Antecedents and Outcomes of Abnormal Cranial Imaging in Moderately Preterm Infants

To describe the frequency and findings of cranial imaging in moderately preterm infants (born at 290/7-336/7 weeks of gestation) across centers, and to examine the association between abnormal imaging and clinical characteristics. We used data from the Neonatal Research Network Moderately Preterm Re...

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Veröffentlicht in:	The Journal of pediatrics 2018-04, Vol.195, p.66-72.e3
Hauptverfasser:	Natarajan, Girija, Shankaran, Seetha, Saha, Shampa, Laptook, Abbot, Higgins, Rosemary, Stoll, Barbara J., Bell, Edward F., Carlo, Waldemar A., DeMauro, Sara B., Sanchez, Pablo, Van Meurs, Krisa, Hale, Ellen, Walsh, Michele, Polin, Richard A., Keszler, Martin, Hensman, Angelita M., Vieira, Elisa, Siner, Bonnie S., Pallotto, Eugenia K., Kilbride, Howard W., Gauldin, Cheri, Holmes, Anne, Johnson, Kathy, Kallapur, Suhas G., Grisby, Cathy, Alexander, Barbara, Fischer, Estelle E., Kirker, Kristin, Jennings, Jennifer, Wuertz, Sandra, Goldberg, Ronald N., Finkle, Joanne, Fisher, Kimberley A., Laughon, Matthew M., Bose, Carl L., Bernhardt, Janice, Clark, Cindy, Loggins, Yvonne, Bottcher, Diane I., Archer, Stephanie Wilson, Sokol, Greg, Herron, Dianne E., Jadcherla, Sudarshan R., Luzader, Patricia, Parikh, Nehal A., Nist, Marliese Dion, Fuller, Jennifer, Gutentag, Julie, Jones, Marissa E., McGregor, Sarah, Rodgers, Elizabeth, Ulloa, Jodi A., Wolfe, Tara, Wallace, Dennis, Zaterka-Baxter, Kristin M., Gabrio, Jenna, Stevenson, David K., Ball, M. Bethany, Proud, Melinda S., Ambalavanan, Namasivayam, Collins, Monica V., Cosby, Shirley S., Devaskar, Uday, Garg, Meena, Chanlaw, Teresa, Geller, Rachel, Colaizy, Tarah T., Ellsbury, Dan L., Brumbaugh, Jane E., Johnson, Karen J., Campbell, Donia B., Walker, Jacky R., Ohls, Robin K., Lacy, Conra Backstrom, Beauman, Sandy Sundquist, Hartenberger, Carol, Kirpalani, Haresh, Chaudhary, Aasma S., Abbasi, Soraya, Mancini, Toni, Lakshminrusimha, Satyan, Hunn, Julianne, Wadkins, Holly I.M., Guilford, Stephanie, Williams, Ashley, Brion, Luc P., Vasil, Diana M., Chen, Lijun, Tyson, Jon E., Arldt-McAlister, Julie, Martin, Karen, McDavid, Georgia E., Wright, Sharon L., Pappas, Athina, Barks, John, Bara, Rebecca, Handel, Shelley, White, Diane F., Christensen, Mary, Wiggins, Stephanie A.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Brain - diagnostic imaging Cesarean Section - statistics & numerical data Chorioamnionitis - diagnosis Female Gestational Age Humans Hydrocephalus - diagnostic imaging Hydrocephalus - epidemiology Infant Infant, Newborn Infant, Premature Infant, Small for Gestational Age intracranial hemorrhage Intracranial Hemorrhages - diagnostic imaging Intracranial Hemorrhages - epidemiology Leukomalacia, Periventricular - diagnostic imaging Leukomalacia, Periventricular - epidemiology Logistic Models moderate preterm Neonatal Screening periventricular leukomalacia Pregnancy Prospective Studies Registries Resuscitation - statistics & numerical data Risk Factors ultrasound Young Adult
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Zusammenfassung:	To describe the frequency and findings of cranial imaging in moderately preterm infants (born at 290/7-336/7 weeks of gestation) across centers, and to examine the association between abnormal imaging and clinical characteristics. We used data from the Neonatal Research Network Moderately Preterm Registry, including the most severe early (≤28 days) and late (>28 days) cranial imaging. Stepwise logistic regression and CART analysis were performed after adjustment for gestational age, antenatal steroid use, and center. Among 7021 infants, 4184 (60%) underwent cranial imaging. These infants had lower gestational ages and birth weights and higher rates of small for gestational age, outborn birth, cesarean delivery, neonatal resuscitation, and treatment with surfactant, compared with those without imaging (P
ISSN:	0022-3476 1097-6833 1097-6833
DOI:	10.1016/j.jpeds.2017.11.036