Title |
Prospective research in infants with mild encephalopathy identified in the first six hours of life: neurodevelopmental outcomes at 18–22 months
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Published in |
Pediatric Research, September 2018
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DOI | 10.1038/s41390-018-0174-x |
Pubmed ID | |
Authors |
Lina F Chalak, Kim-Anh Nguyen, Chatchay Prempunpong, Roy Heyne, Sudhin Thayyil, Seetha Shankaran, Abbot R. Laptook, Nancy Rollins, Athina Pappas, Louise Koclas, Birju Shah, Paolo Montaldo, Benyachalee Techasaensiri, Pablo J. Sánchez, Guilherme Sant’Anna |
Abstract |
Studies of early childhood outcomes of mild hypoxic-ischemic encephalopathy (HIE) identified in the first 6 h of life are lacking. To evaluate neurodevelopmental outcomes at 18-22 months of PRIME study. Multicenter, prospective study of mild HIE defined as ≥1 abnormality using the modified Sarnat within 6 h of birth and not meeting cooling criteria. Primary outcome was disability with mild: Bayley III cognitive 70-84 or ≥85 and either Gross Motor Function Classification System (GMFCS) 1 or 2, seizures, or hearing deficit; moderate: cognitive 70-84 and either GMFCS 2, seizures, or hearing deficit; severe: cognitive <70, GMFCS 3-5. Of the 63 infants enrolled, 51 (81%) were evaluated at 19 ± 2 months and 43 (68%) completed Bayley III. Of the 43 infants, 7 (16%) were diagnosed with disability, including 1 cerebral palsy and 2 autism. Bayley scores < 85 in either cognition, motor, or language were detected in 17 (40%): 14 (32%) language, 7 (16%) cognitive, and 6 (14%) motor domain. Infants with disability had more abnormalities on discharge examination and brain MRI, with longer hospital stay (p < 0.001). In this contemporary untreated cohort of mild HIE, disability occurred in 16% of infants at 18-22 months. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 11 | 18% |
United Kingdom | 11 | 18% |
Spain | 5 | 8% |
Australia | 3 | 5% |
South Africa | 2 | 3% |
Denmark | 1 | 2% |
Brazil | 1 | 2% |
Italy | 1 | 2% |
Ireland | 1 | 2% |
Other | 3 | 5% |
Unknown | 22 | 36% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 36 | 59% |
Scientists | 12 | 20% |
Practitioners (doctors, other healthcare professionals) | 9 | 15% |
Science communicators (journalists, bloggers, editors) | 4 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 136 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 18 | 13% |
Student > Master | 18 | 13% |
Student > Ph. D. Student | 12 | 9% |
Researcher | 11 | 8% |
Student > Bachelor | 10 | 7% |
Other | 28 | 21% |
Unknown | 39 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 44 | 32% |
Neuroscience | 14 | 10% |
Nursing and Health Professions | 8 | 6% |
Psychology | 7 | 5% |
Biochemistry, Genetics and Molecular Biology | 3 | 2% |
Other | 11 | 8% |
Unknown | 49 | 36% |