Comparison in Outcomes at Two-Years of Age of Very Preterm Infants Born in 2000, 2005 and 2010
Identifieur interne : 000190 ( Main/Exploration ); précédent : 000189; suivant : 000191Comparison in Outcomes at Two-Years of Age of Very Preterm Infants Born in 2000, 2005 and 2010
Auteurs : Lénaïg Abily-Donval [France] ; Gaëlle Pinto-Cardoso [France] ; Alexandra Chadie [France] ; Anne-Marie Guerrot [France] ; Stéphanie Torre [France] ; Stéphane Rondeau [France] ; Stéphane Marret [France]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
To investigate alteration in 2-year neurological/behavioral outcomes of very preterm infants born in a French level three neonatal intensive care unit.
We conducted a prospective, comparative study of very preterm infants born before 33 weeks’ gestation at 5-year intervals in 2000, 2005 and 2010 at Rouen University Hospital. Neonatal mortality/morbidities, ante- and neonatal treatments, and at age 2 years motor, cognitive and behavioral data were collected by standardized questionnaires.
We included 536 very preterm infants. Follow-up rates at two years old were 78% in 2000, 93% in 2005 and 92% in 2010 respectively. No difference in gestational age, birthweight, neonatal mortality/morbidities was observed except a decrease in low grade subependymal/intraventricular hemorrhages. Care modifications concerned use of antenatal magnesium sulfate, breast-feeding and post-natal corticosteroid therapy. Significant improvement in motor outcome and dramatic decrease in cerebral palsy rates (12% in 2000, 6% in 2005, 1% in 2010,
Improvement in neuromotor outcome and behavior was reported. This could be due to multiple modifications in care: including administration of magnesium sulfate to women at risk of preterm birth, increase in breast-feeding, decrease in low grade subependymal/intraventricular hemorrhages, and decrease in post-natal corticosteroid therapy, all of which require further investigation in other studies. Extended follow-up until school age is mandatory for better detection of cognitive, learning and behavioral disorders.
Url:
DOI: 10.1371/journal.pone.0114567
PubMed: 25658321
PubMed Central: 4320065
Affiliations:
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Stephane" uniqKey="Rondeau S" first="Stéphane" last="Rondeau">Stéphane Rondeau</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation></author><author><name sortKey="Marret, Stephane" sort="Marret, Stephane" uniqKey="Marret S" first="Stéphane" last="Marret">Stéphane Marret</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, 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type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320065</idno><idno type="RBID">PMC:4320065</idno><idno type="doi">10.1371/journal.pone.0114567</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000009</idno><idno type="wicri:Area/Pmc/Curation">000009</idno><idno type="wicri:Area/Pmc/Checkpoint">000026</idno><idno type="wicri:Area/Ncbi/Merge">000458</idno><idno type="wicri:Area/Ncbi/Curation">000458</idno><idno type="wicri:Area/Ncbi/Checkpoint">000458</idno><idno type="wicri:Area/Main/Merge">000188</idno><idno type="wicri:Area/Main/Curation">000190</idno><idno type="wicri:Area/Main/Exploration">000190</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Comparison in Outcomes at Two-Years of Age of Very Preterm Infants Born in 2000, 2005 and 2010</title><author><name sortKey="Abily Donval, Lenaig" sort="Abily Donval, Lenaig" uniqKey="Abily Donval L" first="Lénaïg" last="Abily-Donval">Lénaïg Abily-Donval</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Equipe Region-Institut National de la Santé et de la Recherche Médicale, ERI 28, Neovasc, Institute for Biomedical Research and Innovation, School of Medicine, Rouen University, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Equipe Region-Institut National de la Santé et de la Recherche Médicale, ERI 28, Neovasc, Institute for Biomedical Research and Innovation, School of Medicine, Rouen University, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation></author><author><name sortKey="Pinto Cardoso, Gaelle" sort="Pinto Cardoso, Gaelle" uniqKey="Pinto Cardoso G" first="Gaëlle" last="Pinto-Cardoso">Gaëlle Pinto-Cardoso</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation></author><author><name