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Cerebral palsy among children born moderately and late preterm
To compare the incidence of and risk factors for cerebral palsy (CP) in moderately preterm (MP) (32(+0)-33(+6) weeks) and late preterm (LP) (34(+0)-36(+6) weeks) infants with those in very preterm (VP) (
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| Published in: | Pediatrics (Evanston) 2014-12, Vol.134 (6), p.e1584-e1593 |
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| container_title | Pediatrics (Evanston) |
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| creator | Hirvonen, Mikko Ojala, Riitta Korhonen, Päivi Haataja, Paula Eriksson, Kai Gissler, Mika Luukkaala, Tiina Tammela, Outi |
| description | To compare the incidence of and risk factors for cerebral palsy (CP) in moderately preterm (MP) (32(+0)-33(+6) weeks) and late preterm (LP) (34(+0)-36(+6) weeks) infants with those in very preterm (VP) ( |
| doi_str_mv | 10.1542/peds.2014-0945 |
| format | article |
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The national register study included all live-born infants in Finland from 1991 to 2008. Infants who died before the age of 1 year, had any major congenital anomaly, or had missing data were excluded. A total of 1 018 302 infants were included in the analysis and they were analyzed in 4 subgroups (VP, MP, LP, and term) and 3 time periods (1991-1995, 1996-2001, and 2002-2008).
By the age of 7 years, 2242 children with CP were diagnosed (0.2%). CP incidence was 8.7% in the VP, 2.4% in the MP, 0.6% in the LP, and 0.1% in the term group. The risk of CP was highest in the study period 1991-1995 in all groups. Factors predictive of an increased CP risk in the MP and LP groups included resuscitation at birth (odds ratio 1.60; 95% CI 1.01-2.53 and 1.78; 1.09-2.90), antibiotic treatment during the first hospitalization (1.63; 1.08-2.45 and 1.67; 1.13-2.44), 1-minute Apgar score <7 (1.70; 1.15-2.52 and 1.80; 1.21-2.67) and intracranial hemorrhage (7.18; 3.60-14.3 and 12.8; 5.58-29.2).
The incidence of CP is higher in LP and MP infants compared with term infants. There is a nonlinear decrease in incidence over time and with increasing gestational age.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2014-0945</identifier><identifier>PMID: 25422011</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Analysis ; Anti-Bacterial Agents - adverse effects ; Anti-Bacterial Agents - therapeutic use ; Apgar Score ; Babies ; Cerebral palsy ; Cerebral Palsy - diagnosis ; Cerebral Palsy - epidemiology ; Child ; Child, Preschool ; Children & youth ; Female ; Finland ; Gestational Age ; Health aspects ; Hospitalization ; Humans ; Incidence ; Infant ; Infant, Premature, Diseases - diagnosis ; Infant, Premature, Diseases - epidemiology ; Infants (Premature) ; Intracranial Hemorrhages - diagnosis ; Intracranial Hemorrhages - epidemiology ; Longitudinal Studies ; Male ; Nonlinear Dynamics ; Pediatrics ; Premature birth ; Premature infants ; Registries ; Resuscitation ; Risk Factors</subject><ispartof>Pediatrics (Evanston), 2014-12, Vol.134 (6), p.e1584-e1593</ispartof><rights>Copyright © 2014 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Dec 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-b5e643b40c6c2841e7365ea48bdb7fab2c3f84f69ad94af7bcf190db36f02c953</citedby><cites>FETCH-LOGICAL-c361t-b5e643b40c6c2841e7365ea48bdb7fab2c3f84f69ad94af7bcf190db36f02c953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25422011$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirvonen, Mikko</creatorcontrib><creatorcontrib>Ojala, Riitta</creatorcontrib><creatorcontrib>Korhonen, Päivi</creatorcontrib><creatorcontrib>Haataja, Paula</creatorcontrib><creatorcontrib>Eriksson, Kai</creatorcontrib><creatorcontrib>Gissler, Mika</creatorcontrib><creatorcontrib>Luukkaala, Tiina</creatorcontrib><creatorcontrib>Tammela, Outi</creatorcontrib><title>Cerebral palsy among children born moderately and late preterm</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To compare the incidence of and risk factors for cerebral palsy (CP) in moderately preterm (MP) (32(+0)-33(+6) weeks) and late preterm (LP) (34(+0)-36(+6) weeks) infants with those in very preterm (VP) (<32(+0) weeks) and term infants (≥37 weeks).
