학술논문

Is low cerebral near infrared spectroscopy oximetry associated with neurodevelopment of preterm infants without brain injury?
Document Type
research-article
Source
Journal of Perinatal Medicine. 50(5):625-629
Subject
brain injury
near infrared spectroscopy (NIRS)
neurodevelopment
preterm infants
Language
English
ISSN
0300-5577
1619-3997
Abstract
Objectives To evaluate the association between low regional cerebral oxygen saturation (rScO2) and neurodevelopment in preterm infants classified as no brain injury (NBI). Methods We retrospectively reviewed data of rScO2 monitoring during the first 3 days of life of infants with a gestational age (GA)>10H) and the 24 months neurodevelopment. Results Of the 185 patients who met the inclusion criteria, 31% were classified as BI infants and 69% NBI. BI compared to NBI infants had a significantly lower GA and a higher incidence of complications of prematurity. Mean rScO2 in the first 72 h of life was significantly lower in BI than NBI. NIRS>10H in NBI patients was negatively associated with neurodevelopmental scores both at the univariate and multivariate analysis (p>10H were found to have lower systemic oxygenation than their counterparts with rScO2 Conclusions NIRS>10H in NBI small preterm infants was found to be an independent predictor of neurodevelopment at 24 months and it was associated with low systemic saturation values.