Developmental assessment of VLBW infants at 18months of age: A comparison study between KSPD and Bayley III

Kono, Yoshiaki; Yonemoto, Naohiro; Kusuda, Satoshi; Hirano, Shinya; Iwata, Osuke; Tanaka, Kyoko; Nakazawa, Jin

doi:10.1016/j.braindev.2015.10.010

Cited by 102 publications

(96 citation statements)

References 22 publications

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“…Third, we did not use the Bayley Scales of Infant Development III, which is used worldwide, but used the KSPD instead, which is only used in Japan. However, a previous study showed that the KSPD is well correlated with the Bayley III [16] . Fourth, the NRNJ database does not include information on stillbirth.…”

Section: Discussionmentioning

confidence: 99%

“…A DQ <70 was defined as significant cognitive delay. The KSPD is well correlated with the Bayley III, which is used globally [16] . Neuromotor assessment was performed by a trained pediatrician.…”

Section: Discussionmentioning

confidence: 99%

“…The DQ was measured with the Kyoto Scale of Psychological Development (KSPD) [16] . In Japan, the KSPD is a widely used scale for evaluating motor and cognitive function of children in early childhood who are born preterm.…”

Section: Discussionmentioning

confidence: 99%

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Neurodevelopment at 3 Years in Neonates Born by Vaginal Delivery versus Cesarean Section at <26 Weeks of Gestation: Retrospective Analysis of a Nationwide Registry in Japan

Kimura

Takeuchi²,

Imai³

et al. 2017

Neonatology

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Background: A high proportion of extremely preterm (EPT) infants are born by cesarean section (CS). However, whether the mode of delivery is related to long-term neurodevelopment in these infants is unclear. Objectives: This study aimed to determine whether the mode of delivery is associated with mortality and long-term outcomes in EPT infants. Methods: We analyzed data of the Neonatal Research Network in Japan (NRNJ), a population-based, nationwide registry. Inclusion criteria were neonates who were born between 2003 and 2012 with a gestational age <26 weeks. The primary composite outcome was death before 3 years or neurodevelopmental impairment (NDI) at 3 years. Confounder-adjusted odds ratios (OR) were estimated by logistic generalized linear mixed models, which accounted for clustering within hospitals. Results: 2,138 eligible infants (703 by vaginal delivery [VD] and 1,435 by CS) were identified for primary analysis. The composite outcome of death or NDI was not different between both groups (66.7% by VD and 62.7% by CS, p = 0.075). After multivariate analysis adjusting for confounders, we found that CS did not improve the composite outcome of death or NDI (OR = 0.839, 95% confidence interval = 0.816-1.328, p = 0.742). For secondary outcomes, mortality (OR = 0.824, p = 0.150), NDI (OR = 1.237, p = 0.165), and other neurodevelopmental outcomes were not different between the groups. Conclusions: Among neonates born at <26 weeks, CS does not improve mortality and neurodevelopmental outcomes at 3 years in the NRNJ cohort. However, because of several potential biases such as high rates of infants lost to follow-up, further evidence may be required.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Neurodevelopment at 3 Years in Neonates Born by Vaginal Delivery versus Cesarean Section at <26 Weeks of Gestation: Retrospective Analysis of a Nationwide Registry in Japan

Kimura

Takeuchi²,

Imai³

et al. 2017

Neonatology

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“…Long-term prognosis at 3 years of age was based on the following criteria: prevalence of CP; home oxygen therapy (HOT); visual or hearing impairment; somatic growth, including height, body weight and head circumference; and developmental testing, using the Kyoto Scale of Psychological Development (KSPD),12 16 with a developmental quotient (DQ) <70, which is equivalent to a Bayley III Cognitive score of <85, indicative of a significant delay 16…”

Section: Methodsmentioning

confidence: 99%

Persistent pulmonary hypertension of the newborn in extremely preterm infants: a Japanese cohort study

Nakanishi

Suenaga

Uchiyama

et al. 2018

Arch Dis Child Fetal Neonatal Ed

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“…Next, to analyze the relationship between the mode of closure of the ductus arteriosus and the developmental prognosis, the developmental quotients (DQs) at the age of 36 months were compared among the three groups (Table 2). Third, the subjects (n = 71) were also divided into two groups according to the DQ at the age of 36 months, DQ ≥ 70 (n = 56) and DQ < 70 groups (n = 15), based on the Kyoto Scale of Psychological Development 2001, in which DQ < 70 has been generally defined as delayed (Kono et al 2016). To analyze the relationship between the DQ at the age of 36 months and the clinical parameters, the perinatal clinical parameters, hsPDA severity indices, and mode of closure of the ductus arteriosus were compared between these two groups ( Table 3).…”

Section: Clinical Information and Neurodevelopmental Assessmentmentioning

confidence: 99%

Surgical Ligation for Patent Ductus Arteriosus in Extremely Premature Infants: Strategy to Reduce their Risk of Neurodevelopmental Impairment

Ito

Matsuda

Usuda

et al. 2016

Tohoku J. Exp. Med.

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Surgical ligation for patent ductus arteriosus (PDA) in extremely low birth weight infants (ELBWIs) has been shown a possible association with neurodevelopmental impairment (NDI) because of its invasiveness. However, we have undergone surgical ligation for ELBWIs immediately after cyclooxygenase inhibitor failed to close a hemodynamically significant PDA (hsPDA) to maintain proper systemic circulation. We aimed to determine the effect of surgical ligation for hsPDA on NDI in ELBWIs. In enrolled 71 ELBWIs, the clinical parameters, including the developmental quotient (DQ), were collected and compared among three groups that were divided by closure mode: spontaneous closure (n = 11), cyclooxygenase inhibitor therapy (n = 37) and surgical ligation (n = 23). No significant differences in DQ at the age of 36 months among the three groups were found: Median (interquartile range): 92.0 (31.0), 89.0 (22.0) and 92.0 (24.5), respectively. In a comparison between groups of DQ < 70 (n = 15) and DQ ≥ 70 (n = 56), a significant difference was found in the parameters related to prematurity (p < 0.05 for each): gestational age [23.9 (1.70) vs. 25.4 (2.50) weeks], birth weight [595 (183) vs. 714 (192) g], Apgar score < 5 (1 min) (67% vs. 36%), and laser photocoagulation for retinopathy of prematurity (73% vs. 43%), but there was no significant association with hsPDA. Therefore, we propose that surgical ligation for hsPDA in ELBWIs should be immediately carried out for preventing future neurodevelopmental deterioration if the cyclooxygenase inhibitor failed to close hsPDA.

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Developmental assessment of VLBW infants at 18months of age: A comparison study between KSPD and Bayley III

Cited by 102 publications

References 22 publications

Neurodevelopment at 3 Years in Neonates Born by Vaginal Delivery versus Cesarean Section at <26 Weeks of Gestation: Retrospective Analysis of a Nationwide Registry in Japan

Neurodevelopment at 3 Years in Neonates Born by Vaginal Delivery versus Cesarean Section at <26 Weeks of Gestation: Retrospective Analysis of a Nationwide Registry in Japan

Persistent pulmonary hypertension of the newborn in extremely preterm infants: a Japanese cohort study

Surgical Ligation for Patent Ductus Arteriosus in Extremely Premature Infants: Strategy to Reduce their Risk of Neurodevelopmental Impairment

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