Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life,
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal de Pediatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572020000500644 |
Resumo: | Abstract Objective: Evaluate the association between perinatal factors and amplitude-integrated electroencephalogram abnormalities in preterm infants on the first day of life. Methods: This was a cross-sectional study of 60 infants with gestational age between 23 and 32 weeks, without malformations. Infants were continuously monitored by amplitude-integrated electroencephalogram on the first day of life, for at least 3 h. The tracings were recorded and analyzed in each column for the following: burst-suppression pattern, sleep-wake cycle, and amplitude of the lower margin (<3 µV or <5 µV). The association of maternal complications, mode of delivery, birth weight, gestational age, neonatal sex, resuscitation procedures, hypothermia on admission, and the Score for Neonatal Acute Physiology, Perinatal Extension, Version II [SNAPPE-II]) with amplitude-integrated electroencephalogram alterations was assessed by multiple logistic regression. Results: A discontinuous pattern occurred in 65% of infants, and a continuous pattern occurred in 23%. The burst-suppression pattern was associated with vaginal delivery (OR: 7.6; 95% CI: 1.1-53.1) and SNAPPE-II ≥ 40 (OR: 13.1; 95% CI: 1.8-95.1). A lower margin of the amplitude-integrated electroencephalogram of <3 µV was also associated with SNAPPE-II ≥ 40 (OR: 10.6, 95% CI: 2.3-49.2), while a value <5 µV was associated with lower GA (OR: 0.51, 95% CI: 0.34-0.76). There were no associations between the perinatal variables and the absence of a sleep-wake cycle in amplitude-integrated electroencephalogram recordings on the first day of life. Conclusion: Biological variables and clinical severity are associated with electroencephalographic characteristics of preterm infants on the first day of life and should be considered in clinical practice when amplitude-integrated electroencephalogram is performed. |
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Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life,Premature infantElectroencephalographyNeonatal intensive careAbstract Objective: Evaluate the association between perinatal factors and amplitude-integrated electroencephalogram abnormalities in preterm infants on the first day of life. Methods: This was a cross-sectional study of 60 infants with gestational age between 23 and 32 weeks, without malformations. Infants were continuously monitored by amplitude-integrated electroencephalogram on the first day of life, for at least 3 h. The tracings were recorded and analyzed in each column for the following: burst-suppression pattern, sleep-wake cycle, and amplitude of the lower margin (<3 µV or <5 µV). The association of maternal complications, mode of delivery, birth weight, gestational age, neonatal sex, resuscitation procedures, hypothermia on admission, and the Score for Neonatal Acute Physiology, Perinatal Extension, Version II [SNAPPE-II]) with amplitude-integrated electroencephalogram alterations was assessed by multiple logistic regression. Results: A discontinuous pattern occurred in 65% of infants, and a continuous pattern occurred in 23%. The burst-suppression pattern was associated with vaginal delivery (OR: 7.6; 95% CI: 1.1-53.1) and SNAPPE-II ≥ 40 (OR: 13.1; 95% CI: 1.8-95.1). A lower margin of the amplitude-integrated electroencephalogram of <3 µV was also associated with SNAPPE-II ≥ 40 (OR: 10.6, 95% CI: 2.3-49.2), while a value <5 µV was associated with lower GA (OR: 0.51, 95% CI: 0.34-0.76). There were no associations between the perinatal variables and the absence of a sleep-wake cycle in amplitude-integrated electroencephalogram recordings on the first day of life. Conclusion: Biological variables and clinical severity are associated with electroencephalographic characteristics of preterm infants on the first day of life and should be considered in clinical practice when amplitude-integrated electroencephalogram is performed.Sociedade Brasileira de Pediatria2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572020000500644Jornal de Pediatria v.96 n.5 2020reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2019.06.004info:eu-repo/semantics/openAccessCastro,Junia Sampel deLeslie,Ana Teresa Figueiredo StocheroGuinsburg,Rutheng2020-11-09T00:00:00Zoai:scielo:S0021-75572020000500644Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2020-11-09T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life, |
title |
Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life, |
spellingShingle |
Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life, Castro,Junia Sampel de Premature infant Electroencephalography Neonatal intensive care |
title_short |
Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life, |
title_full |
Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life, |
title_fullStr |
Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life, |
title_full_unstemmed |
Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life, |
title_sort |
Perinatal factors associated with amplitude-integrated electroencephalography abnormalities in preterm infants on the first day of life, |
author |
Castro,Junia Sampel de |
author_facet |
Castro,Junia Sampel de Leslie,Ana Teresa Figueiredo Stochero Guinsburg,Ruth |
author_role |
author |
author2 |
Leslie,Ana Teresa Figueiredo Stochero Guinsburg,Ruth |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Castro,Junia Sampel de Leslie,Ana Teresa Figueiredo Stochero Guinsburg,Ruth |
dc.subject.por.fl_str_mv |
Premature infant Electroencephalography Neonatal intensive care |
topic |
Premature infant Electroencephalography Neonatal intensive care |
description |
Abstract Objective: Evaluate the association between perinatal factors and amplitude-integrated electroencephalogram abnormalities in preterm infants on the first day of life. Methods: This was a cross-sectional study of 60 infants with gestational age between 23 and 32 weeks, without malformations. Infants were continuously monitored by amplitude-integrated electroencephalogram on the first day of life, for at least 3 h. The tracings were recorded and analyzed in each column for the following: burst-suppression pattern, sleep-wake cycle, and amplitude of the lower margin (<3 µV or <5 µV). The association of maternal complications, mode of delivery, birth weight, gestational age, neonatal sex, resuscitation procedures, hypothermia on admission, and the Score for Neonatal Acute Physiology, Perinatal Extension, Version II [SNAPPE-II]) with amplitude-integrated electroencephalogram alterations was assessed by multiple logistic regression. Results: A discontinuous pattern occurred in 65% of infants, and a continuous pattern occurred in 23%. The burst-suppression pattern was associated with vaginal delivery (OR: 7.6; 95% CI: 1.1-53.1) and SNAPPE-II ≥ 40 (OR: 13.1; 95% CI: 1.8-95.1). A lower margin of the amplitude-integrated electroencephalogram of <3 µV was also associated with SNAPPE-II ≥ 40 (OR: 10.6, 95% CI: 2.3-49.2), while a value <5 µV was associated with lower GA (OR: 0.51, 95% CI: 0.34-0.76). There were no associations between the perinatal variables and the absence of a sleep-wake cycle in amplitude-integrated electroencephalogram recordings on the first day of life. Conclusion: Biological variables and clinical severity are associated with electroencephalographic characteristics of preterm infants on the first day of life and should be considered in clinical practice when amplitude-integrated electroencephalogram is performed. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572020000500644 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572020000500644 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2019.06.004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
Jornal de Pediatria v.96 n.5 2020 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
instname_str |
Sociedade Brasileira de Pediatria (SBP) |
instacron_str |
SBPE |
institution |
SBPE |
reponame_str |
Jornal de Pediatria (Online) |
collection |
Jornal de Pediatria (Online) |
repository.name.fl_str_mv |
Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP) |
repository.mail.fl_str_mv |
||jped@jped.com.br |
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1752122322364399616 |