Long‐term neurodevelopmental outcomes in very low birth weight infants with and without patent ductus arteriosus: A retrospective case control observational study

Canpolat, Fuat Emre; Işık, Serhat; Büyüktiryaki, Mehmet; Kutman, Hayriye Gözde Kanmaz

doi:10.1111/cch.12997

Cited by 6 publications

(5 citation statements)

References 19 publications

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“…The UK was the only country that showed an abate trend. [18] All five countries in Southern Europe showed high LBW rates. France was the only one not showing elevated tendency.…”

Section: Resultsmentioning

confidence: 97%

“…Usually, ductus arteriosus shuts within two days of birth due to oxygen-induced constriction in full-term babies. About 80% of deficient birth weight babies have PDA (Patent Ductus Arteriosus) [18]. Still another important factor leading to morbidity and mortality in low-birthweight babies is infection.…”

Section: Risk Factors Associated With Very Low Birth Weight: a System...mentioning

confidence: 99%

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Risk Factors Associated with Very Low Birth Weight: A Systematic Review and Meta-Analysis

Hussain

Adil

2022

IJIST

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Background: Very Low Birth Weight (VLBW) is due to multiple gestations and reproductive-assisted techniques. Neonatal complications mainly arise in infants with VLBW and Extremely Low Birth Weight (ELBW). The main objective was to study the risk factors associated with VLBW and to conduct a meta-analysis. Methods: A meta-analysis was done to present the most recent risk variables for VLBW. Electronic databases were searched for information on the suggested topic. Using STATA version 14, the relevant data was extracted, and statistical analysis was conducted. Results: A total number of 112 studies have been conducted on the topic of VLBW worldwide from 2000 to 2020. Information from many parts of the world was evaluated in which GDP or per capita income, age, and education were followed in prominent regions of the world. As GDP and education level improved, the nutritional status also improved. Fifteen studies have been identified, with five meeting the inclusion criteria for the metanalysis of VLBW <1500g in developing countries. Illiteracy, poverty, mother occupation, hypocalcemia, and hypoglycemia were the common risk factors of VLBW (<0.05). Conclusion: It was identified that per-capita GDP is inversely proportional to VLBW throughout the world. VLBW in America was found to be significant when compared with central Europe (<0.005), similarly with Southern Europe (<0.03), Northern Europe (<0.00001), Asia (<0.0001), and Africa (<0.0001). Unlike per capita GDP, VLBW was insignificantly related to maternal age in all regions except Africa, where VLBW was significantly associated with maternal age (p<0.0001). In developing countries, illiteracy, poverty, mother occupation, hypocalcemia, and hypoglycemia are the common risk factors for VLBW (<0.05) as the complications related to VLBW are at a high-risk rate, so it is recommended that VLBW babies require special care at the time of birth, especially in poor economic countries.

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“…The UK was the only country that showed an abate trend. [18] All five countries in Southern Europe showed high LBW rates. France was the only one not showing elevated tendency.…”

Section: Resultsmentioning

confidence: 97%

Section: Risk Factors Associated With Very Low Birth Weight: a System...mentioning

confidence: 99%

Risk Factors Associated with Very Low Birth Weight: A Systematic Review and Meta-Analysis

Hussain

Adil

2022

IJIST

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“…Since there are a few publications from Turkey about NDD in patients with CHD ( 26 – 30 ), the other aim of the study is to raise awareness that NDD is a very common and masked comorbidity in patients who have undergone congenital heart surgery. Another subject we want to point out is that the ASQ-3 test is handy and feasible for ND assessment as a first step.…”

Section: Discussionmentioning

confidence: 99%

The effect of extracorporeal membrane oxygenation on neurodevelopmental outcomes in children after repair of congenital heart disease: A pilot study from Turkey

et al. 2023

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BackgroundExtracorporeal membrane oxygenation (ECMO) is widely used after congenital heart surgery. The purpose of this study is to analyze the neurodevelopmental (ND) outcomes in patients who receivedECMO support after congenital cardiac surgery.MethodsBetween January 2014 and January 2021, 111 patients (5.8%) receivedECMO support after congenital heart operations, and 29 (26,1%) of these patients were discharged. Fifteen patients who met the inclusion criteria were included. A propensity score matching (PSM) analysis model was established using eight variables (age, weight, sex, Modified Aristotle Comprehensive Complexityscores, seizures, cardiopulmonary bypass duration, number of operations, and repair method) with 1:1 matching. According to the PSM model, 15 patients who underwent congenital heart operations were selected as the non-ECMO group. The Ages & Stages Questionnaire Third Edition (ASQ-3) was used for ND screening;it includes communication, physical skills (gross and fine motor), problem-solving, and personal–social skills domains.ResultsThere were no statistically significant differences between the patients' preoperative and postoperative characteristics. All patients were followed up for a median of 29 months (9–56 months). The ASQ-3 results revealed that communication, fine motor, and personal–social skills assessments were not statistically different between the groups. Gross motor skills (40 vs. 60), problem-solving skills (40 vs. 50), and overall scores (200 vs. 250) were better in the non-ECMO patients (P = 0.01, P = 0.03, and P = 0.03, respectively). Nine patients (%60) in the ECMO group and 3 patients (%20) in the non-ECMO group were with neurodevelopmental delay (P = 0,03).ConclusionND delay may occur in congenital heart surgery patients who receivedECMO support. We recommend ND screening in all patients with congenital heart disease, especially those who receivedECMO support.

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“…Similarly, Elbayiyev at al. found no association between hsPDA and poor neurodevelopmental outcomes, in a retrospective case control observational cohort ( 31 ). On the other hand, in a retrospective cohort of preterm infants born <29 weeks’ gestation, Janz-Robinson et al suggested unfavorable neurodevelopmental course at 2–3 years of age, possibly related to PDA ( 32 ).…”

Section: Why Should We Worry About Patent Ductus Arteriosus In Preter...mentioning

confidence: 92%

Should we “eliminate” PDA shunt in preterm infants? A narrative review

Surak,

Sidhu,

Ting

2024

Front. Pediatr.

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The patent ductus arteriosus frequently poses a significant morbidity in preterm infants, subjecting their immature pulmonary vascular bed to substantial volume overload. This, in turn, results in concurrent hypoperfusion to post-ductal organs, and subsequently alters cerebral blood flow. In addition, treatment has not demonstrated definitive improvements in patient outcomes. Currently, the optimal approach remains a subject of considerable debate with ongoing research controversy regarding the best approach. This article provides a comprehensive review of existing literature.

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Long‐term neurodevelopmental outcomes in very low birth weight infants with and without patent ductus arteriosus: A retrospective case control observational study

Cited by 6 publications

References 19 publications

Risk Factors Associated with Very Low Birth Weight: A Systematic Review and Meta-Analysis

Risk Factors Associated with Very Low Birth Weight: A Systematic Review and Meta-Analysis

The effect of extracorporeal membrane oxygenation on neurodevelopmental outcomes in children after repair of congenital heart disease: A pilot study from Turkey

Should we “eliminate” PDA shunt in preterm infants? A narrative review

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