Neurodevelopmental outcomes in infants requiring resuscitation in developing countries.

Journal: The Journal of pediatrics

Volume: 160

Issue: 5

Year of Publication: 2012

Affiliated Institutions:  University of Alabama, Birmingham, AL, USA. wcarlo@peds.uab.edu

Abstract summary 

To determine whether resuscitation of infants who failed to develop effective breathing at birth increases survivors with neurodevelopmental impairment.Infants unresponsive to stimulation who received bag and mask ventilation at birth in a resuscitation trial and infants who did not require any resuscitation were randomized to early neurodevelopmental intervention or control groups. Infants were examined by trained neurodevelopmental evaluators masked to both their resuscitation history and intervention group. The 12-month neurodevelopmental outcome data for both resuscitated and non-resuscitated infants randomized to the control groups are reported.The study provided no evidence of a difference between the resuscitated infants (n = 86) and the non-resuscitated infants (n = 115) in the percentage of infants at 12 months with a Mental Developmental Index <85 on the Bayley Scales of Infant Development-II (primary outcome; 18% versus 12%; P = .22) and in other neurodevelopmental outcomes.Most infants who received resuscitation with bag and mask ventilation at birth have 12-month neurodevelopmental outcomes in the reference range. Longer follow-up is needed because of increased risk for neurodevelopmental impairments.

Authors & Co-authors:  Carlo Waldemar A WA Goudar Shivaprasad S SS Pasha Omrana O Chomba Elwyn E McClure Elizabeth M EM Biasini Fred J FJ Wallander Jan L JL Thorsten Vanessa V Chakraborty Hrishikesh H Wright Linda L LL

Study Outcome 

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Statistics
Citations :  Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: When? Where? Why? Lancet. 2005;365:891–900.
Authors :  12
Identifiers
Doi : 10.1016/j.jpeds.2011.10.007
SSN : 1097-6833
Study Population
Male,Female
Mesh Terms
Child Development
Other Terms
Study Design
Study Approach
Country of Study
Publication Country
United States