Neonatal Cranial Ultrasound Findings Among Infants Born Extremely Preterm: Associations with Neurodevelopmental Outcomes at 10 Years of Age

Overview

Journal J Pediatr

Specialty Pediatrics

Date 2021 Jun 6

PMID 34090894

Citations 10

Authors

Heather Campbell

Jennifer Check

Karl C K Kuban

Alan Leviton

Robert M Joseph

Jean A Frazier

Laurie M Douglass

Kyle Roell

Elizabeth N Allred

Lynn Ansley Fordham

Stephen R Hooper

Hernan Jara

Nigel Paneth

Irina Mokrova

Hongyu Ru

Hudson P Santos Jr

Rebecca C Fry

T Michael OShea

Affiliations

Soon will be listed here.

Abstract

Objective: To examine the association between neonatal cranial ultrasound (CUS) abnormalities among infants born extremely preterm and neurodevelopmental outcomes at 10 years of age.

Study Design: In a multicenter birth cohort of infants born at <28 weeks of gestation, 889 of 1198 survivors were evaluated for neurologic, cognitive, and behavioral outcomes at 10 years of age. Sonographic markers of white matter damage (WMD) included echolucencies in the brain parenchyma and moderate to severe ventricular enlargement. Neonatal CUS findings were classified as intraventricular hemorrhage (IVH) without WMD, IVH with WMD, WMD without IVH, and neither IVH nor WMD.

Results: WMD without IVH was associated with an increased risk of cognitive impairment (OR 3.5, 95% CI 1.7, 7.4), cerebral palsy (OR 14.3, 95% CI 6.5, 31.5), and epilepsy (OR 6.9; 95% CI 2.9, 16.8). Similar associations were found for WMD accompanied by IVH. Isolated IVH was not significantly associated these outcomes.

Conclusions: Among children born extremely preterm, CUS abnormalities, particularly those indicative of WMD, are predictive of neurodevelopmental impairments at 10 years of age. The strongest associations were found with cerebral palsy.

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