Improving head growth in preterm infants – a randomised controlled trial II: MRI and developmental outcomes in the first year

作者: M Tan , L Abernethy , R Cooke

DOI: 10.1136/ADC.2007.124255

关键词:

摘要: Background: Very preterm infants are at risk of poor growth and neurodevelopmental outcome. Illness difficulties overcoming the challenges feeding these often lead to undernutrition in first few weeks. Objective: To explore relationships between early nutrition, post-natal head growth, quantitative magnetic resonance imaging (MRI) developmental outcome year among born before 29 weeks9 gestation. Design: Infants gestation were randomised receive hyperalimented or standard regimen from birth 34 postmenstrual age (PMA). The primary was occipitofrontal circumference (OFC) 36 OFC. Quantitative MRI performed 40 PMA. Developmental assessment using Bayley Scales Infant Development II (BSID II) carried out 3 9 months post-term. Results: 109 survived end 65 underwent scan. 81 71 seen findings, mental development index (MDI) psychomotor (PDI) not statistically different two groups. Total brain volume (TBV) PMA, MDI PDI post-term correlated significantly with energy deficit 28 days Conclusions: Improving very may promote growth. have a role play predicting Post-natal PMA finding appear be closely related outcomes year. Trial registration number: ISRCTN 19509258

参考文章(30)
Aijaz Farooqi, Bruno Hägglöf, Gunnar Sedin, Leif Gothefors, Fredrik Serenius, Growth in 10- to 12-year-old children born at 23 to 25 weeks' gestation in the 1990s : a Swedish national prospective follow-up study. Pediatrics. ,vol. 118, ,(2006) , 10.1542/PEDS.2006-1069
P E CLAYTON, Leptin and puberty. Archives of Disease in Childhood. ,vol. 83, pp. 1- 4 ,(2000) , 10.1136/ADC.83.1.1
Karin J Rademaker, Cuno SPM Uiterwaal, Frederik JA Beek, Ingrid C van Haastert, Arno F Lieftink, Floris Groenendaal, Diederick E Grobbee, Linda S de Vries, Neonatal cranial ultrasound versus MRI and neurodevelopmental outcome at school age in children born preterm. Archives of Disease in Childhood-fetal and Neonatal Edition. ,vol. 90, pp. 489- 493 ,(2005) , 10.1136/ADC.2005.073908
J. L Hutton, P. O D Pharoah, R. W I Cooke, R. C Stevenson, Differential effects of preterm birth and small gestational age on cognitive and motor development Archives of Disease in Childhood-fetal and Neonatal Edition. ,vol. 76, ,(1997) , 10.1136/FN.76.2.F75
J.C Ferrie, L Barantin, E Saliba, S Akoka, F Tranquart, D Sirinelli, L Pourcelot, MR assessment of the brain maturation during the perinatal period: quantitative T2 MR study in premature newborns Magnetic Resonance Imaging. ,vol. 17, pp. 1275- 1288 ,(1999) , 10.1016/S0730-725X(99)00080-6
Maureen Hack, Avroy A Fanaroff, Outcomes of children of extremely low birthweight and gestational age in the 1990's Early Human Development. ,vol. 53, pp. 193- 218 ,(1999) , 10.1016/S0378-3782(98)00052-8