sortKey="Chadie, Alexandra" sort="Chadie, Alexandra" uniqKey="Chadie A" first="Alexandra" last="Chadie">Alexandra Chadie</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation></author><author><name sortKey="Guerrot, Anne Marie" sort="Guerrot, Anne Marie" uniqKey="Guerrot A" first="Anne-Marie" last="Guerrot">Anne-Marie Guerrot</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation></author><author><name sortKey="Torre, Stephanie" sort="Torre, Stephanie" uniqKey="Torre S" first="Stéphanie" last="Torre">Stéphanie Torre</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation></author><author><name sortKey="Rondeau, Stephane" sort="Rondeau, Stephane" uniqKey="Rondeau S" first="Stéphane" last="Rondeau">Stéphane Rondeau</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation></author><author><name sortKey="Marret, Stephane" sort="Marret, Stephane" uniqKey="Marret S" first="Stéphane" last="Marret">Stéphane Marret</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatal Medicine, Rouen University Hospital, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Equipe Region-Institut National de la Santé et de la Recherche Médicale, ERI 28, Neovasc, Institute for Biomedical Research and Innovation, School of Medicine, Rouen University, Rouen, Haute-Normandie, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Equipe Region-Institut National de la Santé et de la Recherche Médicale, ERI 28, Neovasc, Institute for Biomedical Research and Innovation, School of Medicine, Rouen University, Rouen, Haute-Normandie</wicri:regionArea><wicri:noRegion>Haute-Normandie</wicri:noRegion><wicri:noRegion>Haute-Normandie</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Objective</title><p>To investigate alteration in 2-year neurological/behavioral outcomes of very preterm infants born in a French level three neonatal intensive care unit.</p></sec><sec id="sec002"><title>Methods</title><p>We conducted a prospective, comparative study of very preterm infants born before 33 weeks’ gestation at 5-year intervals in 2000, 2005 and 2010 at Rouen University Hospital. Neonatal mortality/morbidities, ante- and neonatal treatments, and at age 2 years motor, cognitive and behavioral data were collected by standardized questionnaires.</p></sec><sec id="sec003"><title>Results</title><p>We included 536 very preterm infants. Follow-up rates at two years old were 78% in 2000, 93% in 2005 and 92% in 2010 respectively. No difference in gestational age, birthweight, neonatal mortality/morbidities was observed except a decrease in low grade subependymal/intraventricular hemorrhages. Care modifications concerned use of antenatal magnesium sulfate, breast-feeding and post-natal corticosteroid therapy. Significant improvement in motor outcome and dramatic decrease in cerebral palsy rates (12% in 2000, 6% in 2005, 1% in 2010, <italic>p</italic><0.001) were observed, as were improvements in feeding behavior. Although a non significant difference to better psychosocial behavior was reported, there was no difference in cognitive outcome.</p></sec><sec id="sec004"><title>Conclusions</title><p>Improvement in neuromotor outcome and behavior was reported. This could be due to multiple modifications in care: including administration of magnesium sulfate to women at risk of preterm birth, increase in breast-feeding, decrease in low grade subependymal/intraventricular hemorrhages, and decrease in post-natal corticosteroid therapy, all of which require further investigation in other studies. Extended follow-up until school age is mandatory for better detection of cognitive, learning and behavioral disorders.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Blondel, B" uniqKey="Blondel B">B Blondel</name></author><author><name sortKey="Lelong, N" uniqKey="Lelong N">N Lelong</name></author><author><name sortKey="Kermarrec, M" uniqKey="Kermarrec M">M Kermarrec</name></author><author><name sortKey="Goffinet, F" uniqKey="Goffinet F">F Goffinet</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Volpe, Jj" uniqKey="Volpe J">JJ Volpe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Himmelmann, K" uniqKey="Himmelmann K">K Himmelmann</name></author><author><name sortKey="Hagberg, G" uniqKey="Hagberg G">G Hagberg</name></author><author><name sortKey="Uvebrant, P" uniqKey="Uvebrant P">P 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sortKey="Greene, Jd" uniqKey="Greene