Higher parental education was associated with good cognitive outcomes in infants with hypoxic-ischaemic encephalopathy

被引：6

作者：

Varga, Zsuzsanna ^{[1
]}

Andorka, Csilla ^{[1
]}

Pataki, Margit ^{[1
]}

Meder, Unoke ^{[1
]}

Szakmar, Eniko ^{[1
]}

Szabo, Attila J. ^{[1
]}

Szabo, Miklos ^{[1
]}

Jermendy, Agnes ^{[1
,2
]}

机构：

[1] Semmelweis Univ, MTA Ctr Excellence, Dept Pediat, Div Neonatol, Budapest, Hungary

[2] Semmelweis Univ, Dept Pediat, 53 Bokay Utca, H-1083 Budapest, Hungary

来源：

ACTA PAEDIATRICA | 2024年 / 113卷 / 03期

关键词：

hypoxic-ischaemic encephalopathy; magnetic resonance imaging; neurodevelopment; parental education; socio-economic status; SOCIOECONOMIC-STATUS; PERINATAL ASPHYXIA; HYPOTHERMIA; CHILDHOOD; LANGUAGE; ABILITY;

D O I：

10.1111/apa.17058

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

AimPredicting neurodevelopmental outcomes in hypoxic-ischaemic encephalopathy (HIE) remains imprecise, despite advanced imaging and neurophysiological tests. We explored the predictive value of socio-economic status (SES).MethodsThe cohort comprised 93 infants (59% male) with HIE, who had received therapeutic hypothermia. Patients underwent magnetic resonance imaging, and brain injuries were quantified using the Barkovich scoring system. Family SES was self-reported using a questionnaire. Adverse outcomes were defined as mild to severely delayed development with a score of <= 85 in any domain at 2 years of age, based on the Bayley Scales of Infant Development, Second Edition. Data are presented as odds ratios (OR) with 95% confidence intervals (95% CI).ResultsMultiple regression modelling revealed that higher parental education was strongly associated with good cognitive development, when adjusted for gestational age, serum lactate and brain injuries (OR 2.20, 95% CI 1.16-4.36). The effect size of parental education (beta = 0.786) was higher than one score for any brain injury using the Barkovich scoring system (beta = -0.356). The literacy environment had a significant effect on cognitive development in the 21 infants who had brain injuries (OR 40, 95% CI 3.70-1352).ConclusionParental education and the literacy environment influenced cognitive outcomes in patients with HIE.

引用

页码：417 / 425

页数：9

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