Neurodevelopmental outcomes in preterm or low birth weight infants with germinal matrix-intraventricular hemorrhage: a meta-analysis

被引:2
|
作者
Zhou, Meicen [1 ,2 ]
Wang, Shaopu [1 ,2 ]
Zhang, Ting [1 ,2 ]
Duan, Surong [3 ]
Wang, Hua [1 ,2 ]
机构
[1] Sichuan Univ, West China Univ Hosp 2, Dept Pediat, Chengdu 610041, Sichuan, Peoples R China
[2] Sichuan Univ, Key Lab Birth Defects & Related Dis Women & Childr, Minist Educ, Chengdu 610041, Sichuan, Peoples R China
[3] Bingzhou Med Univ, Bingzhou 264003, Peoples R China
基金
中国国家自然科学基金;
关键词
GESTATIONAL-AGE; CEREBRAL-PALSY; GRADE; ULTRASOUND; IMPACT; ABNORMALITIES; EVOLUTION; COHORT; RISKS; BORN;
D O I
10.1038/s41390-023-02877-8
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BackgroundThis meta-analysis aimed to identify the near- and long-term neurodevelopmental prognoses of preterm or low birth weight (LBW) infants with different severities of intraventricular hemorrhage (IVH).MethodsFour databases were searched for observational studies that were qualified using the Newcastle-Ottawa Scale.Results37 studies involving 32,370 children were included. Compared to children without IVH, children with mild IVH had higher incidences of neurodevelopmental impairment (NDI), cerebral palsy (CP), motor/cognitive delay, hearing impairment and visual impairment, as well as lower scores of the mental development index (MDI) and psychomotor development (PDI). Moreover, compared to mild IVH, severe IVH increased susceptibilities of children to NDI, motor delay, CP, hearing impairment and visual impairment, with worse performances in MDI, PDI, motor score and IQ. Mild IVH was not associated with seizures or epilepsy.ConclusionsAdverse neurodevelopmental outcomes positively associated with the occurrence and severity of IVH in preterm or LBW infants, providing evidence for counseling and further decisions regarding early therapeutic interventions.ImpactAdverse neurodevelopmental outcomes later in life were closely associated with the occurrence and severity of IVH in preterm or LBW infants.Our results highlight the importance to make prediction of the neurodevelopmental outcomes of children born preterm or LBW with a history of IVH, which will guide affected parents when their children need clinical interventions to reach the full potential.We emphasize the importance of identifying specific developmental delays that may exist in children with IVH, providing detailed information for the development of comprehensive intervention measures.
引用
收藏
页码:625 / 633
页数:9
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