J">JD Greene</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Halliday, Hl" uniqKey="Halliday H">HL Halliday</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bain, E" uniqKey="Bain E">E Bain</name></author><author><name sortKey="Goodchild, L" uniqKey="Goodchild L">L Goodchild</name></author><author><name sortKey="Lontis, R" uniqKey="Lontis R">R Lontis</name></author><author><name sortKey="Mcintyre, S" uniqKey="Mcintyre S">S McIntyre</name></author><author><name sortKey="Ashwood, P" uniqKey="Ashwood P">P Ashwood</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marret, S" uniqKey="Marret S">S Marret</name></author><author><name sortKey="Marpeau, L" uniqKey="Marpeau L">L Marpeau</name></author><author><name sortKey="Zupan Simunek, V" uniqKey="Zupan Simunek V">V Zupan-Simunek</name></author><author><name sortKey="Eurin, D" uniqKey="Eurin D">D 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Pierrat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Delobel Ayoub, M" uniqKey="Delobel Ayoub M">M Delobel-Ayoub</name></author><author><name sortKey="Kaminski, M" uniqKey="Kaminski M">M Kaminski</name></author><author><name sortKey="Marret, S" uniqKey="Marret S">S Marret</name></author><author><name sortKey="Burguet, A" uniqKey="Burguet A">A Burguet</name></author><author><name sortKey="Marchand, L" uniqKey="Marchand L">L Marchand</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Larroque, B" uniqKey="Larroque B">B Larroque</name></author><author><name sortKey="Delobel, M" uniqKey="Delobel M">M Delobel</name></author><author><name sortKey="Arnaud, C" uniqKey="Arnaud C">C Arnaud</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anderson, P" uniqKey="Anderson P">P Anderson</name></author><author><name sortKey="Doyle, Lw" uniqKey="Doyle L">LW Doyle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chollat, C" uniqKey="Chollat C">C Chollat</name></author><author><name sortKey="Enser, M" uniqKey="Enser M">M Enser</name></author><author><name sortKey="Houivet, E" uniqKey="Houivet E">E Houivet</name></author><author><name sortKey="Provost, D" uniqKey="Provost D">D Provost</name></author><author><name sortKey="Benichou, J" uniqKey="Benichou J">J Bénichou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Clark, Rh" uniqKey="Clark R">RH Clark</name></author><author><name sortKey="Thomas, P" uniqKey="Thomas P">P Thomas</name></author><author><name sortKey="Peabody, J" uniqKey="Peabody J">J Peabody</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ehrenkranz, Ra" uniqKey="Ehrenkranz R">RA Ehrenkranz</name></author><author><name sortKey="Dusick, Am" uniqKey="Dusick A">AM Dusick</name></author><author><name sortKey="Vohr, Br" uniqKey="Vohr B">BR Vohr</name></author><author><name sortKey="Wright, Ll" uniqKey="Wright L">LL Wright</name></author><author><name sortKey="Wrage, La" uniqKey="Wrage L">LA Wrage</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country></list><tree><country name="France"><noRegion><name sortKey="Abily Donval, Lenaig" sort="Abily Donval, Lenaig" uniqKey="Abily Donval L" first="Lénaïg" last="Abily-Donval">Lénaïg Abily-Donval</name></noRegion><name sortKey="Abily Donval, Lenaig" sort="Abily Donval, Lenaig" uniqKey="Abily Donval L" first="Lénaïg" last="Abily-Donval">Lénaïg Abily-Donval</name><name sortKey="Chadie, Alexandra" sort="Chadie, Alexandra" uniqKey="Chadie A" first="Alexandra" last="Chadie">Alexandra Chadie</name><name sortKey="Guerrot, Anne Marie" sort="Guerrot, Anne Marie" uniqKey="Guerrot A" first="Anne-Marie" last="Guerrot">Anne-Marie Guerrot</name><name sortKey="Marret, Stephane" sort="Marret, Stephane" uniqKey="Marret S" first="Stéphane" last="Marret">Stéphane Marret</name><name sortKey="Marret, Stephane" sort="Marret, Stephane" uniqKey="Marret S" first="Stéphane" last="Marret">Stéphane Marret</name><name sortKey="Pinto Cardoso, Gaelle" sort="Pinto Cardoso, Gaelle" uniqKey="Pinto Cardoso G" first="Gaëlle" last="Pinto-Cardoso">Gaëlle Pinto-Cardoso</name><name sortKey="Rondeau, Stephane" sort="Rondeau, Stephane" uniqKey="Rondeau S" first="Stéphane" last="Rondeau">Stéphane Rondeau</name><name sortKey="Torre, Stephanie" sort="Torre, Stephanie" uniqKey="Torre S" first="Stéphanie" last="Torre">Stéphanie Torre</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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