences Division; 2019.
  • 14. Mercer JS. Current best evidence: a review of the literature on umbilical cord clamping. Journal of midwifery & women's health. 2001;46(6):402-14.
  • 15. Mangla MK, Thukral A, Sankar MJ, Agarwal R, Deorari AK, Paul VK. Effect of Umbilical Cord Milking vs Delayed Cord Clamping on Venous Hematocrit at 48 Hours in Late Preterm and Term Neonates: A Randomized Controlled Trial. Indian pediatrics. 2020;57(12):1119-23.
  • 16. Rosenkrantz TS. Polycythemia and hyperviscosity in the newborn. Seminars in thrombosis and hemostasis. 2003;29(5):515-27.
  • 17. Dunn SP, Gross KR, Scherer LR, Moenning S, Desanto A, Grosfeld JL. The effect of polycythemia and hyperviscosity on bowel ischemia. Journal of pediatric surgery. 1985;20(4):324-7.
  • 18. Christensen RD, Lambert DK, Schmutz N, Stodderd RA. Fatal bowel necrosis in two polycytemic term neonates. Fetal and pediatric pathology. 2008;27(1):41-4.
  • 19. Lambert DK, Christensen RD, Henry E, Besner GE, Baer VL, Wiedmeier SE, et al. Necrotizing enterocolitis in term neonates: data from a multihospital health-care system. J Perinatol. 2007;27(7):437-43.
  • 20. Hopewell B, Steiner LA, Ehrenkranz RA, Bizzarro MJ, Gallagher PG. Partial exchange transfusion for polycythemia hyperviscosity syndrome. American journal of perinatology. 2011;28(7):557-64.
  • 21. Uslu S, Ozdemir H, Bulbul A, Comert S, Can E, Nuhoglu A. The evaluation of polycythemic newborns: efficacy of partial exchange transfusion. J Matern Fetal Neonatal Med. 2011;24(12):1492-7.
  • 22. Vlug RD, Lopriore E, Janssen M, Middeldorp JM, Rath ME, Smits-Wintjens VE. Thrombocytopenia in neonates with polycythemia: incidence, risk factors and clinical outcome. Expert review of hematology. 2015;8(1):123-9.
  • 23. Acunas B, Celtik C, Vatansever U, Karasalihoglu S. Thrombocytopenia: an important indicator for the application of partial exchange transfusion in polycythemic newborn infants? Pediatrics international : official journal of the Japan Pediatric Society. 2000;42(4):343-7.
  • 24. Hopfeld-Fogel A, Kasirer Y, Mimouni FB, Hammerman C, Bin-Nun A. Neonatal Polycythemia and Hypoglycemia in Newborns: Are They Related? American journal of perinatology. 2021;38(9):930-4.
  • 25. Sundaram M, Dutta S, Narang A. Fluid Supplementation versus No Fluid Supplementation in Late Preterm and Term Neonates with Asymptomatic Polycythemia: A Randomized Controlled Trial. Indian pediatrics. 2016;53(11):983-6.
  • 26. Dempsey EM, Barrington K. Crystalloid or colloid for partial exchange transfusion in neonatal polycythemia: a systematic review and meta-analysis. Acta paediatrica (Oslo, Norway : 1992). 2005;94(11):1650-5.
  • 27. de Waal KA, Baerts W, Offringa M. Systematic review of the optimal fluid for dilutional exchange transfusion in neonatal polycythaemia. Archives of disease in childhood Fetal and neonatal edition. 2006;91(1):F7-10.
  • 28. Norman M, Fagrell B, Herin P. Effects of neonatal polycythemia and hemodilution on capillary perfusion. The Journal of pediatrics. 1992;121(1):103-8.
  • 29. Morag I, Strauss T, Lubin D, Schushan-Eisen I, Kenet G, Kuint J. Restrictive management of neonatal polycythemia. American journal of perinatology. 2011;28(9):677-82.
  • 30. Sehgal A, Francis JV. Hemodynamic alterations associated with polycythemia and partial exchange transfusion. J Perinatol. 2011;31(2):143-5.
  • 31. Ergenekon E, Hirfanoglu IM, Turan O, Beken S, Gucuyener K, Atalay Y. Partial exchange transfusion results in increased cerebral oxygenation and faster peripheral microcirculation in newborns with polycythemia. Acta paediatrica (Oslo, Norway : 1992). 2011;100(11):1432-6.
  • 32. Ozek E, Soll R, Schimmel MS. Partial exchange transfusion to prevent neurodevelopmental disability in infants with polycythemia. Cochrane Database Syst Rev. 2010(1):Cd005089.

