ORAL PRESENTATIONS
Session 4
4B BAPM/NNS: Brain
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4.7 NEONATAL RESUSCITATION AND CHILDHOOD COGNITIVE OUTCOMES
D. E. Odd, A. Whitelaw, D. Gunnell, G. Lewis. University of Bristol, Bristol, UK
Background: Neonatal encephalopathy has been considered an essential marker for perinatal cerebral injury. However, milder insults may cause subtle defects in functioning. The evidence for the long-term impact of such milder insults is contentious. The aim is to determine whether infants receiving resuscitation after birth have reduced IQ scores in childhood.
Methods: The study is based on 11 513 term infants from the Avon Longitudinal Study of Parents and Children. Three groups were defined: infants who received resuscitation at birth but no further neonatal care (n = 818); those receiving resuscitation who developed subsequent encephalopathy (n = 63) and those not requiring resuscitation or further care (n = 10 632). Cognition was assessed at 8 years with a low score defined as an IQ of <80. Results were adjusted for other covariates. Chained equations
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