TY - JOUR
T1 - Prospective research in infants with mild encephalopathy identified in the first six hours of life
T2 - neurodevelopmental outcomes at 18–22 months
AU - Chalak, Lina F.
AU - Nguyen, Kim Anh
AU - Prempunpong, Chatchay
AU - Heyne, Roy
AU - Thayyil, Sudhin
AU - Shankaran, Seetha
AU - Laptook, Abbot R.
AU - Rollins, Nancy
AU - Pappas, Athina
AU - Koclas, Louise
AU - Shah, Birju
AU - Montaldo, Paolo
AU - Techasaensiri, Benyachalee
AU - Sánchez, Pablo J.
AU - Sant’Anna, Guilherme
N1 - Publisher Copyright:
© 2018, International Pediatric Research Foundation, Inc.
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Background: Studies of early childhood outcomes of mild hypoxic-ischemic encephalopathy (HIE) identified in the first 6 h of life are lacking. Objective: To evaluate neurodevelopmental outcomes at 18–22 months of PRIME study. Study design: Multicenter, prospective study of mild HIE defined as ≥1 abnormality using the modified Sarnat within 6 h of birth and not meeting cooling criteria. Primary outcome was disability with mild: Bayley III cognitive 70–84 or ≥85 and either Gross Motor Function Classification System (GMFCS) 1 or 2, seizures, or hearing deficit; moderate: cognitive 70–84 and either GMFCS 2, seizures, or hearing deficit; severe: cognitive <70, GMFCS 3–5. Results: Of the 63 infants enrolled, 51 (81%) were evaluated at 19 ± 2 months and 43 (68%) completed Bayley III. Of the 43 infants, 7 (16%) were diagnosed with disability, including 1 cerebral palsy and 2 autism. Bayley scores < 85 in either cognition, motor, or language were detected in 17 (40%): 14 (32%) language, 7 (16%) cognitive, and 6 (14%) motor domain. Infants with disability had more abnormalities on discharge examination and brain MRI, with longer hospital stay (p < 0.001). Conclusions: In this contemporary untreated cohort of mild HIE, disability occurred in 16% of infants at 18–22 months.
AB - Background: Studies of early childhood outcomes of mild hypoxic-ischemic encephalopathy (HIE) identified in the first 6 h of life are lacking. Objective: To evaluate neurodevelopmental outcomes at 18–22 months of PRIME study. Study design: Multicenter, prospective study of mild HIE defined as ≥1 abnormality using the modified Sarnat within 6 h of birth and not meeting cooling criteria. Primary outcome was disability with mild: Bayley III cognitive 70–84 or ≥85 and either Gross Motor Function Classification System (GMFCS) 1 or 2, seizures, or hearing deficit; moderate: cognitive 70–84 and either GMFCS 2, seizures, or hearing deficit; severe: cognitive <70, GMFCS 3–5. Results: Of the 63 infants enrolled, 51 (81%) were evaluated at 19 ± 2 months and 43 (68%) completed Bayley III. Of the 43 infants, 7 (16%) were diagnosed with disability, including 1 cerebral palsy and 2 autism. Bayley scores < 85 in either cognition, motor, or language were detected in 17 (40%): 14 (32%) language, 7 (16%) cognitive, and 6 (14%) motor domain. Infants with disability had more abnormalities on discharge examination and brain MRI, with longer hospital stay (p < 0.001). Conclusions: In this contemporary untreated cohort of mild HIE, disability occurred in 16% of infants at 18–22 months.
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U2 - 10.1038/s41390-018-0174-x
DO - 10.1038/s41390-018-0174-x
M3 - Article
C2 - 30250303
AN - SCOPUS:85053845544
SN - 0031-3998
VL - 84
SP - 861
EP - 868
JO - Pediatric Research
JF - Pediatric Research
IS - 6
ER -