Neonatal Polisitemi ve Hiperviskozite Sendromu

Year 2022, Volume: 31 Issue: 2, 82 - 86, 30.06.2022
https://doi.org/10.17827/aktd.1071087

Abstract

Neonatal polisitemi yenidoğan bebeklerde sıklıkla karşılaşılan klinik bir tablodur. Erişkin hematokrit değerinden fizyolojik olarak daha yüksek değerlerde doğan yenidoğan bebeklerin polisitemi tanımı iyi bilinmesine rağmen hangi hematokrit değerinde nasıl tedavi edileceği konusu belirsizliğini korumaktadır. Polisiteminin hafif klinik semptomlarına ek olarak santral sinir sisteminde infarkta kadar ağır komplikasyonlara neden olduğu düşünüldüğünde bu konuda hazırlanmış güncel yaklaşım kılavuzlarına ihtiyaç vardır. Bu derlemede neonatal polisitemiye yaklaşım güncel verilere dayanarak hazırlanmıştır.

References

  • 1. Shohat M, Merlob P, Reisner SH. Neonatal polycythemia: I. Early diagnosis and incidence relating to time of sampling. Pediatrics. 1984;73(1):7-10.
  • 2. Sarkar S, Rosenkrantz TS. Neonatal polycythemia and hyperviscosity. Seminars in fetal & neonatal medicine. 2008;13(4):248-55.
  • 3. Jeevasankar M, Agarwal R, Chawla D, Paul VK, Deorari AK. Polycythemia in the newborn. Indian journal of pediatrics. 2008;75(1):68-72.
  • 4. Gomella T EF, Bany-Mohammed F. Gomella’s Neonatology, Eighth Edition. 8th ed. Columbus, OH: McGraw-Hill Education; 2020.
  • 5. Black VD. Neonatal hyperviscosity syndromes. Current problems in pediatrics. 1987;17(2):73-130.
  • 6. Sankar MJ, Agarwal R, Deorari A, Paul VK. Management of polycythemia in neonates. Indian journal of pediatrics. 2010;77(10):1117-21.
  • 7. Werner EJ. Neonatal polycythemia and hyperviscosity. Clin Perinatol. 1995;22(3):693-710.
  • 8. Gordon EA. Polycythemia and hyperviscosity of the newborn. The Journal of perinatal & neonatal nursing. 2003;17(3):209-19; quiz 20-1.
  • 9. American Academy of Pediatrics Committee on Fetus and Newborn: Routine evaluation of blood pressure, hematocrit, and glucose in newborns. Pediatrics. 1993;92(3):474-6.
  • 10. Armentrout DC, Huseby V. Neonatal polycythemia. Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners. 2002;16(1):40-2.
  • 11. Eichenwald E, Martin C, Stark A, Hansen A. Cloherty y Stark. Manual de Neonatología, 8. ª. Philadelphia: Wolters Kluwer; 2017.
  • 12. Lubetzky R, Ben-Shachar S, Mimouni FB, Dollberg S. Mode of delivery and neonatal hematocrit. American journal of perinatology. 2000;17(3):163-5.
  • 13. Martin RJ FA, Walsh MC. Fanaroff and martin’s neonatal-perinatal medicine, 2-volume set: Diseases of the fetus and infant. 11th ed. Philadelphia, PA: Elsevier - Health Sciences Division; 2019.
  • 14. Mercer JS. Current best evidence: a review of the literature on umbilical cord clamping. Journal of midwifery & women's health. 2001;46(6):402-14.
  • 15. Mangla MK, Thukral A, Sankar MJ, Agarwal R, Deorari AK, Paul VK. Effect of Umbilical Cord Milking vs Delayed Cord Clamping on Venous Hematocrit at 48 Hours in Late Preterm and Term Neonates: A Randomized Controlled Trial. Indian pediatrics. 2020;57(12):1119-23.
  • 16. Rosenkrantz TS. Polycythemia and hyperviscosity in the newborn. Seminars in thrombosis and hemostasis. 2003;29(5):515-27.
  • 17. Dunn SP, Gross KR, Scherer LR, Moenning S, Desanto A, Grosfeld JL. The effect of polycythemia and hyperviscosity on bowel ischemia. Journal of pediatric surgery. 1985;20(4):324-7.
