RF18 Contribution of severe neonatal morbidity to neurodevelopment at 2 years of age among very preterm infants: a mediation analysis Article Swipe
Camille Bonnet
,
Elizabeth S. Draper
,
RF Maier
,
Marina Cuttini
,
Lena Carolin Herich
,
Samantha Johnson
,
Jennifer Zeitlin
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1136/jech-2019-ssmabstracts.133
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1136/jech-2019-ssmabstracts.133
Background Low gestational age (GA) is the principle risk factor for poor long-term neurodevelopment among very preterm (VPT) children. Some of this effect results from a greater vulnerability to severe neonatal morbidities (SNM) which are strongly related to low GA as well as to poor neurodevelopmental outcome. We aimed to investigate how SNM mediates the relationship between GA and VPT adverse neurodevelopmental outcome at 2 years of corrected age. Methods Data come from the area-based Effective Perinatal Intensive Care in Europe (EPICE) cohort of children born below 32 weeks' GA in 2011/2012 in 11 European countries. Perinatal data were abstracted from medical records and follow-up was conducted using parent questionnaires at 2 years of corrected age. Children unable to walk without assistance or aids, or sit or hold their head up without support were classified with severe gross motor impairment (GMI); Non-verbal cognitive impairment (NVCI) was assessed as a score Results Of 3370 children assessed in the follow-up; 5.3% had GMI, 14.9% had NVCI and 9.4% had LI. A one-week increase in GA was associated with a decreased risk of GMI (OR=0.80; 95 CI%=0.74–0.86]), of NVCI (OR=0.85; 95 CI%=0.81–0.89]) and LI (OR=0.89; 95 CI%=0.83–0.96]). 20.4% of infants had at least one severe morbidity and this was more common among children with GMI (66.0% vs. 18.4%), NVCI (38.8% vs. 17.2%) and LI (38.4% vs. 18.4%). For GMI, almost 100% of the total effect of GA on GMI was mediated by SNM. This proportion was 70% for NVCI and 40% for LI. Conclusion Reducing SNM could lead to substantial improvements in neurodevelopmental outcomes for VPT children, especially those related to motor development.
Related Topics
Concepts
Medicine
Bronchopulmonary dysplasia
Pediatrics
Necrotizing enterocolitis
Periventricular leukomalacia
Retinopathy of prematurity
Intraventricular hemorrhage
Gestational age
Cerebral palsy
Pregnancy
Physical therapy
Genetics
Biology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/jech-2019-ssmabstracts.133
- https://jech.bmj.com/content/jech/73/Suppl_1/A63.1.full.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3020841647
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3020841647Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/jech-2019-ssmabstracts.133Digital Object Identifier
- Title
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RF18 Contribution of severe neonatal morbidity to neurodevelopment at 2 years of age among very preterm infants: a mediation analysisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
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2019-09-01Full publication date if available
- Authors
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Camille Bonnet, Elizabeth S. Draper, RF Maier, Marina Cuttini, Lena Carolin Herich, Samantha Johnson, Jennifer ZeitlinList of authors in order
- Landing page
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https://doi.org/10.1136/jech-2019-ssmabstracts.133Publisher landing page
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https://jech.bmj.com/content/jech/73/Suppl_1/A63.1.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://jech.bmj.com/content/jech/73/Suppl_1/A63.1.full.pdfDirect OA link when available
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Medicine, Bronchopulmonary dysplasia, Pediatrics, Necrotizing enterocolitis, Periventricular leukomalacia, Retinopathy of prematurity, Intraventricular hemorrhage, Gestational age, Cerebral palsy, Pregnancy, Physical therapy, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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