Relation of Retinopathy of Prematurity to Brain Volumes at Term Equivalent Age and Developmental Outcome at 2 Years of Corrected Age in Very Preterm Infants
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| Název: | Relation of Retinopathy of Prematurity to Brain Volumes at Term Equivalent Age and Developmental Outcome at 2 Years of Corrected Age in Very Preterm Infants |
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| Autoři: | Lois E.H. Smith, Petra Susan Hüppi, Ann Hellström, Holger Hövel, Ingrid Hansen Pupp, Vineta Fellman, Kristbjörg Sveinsdottir, David Ley |
| Zdroj: | Neonatology, Vol. 114, No 1 (2018) pp. 46-52 |
| Informace o vydavateli: | S. Karger AG, 2018. |
| Rok vydání: | 2018 |
| Témata: | Male, Developmental Disabilities, Gestational Age, Brain/diagnostic imaging/growth & development, 03 medical and health sciences, Child Development, 0302 clinical medicine, Humans, Retinopathy of Prematurity, Longitudinal Studies, ddc:618, Infant, Newborn, Brain, Infant, Newborn, Magnetic Resonance Imaging, White Matter, White Matter/diagnostic imaging/growth & development, Developmental Disabilities/etiology, Extremely Premature/growth & development, Infant, Extremely Premature, Linear Models, Female, Retinopathy of Prematurity/complications |
| Popis: | Background: Retinopathy of prematurity (ROP) is a major complication of preterm birth and has been associated with later visual and nonvisual impairments. Objectives: To evaluate relationships between any stage of ROP, brain volumes, and developmental outcomes. Methods: This study included 52 very preterm infants (gestational age [mean ± SD]: 26.4 ± 1.9 weeks). Total brain, gray matter, unmyelinated white matter (UWMV), and cerebellar volumes were estimated in 51 out of 52 infants by magnetic resonance imaging at term-equivalent age. Bayley Scales of Infant Development were used to assess developmental outcomes in 49 out of 52 infants at a mean corrected age of 24.6 months. Results: Nineteen out of 52 infants developed any stage of ROP. Infants with ROP had a lower median (IQR) UWMV (173 [156–181] vs. 204 [186–216] mL, p < 0.001) and cerebellar volume (18.3 [16.5–20] vs. 22.3 [20.3–24.7] mL, p < 0.001) than infants without ROP. They also had a lower median (IQR) mental developmental index (72 [56–83] vs. 100 [88–104], p < 0.001) and a lower psychomotor developmental index (80 [60–85] vs. 92 [81–103], p = 0.002). Brain volumes and developmental outcomes did not differ among infants with different stages of ROP. Conclusion: Any stage of ROP in preterm infants was associated with a reduced brain volume and an impaired developmental outcome. These results suggest that common pathways may lead to impaired neural and neurovascular development in the brain and retina and that all stages of ROP may be considered in future studies on ROP and development. |
| Druh dokumentu: | Article |
| Popis souboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 1661-7819 1661-7800 |
| DOI: | 10.1159/000487847 |
| Přístupová URL adresa: | https://www.karger.com/Article/Pdf/487847 https://pubmed.ncbi.nlm.nih.gov/29649829 https://www.ncbi.nlm.nih.gov/pubmed/29649829 https://europepmc.org/abstract/MED/29649829 https://core.ac.uk/display/157572964 https://pubmed.ncbi.nlm.nih.gov/29649829/ https://portal.research.lu.se/en/publications/relation-of-retinopathy-of-prematurity-to-brain-volumes-at-term-e https://lup.lub.lu.se/record/36fa131a-852b-45bc-ae8f-3fdb2b8eb590 https://archive-ouverte.unige.ch/unige:128635 |
| Rights: | URL: https://www.karger.com/Services/SiteLicenses |
| Přístupové číslo: | edsair.doi.dedup.....be30a22062336df7d3d07c327f41de57 |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Background: Retinopathy of prematurity (ROP) is a major complication of preterm birth and has been associated with later visual and nonvisual impairments. Objectives: To evaluate relationships between any stage of ROP, brain volumes, and developmental outcomes. Methods: This study included 52 very preterm infants (gestational age [mean ± SD]: 26.4 ± 1.9 weeks). Total brain, gray matter, unmyelinated white matter (UWMV), and cerebellar volumes were estimated in 51 out of 52 infants by magnetic resonance imaging at term-equivalent age. Bayley Scales of Infant Development were used to assess developmental outcomes in 49 out of 52 infants at a mean corrected age of 24.6 months. Results: Nineteen out of 52 infants developed any stage of ROP. Infants with ROP had a lower median (IQR) UWMV (173 [156–181] vs. 204 [186–216] mL, p < 0.001) and cerebellar volume (18.3 [16.5–20] vs. 22.3 [20.3–24.7] mL, p < 0.001) than infants without ROP. They also had a lower median (IQR) mental developmental index (72 [56–83] vs. 100 [88–104], p < 0.001) and a lower psychomotor developmental index (80 [60–85] vs. 92 [81–103], p = 0.002). Brain volumes and developmental outcomes did not differ among infants with different stages of ROP. Conclusion: Any stage of ROP in preterm infants was associated with a reduced brain volume and an impaired developmental outcome. These results suggest that common pathways may lead to impaired neural and neurovascular development in the brain and retina and that all stages of ROP may be considered in future studies on ROP and development. |
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| ISSN: | 16617819 16617800 |
| DOI: | 10.1159/000487847 |