The CRIB (Clinical Risk Index for Babies) score and neurodevelopmental impairment at one year corrected age in very low birth weight infants

被引:35
作者
Bührer, C [1 ]
Grimmer, I [1 ]
Metze, B [1 ]
Obladen, M [1 ]
机构
[1] Humboldt Univ, Dept Neonatol, Charite Virchow Hosp, D-13344 Berlin, Germany
关键词
newborn infants; prematurity; CRIB score; risk;
D O I
10.1007/s001340051157
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To assess the ability of the Clinical Risk Index for Babies (CRIB) to predict long-term neurodevelopmental impairment in very low birth weight (VLBW) infants. Design: Single-center cohort study. Setting: Tertiary neonatal care hospital and follow-up clinic. Patients: Four hundred fifty-five VLBW infants consecutively admitted from 1992 to 1997 inclusive. Measurements and results: Calculations of CRIB scores from birth weight, gestational age, the presence of congenital malformations, worst base excess, maximum and minimum appropriate fraction of inspired oxygen (FIO2) during the first 12 h of life was possible in 430 infants. Three hundred eighty-six infants survived until discharge (89 %) and 352 (91 %) were examined at 1 year corrected age using the Griffiths scales of mental development. Major neurodevelopmental impairment (general quotient < 2 standard deviations below average) was observed in 76 infants (22 %). CRIB scores and the individual CRIB components differed significantly between infants with and those without neurodevelopmental impairment. By logistic regression analysis, CRIB scores and minimum FIO2 were independent predictors of death, while CRIB and maximum FIO2 were independently associated with neurodevelopmental impairment. For combined poor outcome (death or impairment), CRIB, minimum and maximum FIO2 were independent predictors. In predicting major neurodevelopmental impairment, the area under the receiver operating characteristic curve for CRIB (0.703 +/- 0.035) did not differ significantly from that of birth weight (0.697 +/- 0.035) or any other CRIB component. Conclusion: While high CRIB scores are associated with major neurodevelopmental impairment, the CRIB score is of limited value for stratification in randomized trials or for adjustments in comparing performance between hospitals with neurodevelopmental impairment as the main outcome measure.
引用
收藏
页码:325 / 329
页数:5
相关论文
共 50 条
  • [41] Retinopathy of Prematurity in Very Low Birth Weight Infants: Effects of Serum Vitamin A and Clinical Parameters
    Ozer, Esra Arun
    Gul, Ozlem Sivasli
    Men, Gamze
    Talay, Ekrem
    Sutcuoglu, Sumer
    Kanik, Ali
    Turkoglu, Ebru
    Kahramaner, Zelal
    Cosar, Hese
    Erdemir, Aydin
    Yaprak, Isin
    TURK OFTALMOLOJI DERGISI-TURKISH JOURNAL OF OPHTHALMOLOGY, 2011, 41 (05): : 309 - 313
  • [42] HIV exposure and neurodevelopmental outcome in very low birth weight infants in a low-middle income setting: a prospective cohort study
    Mackay, Cheryl Anne
    Masekela, Refiloe
    AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2022, 34 (02): : 241 - 249
  • [43] One-year neurodevelopmental outcome of very and late preterm infants: Risk factors and correlation with maternal stress
    Coletti, Maria Franca
    Caravale, Barbara
    Gasparini, Corinna
    Franco, Francesco
    Campi, Francesca
    Dotta, Andrea
    INFANT BEHAVIOR & DEVELOPMENT, 2015, 39 : 11 - 20
  • [44] Variations and Determinants of Mortality and Length of Stay of Very Low Birth Weight and Very Low for Gestational Age Infants in Seven European Countries
    Fatttore, Giovanni
    Numerato, Dino
    Peltola, Mikko
    Banks, Helen
    Graziani, Rebecca
    Heijink, Richard
    Over, Eelco
    Klitkou, Soren Toksvig
    Fletcher, Eilidh
    Mihalicza, Peter
    Svereus, Sofia
    HEALTH ECONOMICS, 2015, 24 : 65 - 87
  • [45] Relationship Between the Respiratory Severity Score and Extubation Failure in Very-Low-Birth-Weight Premature Infants
    Dursun, Mesut
    Zubarioglu, Adil Umut
    Bulbul, Ali
    MEDICAL BULLETIN OF SISLI ETFAL HOSPITAL, 2021, 55 (03): : 382 - 390
  • [46] Comparison between one and three doses a week of recombinant erythropoietin in very low birth weight infants
    Vazquez Lopez, M. A.
    Llamas, M. A.
    Galera, R.
    Sanchez, A. R.
    Lendinez, F.
    Gonzalez-Ripoll, M.
    Diez, J.
    Bonillo, A.
    JOURNAL OF PERINATOLOGY, 2011, 31 (02) : 118 - 124
  • [47] Screening for Language Delay between 6 Months and 3 Years of Corrected Age in Very Low Birth Weight Children
    Pradeep Debata
    Jogender Kumar
    Kanya Mukhopadhyay
    Indian Pediatrics, 2019, 56 : 481 - 484
  • [48] Screening for Language Delay between 6 Months and 3 Years of Corrected Age in Very Low Birth Weight Children
    Debata, Pradeep
    Kumar, Jogender
    Mukhopadhyay, Kanya
    INDIAN PEDIATRICS, 2019, 56 (06) : 481 - 484
  • [49] Neurodevelopmental Outcomes in Very Low-Birth-Weight Infants in Korea: 1998-2007 vs 1989-1997
    Jang, Dae-Hyun
    Sung, In Young
    Jeon, Jae Yong
    Moon, Hye Jin
    Kim, Ki-Soo
    Kim, Ellen Ai-Rhan
    Lee, Byong Sop
    JOURNAL OF CHILD NEUROLOGY, 2011, 26 (11) : 1405 - 1410
  • [50] The association between maternal body mass index and severity of neonatal illness in very low birth weight infants
    Bruno, Christie J.
    Locke, Robert
    Mackley, Amy
    Paul, David A.
    JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2009, 22 (07) : 560 - 564