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Neurobehavior in very preterm infants with low medical risk and full-term infants

Objective To describe differences in neurobehavior among very preterm infants with low medical risk at term equivalent age and full-term infants. Study design One-hundred eighty-six (136 infants born ≤32 weeks gestation with low medical risk at term equivalent age and 50 full-term infants within 4 d...

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Published in:Journal of perinatology 2022-10, Vol.42 (10), p.1400-1408
Main Authors: Pineda, Roberta, Liszka, Lara, Tran, Pido, Kwon, Jenny, Inder, Terrie
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creator Pineda, Roberta
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description Objective To describe differences in neurobehavior among very preterm infants with low medical risk at term equivalent age and full-term infants. Study design One-hundred eighty-six (136 infants born ≤32 weeks gestation with low medical risk at term equivalent age and 50 full-term infants within 4 days of birth) had standardized neurobehavioral assessments. Low medical risk was defined by ventilation
doi_str_mv 10.1038/s41372-022-01432-3
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Study design One-hundred eighty-six (136 infants born ≤32 weeks gestation with low medical risk at term equivalent age and 50 full-term infants within 4 days of birth) had standardized neurobehavioral assessments. Low medical risk was defined by ventilation &lt;10 days and absence of significant brain injury, necrotizing enterocolitis, patent ductus arteriosus, and retinopathy of prematurity. Results Very preterm infants with low medical risk at term equivalent age demonstrated more sub-optimal reflexes ( p  &lt; 0.001; ß  = 1.53) and more stress ( p  &lt; 0.001; ß  = 0.08) on the NICU Network Neurobehavioral Scale compared to their full-term counterparts. Very preterm infants with low medical risk also performed worse on the Hammersmith Neonatal Neurological Examination ( p  = 0.005; ß  = −3.4). Conclusion Very preterm infants at term equivalent age continue to demonstrate less optimal neurobehavior compared to full-term infants.</description><identifier>ISSN: 0743-8346</identifier><identifier>ISSN: 1476-5543</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-022-01432-3</identifier><identifier>PMID: 35717460</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/409 ; 692/499 ; Age ; Brain injury ; Ductus Arteriosus, Patent ; Enrollments ; Enterocolitis ; Equivalence ; Female ; Fetal Growth Retardation ; Gestational Age ; Head injuries ; Health risks ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases - diagnosis ; Infant, Very Low Birth Weight ; Infants ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Necrotizing enterocolitis ; Neonates ; Newborn babies ; Occupational therapy ; Pediatric Surgery ; Pediatrics ; Premature babies ; Premature birth ; Reflexes ; Retinopathy ; Sociodemographics ; Ventilators ; White people</subject><ispartof>Journal of perinatology, 2022-10, Vol.42 (10), p.1400-1408</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2022. corrected publication 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2022. corrected publication 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3343-16ac1828325e9aa34d1aff088f7c51596fbf3cbee8053da4e3154452d3408fe33</citedby><cites>FETCH-LOGICAL-c3343-16ac1828325e9aa34d1aff088f7c51596fbf3cbee8053da4e3154452d3408fe33</cites><orcidid>0000-0001-9240-4798</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27938,27939</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35717460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pineda, Roberta</creatorcontrib><creatorcontrib>Liszka, Lara</creatorcontrib><creatorcontrib>Tran, Pido</creatorcontrib><creatorcontrib>Kwon, Jenny</creatorcontrib><creatorcontrib>Inder, Terrie</creatorcontrib><title>Neurobehavior in very preterm infants with low medical risk and full-term infants</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective To describe differences in neurobehavior among very preterm infants with low medical risk at term equivalent age and full-term infants. Study design One-hundred eighty-six (136 infants born ≤32 weeks gestation with low medical risk at term equivalent age and 50 full-term infants within 4 days of birth) had standardized neurobehavioral assessments. Low medical risk was defined by ventilation &lt;10 days and absence of significant brain injury, necrotizing enterocolitis, patent ductus arteriosus, and retinopathy of prematurity. Results Very preterm infants with low medical risk at term equivalent age demonstrated more sub-optimal reflexes ( p  &lt; 0.001; ß  = 1.53) and more stress ( p  &lt; 0.001; ß  = 0.08) on the NICU Network Neurobehavioral Scale compared to their full-term counterparts. Very preterm infants with low medical risk also performed worse on the Hammersmith Neonatal Neurological Examination ( p  = 0.005; ß  = −3.4). 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Study design One-hundred eighty-six (136 infants born ≤32 weeks gestation with low medical risk at term equivalent age and 50 full-term infants within 4 days of birth) had standardized neurobehavioral assessments. Low medical risk was defined by ventilation &lt;10 days and absence of significant brain injury, necrotizing enterocolitis, patent ductus arteriosus, and retinopathy of prematurity. Results Very preterm infants with low medical risk at term equivalent age demonstrated more sub-optimal reflexes ( p  &lt; 0.001; ß  = 1.53) and more stress ( p  &lt; 0.001; ß  = 0.08) on the NICU Network Neurobehavioral Scale compared to their full-term counterparts. Very preterm infants with low medical risk also performed worse on the Hammersmith Neonatal Neurological Examination ( p  = 0.005; ß  = −3.4). Conclusion Very preterm infants at term equivalent age continue to demonstrate less optimal neurobehavior compared to full-term infants.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>35717460</pmid><doi>10.1038/s41372-022-01432-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9240-4798</orcidid><oa>free_for_read</oa></addata></record>
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source Nexis UK; Springer Nature
subjects 692/308/409
692/499
Age
Brain injury
Ductus Arteriosus, Patent
Enrollments
Enterocolitis
Equivalence
Female
Fetal Growth Retardation
Gestational Age
Head injuries
Health risks
Hospitals
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - diagnosis
Infant, Very Low Birth Weight
Infants
Medicine
Medicine & Public Health
Middle Aged
Necrotizing enterocolitis
Neonates
Newborn babies
Occupational therapy
Pediatric Surgery
Pediatrics
Premature babies
Premature birth
Reflexes
Retinopathy
Sociodemographics
Ventilators
White people
title Neurobehavior in very preterm infants with low medical risk and full-term infants
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