Standardisierte entwicklungsneurologische Nachuntersuchung von Frühgeborenen mit weniger als 32 Schwangerschaftswochen

Kiechl‐Kohlendorfer, Ursula; Brandstetter, Bernhard; Fuiko, Renate; Maurer-Fellbaum, U.; Wiesinger-Eidenberger, G; Dietz, W.; Berger, A.; Peglow, Ulrike Pupp; Resch, Bernhard; Simma, Burkhard

doi:10.1007/s00112-012-2681-x

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…To comply with the national registry only, a very limited number of measures and parameters had to be documented. The parameters included in that register were defined in a consensus published in 2012, 12 and documentation became mandatory by law 13 in 2017.…”

Section: Methodsmentioning

confidence: 99%

Chorioamnionitis and neurodevelopmental outcome in very preterm infants from 2007 to 2017—a population‐based study

et al. 2020

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Aim The study compares neurodevelopmental outcome at 24 months corrected age of very preterm infants exposed to chorioamnionitis and controls. Peripartal parameters which may influence outcome are also investigated. Methods In this observational population‐based study, very preterm infants born between 2007 and 2017 were eligible (n = 466) and included if a histological placental examination and a complete neurodevelopmental assessment (Bayley Scale of Infant Development II or III) (n = 168) were performed. Secondary analyses were calculated to identify peripartal factors that significantly influence mental and psychomotor outcome. Results Included infants showed a mean MDI of 91.2 (SD = 20.7) and a mean PDI of 99.4 (SD = 14.8). Infants with (n = 71) and without (n = 97) chorioamnionitis did not statistically differ either with mean MDI (91.8 vs. 90.3 points; p = 0.29) or mean PDI (98.3 vs. 100.9 points; p = 0.81), even after controlling for gestational age, mean APGAR scores and administration of antenatal steroids. Bronchopulmonary dysplasia was identified as the most influential factor for both MDI (p = .024) and PDI (p = .004). Conclusion We could not find an effect of chorioamnionitis on neurodevelopmental outcome of very preterm infants over an eleven‐year period. Analysis shows that postnatal factors have higher impacts than does chorioamnionitis.

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Section: Methodsmentioning

confidence: 99%

Chorioamnionitis and neurodevelopmental outcome in very preterm infants from 2007 to 2017—a population‐based study

et al. 2020

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“…A strength of the current study is the population‐based cohort design with a prospective enrolment of infants born extremely preterm and extensive data collection over a period of 10 years. Follow‐up assessments were conducted by skilled and experienced psychologists at all participating centres during regular follow‐up visits, in accordance with a nationwide guideline 11 . Additionally, regular national meetings of network psychologists are held twice a year to address any challenges encountered during Bayley testing.…”

Section: Discussionmentioning

confidence: 99%

“…According to a national guideline, standardised follow‐up care until school age is offered to all children after very preterm birth in Austria 11 . The 2‐year follow‐up visit includes a review of medical history, a physical and neurological examination, anthropometric measurements, a standardised neurologic examination and a standardised neurodevelopmental assessment with the Bayley Scales of Infant and Toddler Development (BSID).…”

Section: Patient and Methodsmentioning

confidence: 99%

“…According to a national guideline, standardised follow-up care until school age is offered to all children after very preterm birth in Austria. 11 The 2-year follow-up visit includes a review of medical history, a physical and neurological examination, anthropometric measurements, a standardised neurologic examination and a standardised neurodevelopmental assessment with the Bayley Scales of German normative values were used for BSID-III as they were better comparable to BSID-II Scores than US American values. 14 The severity of motor impairment was determined by the Gross Motor Function Classification System (GMFCS) of Palisano et al 15 Mild cerebral palsy (CP) was defined as GMFCS level 1, moderate as GMFCS level 2 or 3, and severe as GMFCS level 4 or 5.…”

Section: Follow-up Assessmentmentioning

confidence: 99%

“…Follow-up assessments were conducted by skilled and experienced psychologists at all participating centres during regular follow-up visits, in accordance with a nationwide guideline. 11 Additionally, regular national meetings of network psychologists are held twice a year to address any challenges encountered during Bayley testing. This study provides the first description of the 2 years' outcome of extremely preterm infants born in Austria.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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Two‐year neurodevelopmental outcome in extremely preterm‐born children: The Austrian Preterm Outcome Study Group

Kiechl‐Kohlendorfer,

Simma,

Berger

et al. 2024

Acta Paediatrica

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AimThe current study determined the neurodevelopmental outcome of extremely preterm infants at 2 years of age.MethodsAll live‐born infants 23–27 weeks of gestation born between 2011 and 2020 in Austria were included in a prospective registry. Neurodevelopmental outcome at 2 years of corrected age was assessed using Bayley Scales of Infant Development for both motor and cognitive scores, along with a neurological examination and an assessment of neurosensory function.Results2378 out of 2905 (81.9%) live‐born infants survived to 2 years of corrected age. Follow‐up data were available for 1488 children (62.6%). Overall, 43.0% had no, 35.0% mild and 22.0% moderate‐to‐severe impairment. The percentage of children with moderate‐to‐severe neurodevelopmental impairment decreased with increasing gestational age and was 31.4%, 30.5%, 23.3%, 19.0% and 16.5% at 23, 24, 25, 26 and 27 weeks gestational age (p < 0.001). Results did not change over the 10‐year period. In multivariate analysis, neonatal complications as well as male sex were significantly associated with an increased risk of neurodevelopmental impairment.ConclusionIn this cohort study, a 22.0% rate of moderate‐to‐severe neurodevelopmental impairment was observed among children born extremely preterm. This national data is important for both counselling parents and guiding the allocation of health resources.

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Früh- und Neugeborenennachsorge in der Praxis

Kiechl‐Kohlendorfer

Peglow

2013

Monatsschr Kinderheilkd

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Standardisierte entwicklungsneurologische Nachuntersuchung von Frühgeborenen mit weniger als 32 Schwangerschaftswochen

Cited by 6 publications

References 13 publications

Chorioamnionitis and neurodevelopmental outcome in very preterm infants from 2007 to 2017—a population‐based study

Chorioamnionitis and neurodevelopmental outcome in very preterm infants from 2007 to 2017—a population‐based study

Two‐year neurodevelopmental outcome in extremely preterm‐born children: The Austrian Preterm Outcome Study Group

Früh- und Neugeborenennachsorge in der Praxis

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