We have been looking at factors which need to be taken into consideration when resuscitating extreme preterms. One which is mentioned regularly is extensive or excessive bruising. Despite a literature search we have been unable to find any supporting evidence to support this although we have all experienced these babies having a poor outcome in practice. Does anyone know of any such research or any papers that discuss how to 'grade' the bruising etc?

Thanks in advance

I can only agree on your clinical impression.

One major problem with major bruising is the abnormal coagulation often detected, and I think there a reports supporting abnormal coagulation status with poor outcome. If I was not on holiday, I would search Pubmed

May be this is useful:

LINK

(PS: Stefan I wish I was the one on that vacation and you were the one searching Pubmed !!!)