Assessment of neurodevelopment in children of different gestational age with neonatal seizures

Zavadenko, A. N.; Medvedev, M I; Degtyareva, Maria G.

doi:10.17116/jnevro201811811135

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…During hospitalization, seizures were also a predictor of cognitive, language, and motor development for extremely preterm infants. Neonatal seizures have been reported as significantly related to low motor scores; 23.1% of children who suffered a seizure had a delay in acquiring motor skills (Zavadenko et al, 2018), similar to our results. Here we provided evidence for the association with cognitive and language development.…”

Section: Adverse Outcomes and Infant Neurodevelopmentsupporting

confidence: 91%

Early Detection of Cognitive, Language, and Motor Delays for Low-Income Preterm Infants: A Brazilian Cohort Longitudinal Study on Infant Neurodevelopment and Maternal Practice

et al. 2021

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Aim: This study examined the neurodevelopment trajectories, the prevalence of delays, and the risks and protective factors (adverse outcomes, environment, and maternal factors) associated with cognitive, motor, and language development for preterm infants from 4– to 24-months.Method: We assessed 186 preterm infants (24.7% extremely preterm; 54.8% very preterm; 20.4% moderate/late preterm) from 4– to 24-months using the Bayley Scales of Infant Development – III. Maternal practices and knowledge were assessed using the Daily Activities of Infant Scale and the Knowledge of Infant Development Inventory. Birth risks and adverse outcomes were obtained from infant medical profiles.Results: A high prevalence of delays was found; red flags for delays at 24-months were detected at 4– and 8-months of age. The neurodevelopmental trajectories showed steady scores across time for cognitive composite scores for extremely- and very-preterm infants and for language composite scores for the extremely- and moderate/late-preterm; a similar trend was observed for the motor trajectories of moderate/late preterm. Changes over time were restricted to motor composite scores for extremely- and very-preterm infants and for cognitive composite scores for moderate/late preterm; declines, stabilization, and improvements were observed longitudinally. Positive, strong, and significant correlations were for the neurodevelopment scores at the first year of life and later neurodevelopment at 18 and 24 months. The cognitive, language, and motor composite scores of extremely and very preterm groups were associated with more risk factors (adverse outcomes, environment, and maternal factors). However, for moderate/late preterm infants, only APGAR and maternal practices significantly explained the variance in neurodevelopment.Discussion: Although adverse outcomes were strongly associated with infant neurodevelopment, the environment and the parents’ engagement in play and breastfeeding were protective factors for most preterm infants. Intervention strategies for preterm infants should start at 4– to 8-months of age to prevent unwanted outcomes later in life.

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Section: Adverse Outcomes and Infant Neurodevelopmentsupporting

confidence: 91%

Early Detection of Cognitive, Language, and Motor Delays for Low-Income Preterm Infants: A Brazilian Cohort Longitudinal Study on Infant Neurodevelopment and Maternal Practice

et al. 2021

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“…A previous study in Russia examined the psychomotor development of newborns with neonatal seizures (NS) born at various gestational ages. [ 32 ] This study included 52 infants with neonatal seizures who were born at various gestational ages. Only 32.7% of the infants evaluated had no developmental delay on any of the 5 Bayley-III scores.…”

Section: Discussionmentioning

confidence: 99%

“…On at least 1 measure, 62.3% of patients had a significant developmental delay (score composite >= 70). [ 32 ] Another study compared neurodevelopment and social-emotional development between moderate and late preterm (MLPT) infants and term-born control infants at age 2 years. [ 33 ] Compared with term-born infants, MLPT children showed lower cognitive, linguistic, and motor development at age 2 years.…”

Section: Discussionmentioning

confidence: 99%

Neonatal seizures: Etiologies, clinical characteristics, and radiological features: A cross-sectional study

