Abdalla, T., Abdelmoktader, A., Saad, M. (2023). Cranial Ultrasound and Serum Amyloid A as Predictors of Outcome in Term Newborn with Hypoxic-Ischemic Encephalopathy. The Egyptian Journal of Hospital Medicine, 90(2), 3312-3322. doi: 10.21608/ejhm.2023.291348
Tarek Rashad Abdalla; Ahmed Mahmoud Abdelmoktader; Mohamed Ahmed Saad. "Cranial Ultrasound and Serum Amyloid A as Predictors of Outcome in Term Newborn with Hypoxic-Ischemic Encephalopathy". The Egyptian Journal of Hospital Medicine, 90, 2, 2023, 3312-3322. doi: 10.21608/ejhm.2023.291348
Abdalla, T., Abdelmoktader, A., Saad, M. (2023). 'Cranial Ultrasound and Serum Amyloid A as Predictors of Outcome in Term Newborn with Hypoxic-Ischemic Encephalopathy', The Egyptian Journal of Hospital Medicine, 90(2), pp. 3312-3322. doi: 10.21608/ejhm.2023.291348
Abdalla, T., Abdelmoktader, A., Saad, M. Cranial Ultrasound and Serum Amyloid A as Predictors of Outcome in Term Newborn with Hypoxic-Ischemic Encephalopathy. The Egyptian Journal of Hospital Medicine, 2023; 90(2): 3312-3322. doi: 10.21608/ejhm.2023.291348
Cranial Ultrasound and Serum Amyloid A as Predictors of Outcome in Term Newborn with Hypoxic-Ischemic Encephalopathy
Background: The use of serum amyloid A as a synergistic predictor of the level and extent of brain injury has been mentioned by many literatures yet no correlation between resistive index -as a reflector of cerebral blood flow velocity- cranial imaging and mortality outcomes have been detected. Objectives:This study aimed to evaluate serum amyloid A and cranial ultrasound (CUS) in hypoxic ischemic insult and assess its relation to consequences as mortality in neonates. Subjects and Methods: A prospective cohort study was done on 35 full term (>35 weeks) neonates in Intensive Care Unit-Fayoum Hospital - Egypt. Full neurological examination was done during the first 24 hours and after 7 days. Results: Severe hypoxic ischemia was found strongly correlated with high mortality. Low resistive index and high serum amyloid A were both indicators of poor prognostic condition in asphyxiated neonates. Conclusion: The serum amyloid A and ultrasound can be involved to evaluate the extent and level of asphyxia in neonates upon the first days of life.