Devenir neurologique des prématurés de moins de 33 semaines: détermination du risque d'anomalie neurologique dans une enquête régionale prospective avec groupe témoin

Burguet, A.; Menget, A.; Monnet, Élisabeth; Allemand, H.; Gasca-Avanzi, A; Laithier, Véronique; Fromentin, Clément; Destuynder, R.; Schaal, J.-P.; Wackenheim, P.

doi:10.1016/0929-693x(96)89916-7

Cited by 12 publications

(5 citation statements)

References 18 publications

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“…The role of maternal or socioeconomic levels which was found at 1 year of age [14] was not confirmed at 2 years. This may be due to the average size of our cohort and the fact that precariousness was rare.…”

Section: Discussionmentioning

confidence: 77%

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Some Risk Factors for Cerebral Palsy in Very Premature Infants: Importance of Premature Rupture of Membranes and Monochorionic Twin Placentation

Burguet

Monnet²,

Pauchard³

et al. 1999

Neonatology

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Objective: To delineate the perinatal risk factors of neurodevelopmental disabilities in very preterm birth applying logistic regression analysis. Design: This prospective, geographically defined collaborative study was carried out in the Franche-Comté region of France. Subjects: From October 1, 1990 to September 30, 1992, perinatal and follow-up data were collected on 203 consecutive live-born singleton or twin non-malformed infants with strictly ascertained gestational ages of less than 33 weeks. Main Outcome Measure: The rate of cerebral palsy and/or severe mental retardation as diagnosed by a family physician or pediatrician with a screening-skill test performed at 2 years of age. Results: 167/171 (98%) survivors were evaluated. Twenty-two of the 167 examined infants (13%) showed signs of cerebral palsy, and 10 of these had severe cerebral palsy or mental retardation. Risk factors for disabilities were selected by a multivariate approach: premature rupture of membranes ≥48 h (OR 4.3, 95% CI 1.6–11.8); monochorionic twin placentation (OR 6.0, 95% CI 1.7–21.3), and respiratory distress syndrome (OR 2.8, 95% CI 1.1–7.1). Conclusion: This geographically defined prospective study gives epidemiological data and highly suggests that there is a link between prenatal events (premature rupture of membranes, monochorionic twin placentation), postnatal events (respiratory distress syndrome), and neurological disabilities in former preterm infants.

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Section: Discussionmentioning

confidence: 77%

“…This study was prospectively designed to evaluate the survivors at 1 [14], 2, and later 5 years of age.…”

mentioning

confidence: 99%

Some Risk Factors for Cerebral Palsy in Very Premature Infants: Importance of Premature Rupture of Membranes and Monochorionic Twin Placentation

Burguet

Monnet²,

Pauchard³

et al. 1999

Neonatology

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“…One study suggested that MC twins have higher rates of pathological nonverbal performance and learning disabilities (Einaudi et al 2008 ), whereas other studies showed no difference in mental development indexes (e.g., on the Bayley; Welch et al 1978 ; Steingass et al 2013 ). Studies examining cerebral palsy are inconsistent, with some suggesting that MC twins are at a higher risk (Burguet et al 1995 , 1999 ), but others finding no difference in prevalence of cerebral palsy in MC versus DC twins (Steingass et al 2013 ; Hack et al 2009 ), or that the association was attenuated when controlling on other perinatal factors (Livinec et al 2005 ).…”

Section: Resultsmentioning

confidence: 99%

The Prenatal Environment in Twin Studies: A Review on Chorionicity

et al. 2016

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A literature search was conducted to identify articles examining the association of chorionicity (e.g., whether twins share a single chorion and thus placenta or have separate chorions/placentas) and genetics, psychiatry/behavior, and neurological manifestations in humans twins and higher-order multiples. The main aim was to assess how frequently chorionicity has been examined in relation to heritability estimates, and to assess which phenotypes may be most sensitive to, or affected by, bias in heritability estimates because of chorionicity. Consistent with the theory that some chorionicity effects could lead to overestimation and others to underestimation of heritability, there were instances of each across the many phenotypes reviewed. However, firm conclusions should not be drawn since some of the outcomes were only examined in one or few studies and often sample sizes were small. While the evidence for bias due to chorionicity was mixed or null for many outcomes, results do, however, consistently suggest that heritability estimates are underestimated for measures of birth weight and early growth when chorionicity is not taken into account.Electronic supplementary materialThe online version of this article (doi:10.1007/s10519-016-9782-6) contains supplementary material, which is available to authorized users.

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“…Un programme de suivi des patients dans trois situations où les modalités de prise en charge médicale, paramédicale et sociale sont cruciales pour l'avenir du malade, est débuté et sert de base à l'étude prospective de l'influence de la ruralité sur la prise en charge et la qualité de vie des malades concernés : accidents vasculaires cérébraux, conduites suicidaires et prématurité [4].…”

Section: Impact Du Milieu Rural Sur La Prise En Charge Et La Qualité ...unclassified

“…Le financement de la recherche sur ces maladies de la part des organismes tant publics que privés est resté limité et ces maladies peuvent actuellement encore mériter le qualificatif d'orphelines. Les problèmes sociaux et/ou organisationnels susceptibles d'avoir un impact sur la santé, en termes cette fois d'offre de soins, d'accès aux soins, de prise en charge des patients, ont eux aussi été perçus comme plus préoccupants en milieu urbain ; ce n'est que très récemment que l'intérêt s'est déplacé vers le monde rural, et les inégalités d'accès aux soins liées à la géographie sont actuellement encore très mal mesurées [4,22].…”

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Le réseau régional de recherche en santé publique INSERM « PRISMAL » (Perception, représentation et prise en charge des risques pour la santé en milieu rural)

Vuitton¹

2003

Santé Publique

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The PRISMAL (Perception, representation and health risk management in rural settings) network comprises three academic research teams, two health insurance agencies, and two health care networks in the Franche-Comté region that share their expertise to study the relationship between health and the rural environment. Three main objectives guide the network's activities and are linked to the following questions: 1) What are the epidemiological changes linked to the rural setting; what are their causes and effects? 2) What are the relationships between the rural environment, health risks, behaviours in seeking health care, access to health care services and quality of life? 3) What are the perceptions and representations of the affected populations on health risks specific to the rural setting? Research activities utilise specific diseases as examples of the result from interaction with the rural environment, such as "farmer's lung", alveolar echinococcosis, occupational risks for farmers, lung cancer, suicide attempts, premature birth, and vascular stroke. The partnership's framework extends well beyond the medical world and includes ecologists, geographers, sociologists, administrators and environmental technicians.

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Devenir neurologique des prématurés de moins de 33 semaines: détermination du risque d'anomalie neurologique dans une enquête régionale prospective avec groupe témoin

Cited by 12 publications

References 18 publications

Some Risk Factors for Cerebral Palsy in Very Premature Infants: Importance of Premature Rupture of Membranes and Monochorionic Twin Placentation

Some Risk Factors for Cerebral Palsy in Very Premature Infants: Importance of Premature Rupture of Membranes and Monochorionic Twin Placentation

The Prenatal Environment in Twin Studies: A Review on Chorionicity

Le réseau régional de recherche en santé publique INSERM « PRISMAL » (Perception, représentation et prise en charge des risques pour la santé en milieu rural)

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