The national register study included all live-born infants in Finland from 1991 to 2008. Infants who died before the age of 1 year, had any major congenital anomaly, or had missing data were excluded. A total of 1 018 302 infants were included in the analysis and they were analyzed in 4 subgroups (VP, MP, LP, and term) and 3 time periods (1991-1995, 1996-2001, and 2002-2008).
By the age of 7 years, 2242 children with CP were diagnosed (0.2%). CP incidence was 8.7% in the VP, 2.4% in the MP, 0.6% in the LP, and 0.1% in the term group. The risk of CP was highest in the study period 1991-1995 in all groups. Factors predictive of an increased CP risk in the MP and LP groups included resuscitation at birth (odds ratio 1.60; 95% CI 1.01-2.53 and 1.78; 1.09-2.90), antibiotic treatment during the first hospitalization (1.63; 1.08-2.45 and 1.67; 1.13-2.44), 1-minute Apgar score <7 (1.70; 1.15-2.52 and 1.80; 1.21-2.67) and intracranial hemorrhage (7.18; 3.60-14.3 and 12.8; 5.58-29.2).
The incidence of CP is higher in LP and MP infants compared with term infants. There is a nonlinear decrease in incidence over time and with increasing gestational age.</description><subject>Analysis</subject><subject>Anti-Bacterial Agents - adverse effects</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Apgar Score</subject><subject>Babies</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - diagnosis</subject><subject>Cerebral Palsy - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Female</subject><subject>Finland</subject><subject>Gestational Age</subject><subject>Health aspects</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Premature, Diseases - diagnosis</subject><subject>Infant, Premature, Diseases - epidemiology</subject><subject>Infants (Premature)</subject><subject>Intracranial Hemorrhages - diagnosis</subject><subject>Intracranial Hemorrhages - epidemiology</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Nonlinear Dynamics</subject><subject>Pediatrics</subject><subject>Premature birth</subject><subject>Premature infants</subject><subject>Registries</subject><subject>Resuscitation</subject><subject>Risk Factors</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNo9kE1Lw0AQhhdRbK1ePUrAc-rsZjYfF6EEv6DQi56X3c2ktiTZuElB_70bWj3NwDzvzPAwdsthySWKh56qYSmAYwwFyjM251DkMYpMnrM5QMJjBJAzdjUMewBAmYlLNhMhGkJ8zh5L8mS8bqJeN8NPpFvXbSP7uWsqT11knO-i1lXk9UhNGHdV1IQ26j2N5NtrdlGHHN2c6oJ9PD-9l6_xevPyVq7WsU1SPsZGUoqJQbCpFTlyypJUksbcVCartRE2qXOs00JXBeo6M7bmBVQmSWsQtpDJgt0f9_befR1oGNXeHXwXTiqeImSIEvJAxUdqqxtSu866bqTv0bqmoS2p8FG5USsEnstwPwv88shb74bBU616v2u1_1Ec1KRXTXrVpFdNekPg7vTGwbRU_eN_PpNfAop03A</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Hirvonen, Mikko</creator><creator>Ojala, Riitta</creator><creator>Korhonen, Päivi</creator><creator>Haataja, Paula</creator><creator>Eriksson, Kai</creator><creator>Gissler, Mika</creator><creator>Luukkaala, Tiina</creator><creator>Tammela, Outi</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope></search><sort><creationdate>201412</creationdate><title>Cerebral palsy among children born moderately and late preterm</title><author>Hirvonen, Mikko ; Ojala, Riitta ; Korhonen, Päivi ; Haataja, Paula ; Eriksson, Kai ; Gissler, Mika ; Luukkaala, Tiina ; Tammela, Outi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-b5e643b40c6c2841e7365ea48bdb7fab2c3f84f69ad94af7bcf190db36f02c953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Analysis</topic><topic>Anti-Bacterial Agents - adverse effects</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Apgar Score</topic><topic>Babies</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - diagnosis</topic><topic>Cerebral Palsy - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Female</topic><topic>Finland</topic><topic>Gestational Age</topic><topic>Health aspects</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Premature, Diseases - diagnosis</topic><topic>Infant, Premature, Diseases - epidemiology</topic><topic>Infants (Premature)</topic><topic>Intracranial Hemorrhages - diagnosis</topic><topic>Intracranial Hemorrhages - epidemiology</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Nonlinear Dynamics</topic><topic>Pediatrics</topic><topic>Premature birth</topic><topic>Premature infants</topic><topic>Registries</topic><topic>Resuscitation</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirvonen, Mikko</creatorcontrib><creatorcontrib>Ojala, Riitta</creatorcontrib><creatorcontrib>Korhonen, Päivi</creatorcontrib><creatorcontrib>Haataja, Paula</creatorcontrib><creatorcontrib>Eriksson, Kai</creatorcontrib><creatorcontrib>Gissler, Mika</creatorcontrib><creatorcontrib>Luukkaala, Tiina</creatorcontrib><creatorcontrib>Tammela, Outi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirvonen, Mikko</au><au>Ojala, Riitta</au><au>Korhonen, Päivi</au><au>Haataja, Paula</au><au>Eriksson, Kai</au><au>Gissler, Mika</au><au>Luukkaala, Tiina</au><au>Tammela, Outi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral palsy among children born moderately and late preterm</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2014-12</date><risdate>2014</risdate><volume>134</volume><issue>6</issue><spage>e1584</spage><epage>e1593</epage><pages>e1584-e1593</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>To compare the incidence of and risk factors for cerebral palsy (CP) in moderately preterm (MP) (32(+0)-33(+6) weeks) and late preterm (LP) (34(+0)-36(+6) weeks) infants with those in very preterm (VP) (<32(+0) weeks) and term infants (≥37 weeks).
The national register study included all live-born infants in Finland from 1991 to 2008. Infants who died before the age of 1 year, had any major congenital anomaly, or had missing data were excluded. A total of 1 018 302 infants were included in the analysis and they were analyzed in 4 subgroups (VP, MP, LP, and term) and 3 time periods (1991-1995, 1996-2001, and 2002-2008).
By the age of 7 years, 2242 children with CP were diagnosed (0.2%). CP incidence was 8.7% in the VP, 2.4% in the MP, 0.6% in the LP, and 0.1% in the term group. The risk of CP was highest in the study period 1991-1995 in all groups. Factors predictive of an increased CP risk in the MP and LP groups included resuscitation at birth (odds ratio 1.60; 95% CI 1.01-2.53 and 1.78; 1.09-2.90), antibiotic treatment during the first hospitalization (1.63; 1.08-2.45 and 1.67; 1.13-2.44), 1-minute Apgar score <7 (1.70; 1.15-2.52 and 1.80; 1.21-2.67) and intracranial hemorrhage (7.18; 3.60-14.3 and 12.8; 5.58-29.2).
The incidence of CP is higher in LP and MP infants compared with term infants. There is a nonlinear decrease in incidence over time and with increasing gestational age.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>25422011</pmid><doi>10.1542/peds.2014-0945</doi></addata></record> |
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| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 2014-12, Vol.134 (6), p.e1584-e1593 |
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| subjects | Analysis Anti-Bacterial Agents - adverse effects Anti-Bacterial Agents - therapeutic use Apgar Score Babies Cerebral palsy Cerebral Palsy - diagnosis Cerebral Palsy - epidemiology Child Child, Preschool Children & youth Female Finland Gestational Age Health aspects Hospitalization Humans Incidence Infant Infant, Premature, Diseases - diagnosis Infant, Premature, Diseases - epidemiology Infants (Premature) Intracranial Hemorrhages - diagnosis Intracranial Hemorrhages - epidemiology Longitudinal Studies Male Nonlinear Dynamics Pediatrics Premature birth Premature infants Registries Resuscitation Risk Factors |
| title | Cerebral palsy among children born moderately and late preterm |
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