Cerebral hypoxia during immediate transition after birth and short term neurological outcome

Jasmin Pansy; Nariae Baik; Bernhard Schwaberger; Anna Scheuchenegger; Elisabeth Pichler-Stachl; Alexander Avian; Georg M Schmölzer; Berndt Urlesberger; Gerhard Pichler

doi:10.1016/j.earlhumdev.2017.04.009

Cerebral hypoxia during immediate transition after birth and short term neurological outcome

Early Hum Dev. 2017 Jul:110:13-15. doi: 10.1016/j.earlhumdev.2017.04.009. Epub 2017 May 1.

Authors

Jasmin Pansy¹, Nariae Baik¹, Bernhard Schwaberger¹, Anna Scheuchenegger², Elisabeth Pichler-Stachl², Alexander Avian³, Georg M Schmölzer⁴, Berndt Urlesberger¹, Gerhard Pichler⁵

Affiliations

¹ Division of Neonatology, Department of Pediatrics, Medical University of Graz, Graz, Austria; Research Unit for Neonatal Micro- and Macrocirculation, Department of Pediatrics, Medical University of Graz, Graz, Austria.
² Division of Neonatology, Department of Pediatrics, Medical University of Graz, Graz, Austria.
³ Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
⁴ Center for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, Canada; Department of Pediatrics, University of Alberta, Edmonton, Canada.
⁵ Division of Neonatology, Department of Pediatrics, Medical University of Graz, Graz, Austria; Research Unit for Neonatal Micro- and Macrocirculation, Department of Pediatrics, Medical University of Graz, Graz, Austria. Electronic address: gerhard.pichler@medunigraz.at.

PMID: 28472725
DOI: 10.1016/j.earlhumdev.2017.04.009

Abstract

In preterm neonates we investigated cerebral hypoxia assessed with near-infrared-spectroscopy during immediate transition after birth and general movement optimality score assessed before discharge. General movement optimality score decreased with increasing cerebral hypoxia. Burden of cerebral hypoxia during immediate transition might be associated with impaired short-term neurological outcome in preterm neonates.

Keywords: Cerebral tissue oxygen saturation; General movement assessment; General movement optimality score; Near-infrared spectroscopy; Neonate.

Publication types

Multicenter Study
Observational Study

MeSH terms

Female
Gestational Age
Humans
Hypoxia, Brain / physiopathology*
Infant, Newborn
Infant, Premature
Male
Neurodevelopmental Disorders / diagnosis
Neurodevelopmental Disorders / etiology*
Spectroscopy, Near-Infrared
Time Factors
Video Recording