RT Journal Article
SR Electronic
T1 Postnatal growth restriction and neurodevelopment at 5 years of age: a European extremely preterm birth cohort study
JF Archives of Disease in Childhood - Fetal and Neonatal Edition
JO Arch Dis Child Fetal Neonatal Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP fetalneonatal-2022-324988
DO 10.1136/archdischild-2022-324988
A1 Rym El Rafei
A1 Rolf Felix Maier
A1 Pierre Henri Jarreau
A1 Mikael Norman
A1 Henrique Barros
A1 Patrick Van Reempts
A1 Arno Van Heijst
A1 Pernille Pedersen
A1 Marina Cuttini
A1 Samantha Johnson
A1 Raquel Costa
A1 Michael Zemlin
A1 Elizabeth S Draper
A1 Jennifer Zeitlin
A1 ,
YR 2023
UL http://fn.bmj.com/content/early/2023/03/02/archdischild-2022-324988.abstract
AB Objective To investigate whether extrauterine growth restriction (EUGR) during the neonatal hospitalisation by sex among extremely preterm (EPT) infants is associated with cerebral palsy (CP) and cognitive and motor abilities at 5 years of age.Study design Population-based cohort of births <28 weeks of gestation with data from obstetric and neonatal records and parental questionnaires and clinical assessments at 5 years of age.Setting 11 European countries.Patients 957 EPT infants born in 2011–2012.Main outcomes EUGR at discharge from the neonatal unit was defined as (1) the difference between Z-scores at birth and discharge with <−2 SD as severe, −2 to −1 SD as moderate using Fenton’s growth charts (Fenton) and (2) average weight-gain velocity using Patel’s formula in grams (g) per kilogram per day (Patel) with <11.2 g (first quartile) as severe, 11.2–12.5 g (median) as moderate. Five-year outcomes were: a CP diagnosis, intelligence quotient (IQ) using the Wechsler Preschool and Primary Scales of Intelligence tests and motor function using the Movement Assessment Battery for Children, second edition.Results 40.1% and 33.9% children were classified as having moderate and severe EUGR, respectively, by Fenton and 23.8% and 26.3% by Patel. Among children without CP, those with severe EUGR had lower IQ than children without EUGR (−3.9 points, 95% Confidence Interval (CI)=−7.2 to −0.6 for Fenton and −5.0 points, 95% CI=−8.2 to −1.8 for Patel), with no interaction by sex. No significant associations were observed between motor function and CP.Conclusions Severe EUGR among EPT infants was associated with decreased IQ at 5 years of age.No data are available. Data are not available. Only aggregated data are available apart from the RECAP Platform (https://recap-preterm.eu/)