The purpose of this study is to explore the perinatal risk factors of encephalopathy of prematurity and the morbidity of the following neurodevelopmental impairments in preterm infants with gestational age \<32 weeks in China.
Recent years have witnessed an increase in survival of very or extremely low birth weight infants, with a corresponding increase of attention to encephalopathy of prematurity (EOP) and the following neurological disorders. Studies suggested that hypoxic-ischemic injury and perinatal infection might be the two main risk factors of EOP, including white matter injury, neuronal-axonal diseases and cerebellar hemorrhage, which have a strong impact on neurological outcomes. Sequelae like cerebral palsy or mental retardation become a burden to both the family and society. Therefore, the risk factors of brain injury become the critical issue of both Obstetrics and Neonatology. More importantly, little is known about the morbidity of neurodevelopmental impairment and its risk factors in China. Thus, the aim of our study is to explore the perinatal risk factors of encephalopathy of prematurity and the morbidity of the following neurodevelopmental impairments in preterm infants with gestational age \<32 weeks in China.
Study Type
OBSERVATIONAL
Enrollment
761
The First People's Hospital of Hefei
Hefei, Anhui, China
Xiamen Women's and Children's Health Centre
Xiamen, Fujian, China
People's Hospital of Zhangzhou
developmental quotient (DQ) on the Gesell Developmental Schedules
Result of gross motor, fine motor, language and social test. DQ = Development Age / Chronological Age X 100
Time frame: 2 years
brain injury showed on MRI
signal abnormality in white matter, grey matter or cerebellum injury; periventricular leukomalacia; intracranial hemorrhage
Time frame: 36-40 weeks' postmenstrual age or before discharge
morbidity of encephalopathy of prematurity
white matter injury, grey matter injury, cerebellum injury on MRI
Time frame: 36-40 weeks' postmenstrual age or before discharge
all cause mortality
Mortality that does not require judgments about the cause of death
Time frame: 2 years
neurodevelopment sequelae
including cerebral palsy, epilepsy, hearing loss, vision loss, etc.
Time frame: 2 years
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Zhangzhou, Fujian, China
The Second Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China
Zhongshan Bo Ai Hospital
Zhongshan, Guangdong, China
Maternal and Child Health Hospital of Guiyang Province
Guiyang, Guizhou, China
Handan Central Hospital
Handan, Hebei, China
First Hospital of Jilin University
Changchun, Jilin, China
Children's Hospital of Fudan University
Shanghai, Shanghai Municipality, China
Shanghai First Maternity and Infant Hospital
Shanghai, Shanghai Municipality, China
...and 4 more locations