Relation of Retinopathy of Prematurity to Brain Volumes at Term Equivalent Age and Developmental Outcome at 2 Years of Corrected Age in Very Preterm Infants
| Autor: | Petra Susan Hüppi, Lois E.H. Smith, Kristbjörg Sveinsdottir, Ann Hellström, David Ley, Holger Hövel, Ingrid Hansen Pupp, Vineta Fellman |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities genetic structures Developmental Disabilities Gestational Age Brain/diagnostic imaging/growth & development Bayley Scales of Infant Development Article White matter 03 medical and health sciences 0302 clinical medicine Child Development 030225 pediatrics medicine Humans Retinopathy of Prematurity Longitudinal Studies Psychomotor learning ddc:618 medicine.diagnostic_test business.industry Infant Newborn Gestational age Brain Infant Magnetic resonance imaging Retinopathy of prematurity medicine.disease Newborn Magnetic Resonance Imaging White Matter eye diseases White Matter/diagnostic imaging/growth & development Very preterm medicine.anatomical_structure Developmental Disabilities/etiology Extremely Premature/growth & development Infant Extremely Premature Pediatrics Perinatology and Child Health Brain size Linear Models Female business 030217 neurology & neurosurgery Retinopathy of Prematurity/complications Developmental Biology |
| Zdroj: | Neonatology, Vol. 114, No 1 (2018) pp. 46-52 |
| ISSN: | 1661-7819 1661-7800 |
| Popis: | Background: Retinopathy of prematurity (ROP) is a major complication of preterm birth and has been associated with later visual and nonvisual impairments. Objectives: To evaluate relationships between any stage of ROP, brain volumes, and developmental outcomes. Methods: This study included 52 very preterm infants (gestational age [mean ± SD]: 26.4 ± 1.9 weeks). Total brain, gray matter, unmyelinated white matter (UWMV), and cerebellar volumes were estimated in 51 out of 52 infants by magnetic resonance imaging at term-equivalent age. Bayley Scales of Infant Development were used to assess developmental outcomes in 49 out of 52 infants at a mean corrected age of 24.6 months. Results: Nineteen out of 52 infants developed any stage of ROP. Infants with ROP had a lower median (IQR) UWMV (173 [156–181] vs. 204 [186–216] mL, p < 0.001) and cerebellar volume (18.3 [16.5–20] vs. 22.3 [20.3–24.7] mL, p < 0.001) than infants without ROP. They also had a lower median (IQR) mental developmental index (72 [56–83] vs. 100 [88–104], p < 0.001) and a lower psychomotor developmental index (80 [60–85] vs. 92 [81–103], p = 0.002). Brain volumes and developmental outcomes did not differ among infants with different stages of ROP. Conclusion: Any stage of ROP in preterm infants was associated with a reduced brain volume and an impaired developmental outcome. These results suggest that common pathways may lead to impaired neural and neurovascular development in the brain and retina and that all stages of ROP may be considered in future studies on ROP and development. |
| Databáze: | OpenAIRE |
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