Almuqbil,

Alrumayyan,

Alattas

et al. 2023

Medicine

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Seizures are a common clinical indication of central nervous system damage or abnormality in neonates. We aimed to identify the etiologies, clinical characteristics, and radiological features of neonatal seizures. This is a cross-sectional, retrospective, descriptive study using data obtained from the neonatal intensive care unit in King Abdulaziz Medical City (KAMC), a governmental, academic tertiary hospital in Riyadh, Saudi Arabia. The population of interest were neonates diagnosed with a neonatal seizure at KAMC between April 2015 and March 2019. A total of 61 patients with neonatal seizures were included in the study. The most common etiology was hypoxic-ischemic encephalopathy (43%). A total of 32 patients were full-term (52.5%). Around one-fifth of the study sample (21.3%) had a family history of neonatal seizures. Around 43.0% of the patients had epilepsy episodes. More than half of the patients (57.0%) were on one anti-seizure medication. Patients were followed up after 1 year, they had multiple comorbidities, including developmental delay, epilepsy, and cerebral palsy. Developmental delay was identified in 62.3% of the patients. A total of 19 patients have passed away (31%). Neonatal seizures are a common manifestation of neurologic disorders in neonates and are associated with high morbidity and mortality. Therefore, early identification of seizure etiology and proper management may help to improve the outcome.

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“…To date the instrument had not been fully adapted in Russia and has been used only in small experimental studies (Bakushkina et al, 2018;Belousova and Shvets, 2019). In most cases, the authors used US norms as the reference standards for assessing Russian children (Shifman, 2016;Zavadenko et al, 2018;Kosyakova and Bespalova, 2019). To overcome these limitations and facilitate further adaptation of the Bayley scales, at the first stage we performed an in-depth analysis of the scale structure, the original standardization procedure, and international experience of adaptation/psychometric validation of the instrument.…”

Section: Introductionmentioning

confidence: 99%

A psychometric study of the Russian-language version of the “Bayley Scales of Infant and Toddler Development–third edition”: An assessment of reliability and validity

Pavlova

Maksimov²,

Chegodaev³

et al. 2022

Front. Psychol.

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IntroductionThe Bayley Scales of Infant and Toddler Development–third edition (Bayley-III) is one of the most widely used tools for assessing child development, and adapted versions of this instrument have been successfully used in many countries. No comprehensive psychometric studies of the Bayley-III have yet been performed in Russia.Materials and methodsThis psychometric study was part of the longitudinal study conducted by the Ural Federal University in 2016–2020. Within the project, the original Bayley-III manual was translated into Russian and then used in a cohort of 333 infants to assess cognition, expressive/receptive communication, and fine/gross motor skills. For the purpose of psychometric analysis, we selected the data for four age groups of children from the longitudinal study database: 4–6 months (N = 149), 10 months (N = 138), 15 months (N = 151), and 24 months (N = 124). The development scores of the sample children were compared with the original Bayley-III norms in each age strata separately. Reliability and validity of the translated instrument were examined using correlation analysis, tests of internal consistency, and confirmatory factor analysis (CFA).ResultsThe average scaled scores of the examined children were generally comparable with the original (US) Bayley-III norms, with the exception of those older than 1 year, who demonstrated 1.2–1.9 points better performance in cognitive development and gross motor skills and 0.9–2.6 points lower performance in expressive communication. The correlation of both raw and scaled scores between different scales was low to moderate in all age groups (Spearman’s ρ mostly within the range of 0.3–0.6; p < 0.001 for all pairwise correlations). Internal consistency tests confirmed high reliability of the translated instrument (Cronbach’s α = 0.74–0.87, McDonald’s ω = 0.79–0.89). CFA demonstrated a good fit of the three-factor model (cognitive, communicative, and motor components) in all age strata.ConclusionThe Russian version of the Bayley-III proved to be a psychometrically valid and reliable tool for assessing child development, at least in a research context. The development of the examined children was close to the original US norms, with some deviation in cognitive, gross motor, and expressive communication scores mostly in older children, which could be attributed to the biased sample.

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Assessment of neurodevelopment in children of different gestational age with neonatal seizures

Cited by 4 publications

References 22 publications

Early Detection of Cognitive, Language, and Motor Delays for Low-Income Preterm Infants: A Brazilian Cohort Longitudinal Study on Infant Neurodevelopment and Maternal Practice

Early Detection of Cognitive, Language, and Motor Delays for Low-Income Preterm Infants: A Brazilian Cohort Longitudinal Study on Infant Neurodevelopment and Maternal Practice

Neonatal seizures: Etiologies, clinical characteristics, and radiological features: A cross-sectional study

A psychometric study of the Russian-language version of the “Bayley Scales of Infant and Toddler Development–third edition”: An assessment of reliability and validity

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