Trends in the prevalence of cerebral palsy among very preterm infants (<31 weeks' gestational age)

被引：16
作者：
Vincer, Michael J. [1 ,2 ,3 ]
Allen, Alexander C. [2 ,3 ,4 ]
Allen, Victoria M. [3 ]
Baskett, Thomas F. [3 ]
O'Connell, Colleen M. [2 ,3 ,4 ]
机构：
[1] IWK Hlth Ctr, Perinatal Follow Up Program, Halifax, NS B3K 6R8, Canada
[2] Dalhousie Univ, Dept Pediat, Halifax, NS, Canada
[3] Dalhousie Univ, Dept Obstet & Gynaecol, Halifax, NS, Canada
[4] Dalhousie Univ, Perinatal Epidemiol Res Unit, Halifax, NS, Canada
来源：
PAEDIATRICS & CHILD HEALTH | 2014年 / 19卷 / 04期
关键词：
Cerebral palsy; Infant; Population-based; Premature; POPULATION; BIRTH; RISK; CHORIOAMNIONITIS; EPIDEMIOLOGY; OUTCOMES; CHILDREN; WOMEN;
D O I：
10.1093/pch/19.4.185
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
BACKGROUND: The birth prevalence of cerebral palsy varies over time among very preterm infants, and the reasons are poorly understood. objective: To describe the variation in the prevalence of cerebral palsy among very preterm infants over time, and to relate these differences to other maternal or neonatal factors. METHODS: A population-based cohort of very preterm infants was evaluated over a 20-year period (1988 to 2007) divided into four equal epochs. RESULTS: The prevalence of cerebral palsy peaked in the third epoch (1998 to 2002) while mortality rate peaked in the second epoch (1993 to 1997). Maternal anemia, tocolytic use and neonatal need for home oxygen were highest in the third epoch. CONCLUSIONS: Lower mortality rates did not correlate well with the prevalence of cerebral palsy. Maternal risk factors, anemia and tocolytic use, and the newborn need for home oxygen were highest during the same epoch as the peak prevalence of cerebral palsy.
引用
收藏
页码：185 / 189
页数：5
相关论文
共 26 条
  • [1] The adverse neuro-developmental effects of postnatal steroids in the preterm infant: A systematic review of RCTs
    Barrington K.J.
    [J]. BMC Pediatrics, 1 (1)
  • [2] Proposed definition and classification of cerebral palsy, April 2005 - Introduction
    Bax, M
    Goldstein, M
    Rosenbaum, P
    Leviton, A
    Paneth, N
    [J]. DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2005, 47 (08) : 571 - 576
  • [3] Epidemiology of the Cerebral Palsies
    Blair, Eve
    [J]. ORTHOPEDIC CLINICS OF NORTH AMERICA, 2010, 41 (04) : 441 - 455
  • [4] Do very preterm twins and singletons differ in their neurodevelopment at 5 years of age?
    Bodeau-Livinec, Florence
    Zeitlin, Jennifer
    Blondel, Beatrice
    Arnaud, Catherine
    Fresson, Jeanne
    Burguet, Antoine
    Subtil, Damien
    Marret, Stephane
    Roze, Jean-Christophe
    Marchand-Martin, Laetitia
    Ancel, Pierre-Yves
    Kaminski, Monique
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2013, 98 (06): : F480 - F487
  • [5] CRICHTON JU, 1995, DEV MED CHILD NEUROL, V37, P567
  • [6] Two-year outcomes from very low birthweight infants in a geographically defined population across 10 years, 1993-2002: comparing 1993-1997 with 1998-2002
    D'Amore, A.
    Broster, S.
    Le Fort, W.
    Curley, A.
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2011, 96 (03): : F178 - F185
  • [7] Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus
    Doyle, Lex W.
    Crowther, Caroline A.
    Middleton, Philippa
    Marret, Stephane
    Rouse, Dwight
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2009, (01):
  • [8] Fair M, 2000, Chronic Dis Can, V21, P8
  • [9] Maternal antecedents for cerebral palsy in extremely preterm babies: a case-control study
    Gray, PH
    Jones, P
    O'Callaghan, MJ
    [J]. DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2001, 43 (09) : 580 - 585
  • [10] FETAL CROWN-RUMP LENGTH - REEVALUATION OF RELATION TO MENSTRUAL AGE (5-18 WEEKS) WITH HIGH-RESOLUTION REAL-TIME US
    HADLOCK, FP
    SHAH, YP
    KANON, DJ
    LINDSEY, JV
    [J]. RADIOLOGY, 1992, 182 (02) : 501 - 505
123