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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Van Marter, Linda J. Kuban, Karl C. K. Allred, Elizabeth Bose, Carl Dammann, Olaf O'Shea, Michael Laughon, Matthew Ehrenkranz, Richard A. Schreiber, Michael D. Karna, Padmani Leviton, Alan |
| Description | Country affiliation: United States Author Affiliation: Van Marter LJ ( Newborn Medicine, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. linda.vanmarter@childrens.harvard.edu) |
| Abstract | OBJECTIVE: To evaluate the relationships among cerebral palsy (CP) phenotypes and bronchopulmonary dysplasia (BPD) severity and, in the process, to generate hypotheses regarding causal pathways linking BPD to CP. STUDY DESIGN: We studied 1047 infants born before the 28th week of gestation. Receipt of supplemental oxygen at 36 weeks postmenstrual age (PMA), with or without the need for mechanical ventilation (MV) at 36 weeks PMA, defined two levels of BPD. At 24 months, the children underwent neurologic examinations and CP diagnoses were made using an algorithm based on topographic localisation. RESULTS: The 536 infants with BPD were at increased risk of all three CP phenotypes. In time-oriented multivariable analyses that adjusted for potential confounders, receipt of supplemental oxygen without MV at 36 weeks PMA (BPD) was not associated with increased risk of any CP phenotype. In contrast, BPD accompanied by MV at 36 weeks PMA (BPD/MV) was associated with a nearly sixfold increased risk of quadriparesis and a fourfold increased risk of diparesis. CONCLUSIONS: Combined treatment with both MV and supplemental oxygen at 36 weeks PMA strongly predicts the more common bilateral CP phenotypes. BPD without MV at 36 weeks PMA was not significantly associated with any form of CP. |
| File Format | HTM / HTML |
| ISSN | 13592998 |
| Issue Number | 1 |
| Volume Number | 96 |
| e-ISSN | 14682052 |
| Journal | Archives of Disease in Childhood - Fetal and Neonatal Edition |
| Language | English |
| Publisher | BMJ Publishing Group |
| Publisher Date | 2011-01-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pediatrics Discipline Perinatology Bronchopulmonary Dysplasia Complications Cerebral Palsy Etiology Infant, Premature, Diseases Algorithms Therapy Child Development Confounding Factors (epidemiology) Epidemiologic Methods Female Gestational Age Humans Infant, Newborn Infant, Premature Male Oxygen Inhalation Therapy Phenotype Respiration, Artificial Journal Article Multicenter Study Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |
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