  • 18. Christensen RD, Lambert DK, Schmutz N, Stodderd RA. Fatal bowel necrosis in two polycytemic term neonates. Fetal and pediatric pathology. 2008;27(1):41-4.
  • 19. Lambert DK, Christensen RD, Henry E, Besner GE, Baer VL, Wiedmeier SE, et al. Necrotizing enterocolitis in term neonates: data from a multihospital health-care system. J Perinatol. 2007;27(7):437-43.
  • 20. Hopewell B, Steiner LA, Ehrenkranz RA, Bizzarro MJ, Gallagher PG. Partial exchange transfusion for polycythemia hyperviscosity syndrome. American journal of perinatology. 2011;28(7):557-64.
  • 21. Uslu S, Ozdemir H, Bulbul A, Comert S, Can E, Nuhoglu A. The evaluation of polycythemic newborns: efficacy of partial exchange transfusion. J Matern Fetal Neonatal Med. 2011;24(12):1492-7.
  • 22. Vlug RD, Lopriore E, Janssen M, Middeldorp JM, Rath ME, Smits-Wintjens VE. Thrombocytopenia in neonates with polycythemia: incidence, risk factors and clinical outcome. Expert review of hematology. 2015;8(1):123-9.
  • 23. Acunas B, Celtik C, Vatansever U, Karasalihoglu S. Thrombocytopenia: an important indicator for the application of partial exchange transfusion in polycythemic newborn infants? Pediatrics international : official journal of the Japan Pediatric Society. 2000;42(4):343-7.
  • 24. Hopfeld-Fogel A, Kasirer Y, Mimouni FB, Hammerman C, Bin-Nun A. Neonatal Polycythemia and Hypoglycemia in Newborns: Are They Related? American journal of perinatology. 2021;38(9):930-4.
  • 25. Sundaram M, Dutta S, Narang A. Fluid Supplementation versus No Fluid Supplementation in Late Preterm and Term Neonates with Asymptomatic Polycythemia: A Randomized Controlled Trial. Indian pediatrics. 2016;53(11):983-6.
  • 26. Dempsey EM, Barrington K. Crystalloid or colloid for partial exchange transfusion in neonatal polycythemia: a systematic review and meta-analysis. Acta paediatrica (Oslo, Norway : 1992). 2005;94(11):1650-5.
  • 27. de Waal KA, Baerts W, Offringa M. Systematic review of the optimal fluid for dilutional exchange transfusion in neonatal polycythaemia. Archives of disease in childhood Fetal and neonatal edition. 2006;91(1):F7-10.
  • 28. Norman M, Fagrell B, Herin P. Effects of neonatal polycythemia and hemodilution on capillary perfusion. The Journal of pediatrics. 1992;121(1):103-8.
  • 29. Morag I, Strauss T, Lubin D, Schushan-Eisen I, Kenet G, Kuint J. Restrictive management of neonatal polycythemia. American journal of perinatology. 2011;28(9):677-82.
  • 30. Sehgal A, Francis JV. Hemodynamic alterations associated with polycythemia and partial exchange transfusion. J Perinatol. 2011;31(2):143-5.
  • 31. Ergenekon E, Hirfanoglu IM, Turan O, Beken S, Gucuyener K, Atalay Y. Partial exchange transfusion results in increased cerebral oxygenation and faster peripheral microcirculation in newborns with polycythemia. Acta paediatrica (Oslo, Norway : 1992). 2011;100(11):1432-6.
  • 32. Ozek E, Soll R, Schimmel MS. Partial exchange transfusion to prevent neurodevelopmental disability in infants with polycythemia. Cochrane Database Syst Rev. 2010(1):Cd005089.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review
Authors

Sarkhan Elbayiyev 0000-0002-2113-5591

Ufuk Çakır 0000-0002-9409-185X

Publication Date June 30, 2022
Acceptance Date April 4, 2022
Published in Issue Year 2022 Volume: 31 Issue: 2

Cite

AMA Elbayiyev S, Çakır U. Neonatal Polisitemi ve Hiperviskozite Sendromu. aktd. June 2022;31(2):82-86. doi:10.17827/aktd.1071087