1. Mortality and neurodevelopmental outcomes at 2 years' corrected age of very preterm infants with necrotising enterocolitis or spontaneous intestinal perforation: The EPIPAGE-2 cohort study.
- Author
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Butler, Victoria, Treluyer, Ludovic, Patkaï, Juliana, Biset, Aline, Jarreau, Pierre-Henri, Ancel, Pierre-Yves, Rozé, Jean-Christophe, Marchand-Martin, Laetitia, Durox, Mélanie, Lapillonne, Alexandre, Picaud, Jean-Charles, Mitanchez, Delphine, Tscherning, Charlotte, Biran, Valérie, Cambonie, Gilles, Lopez, Emmanuel, Hascoet, Jean-Michel, Desfrere, Luc, Chollat, Clément, and Zana-Taïeb, Elodie
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INTESTINAL perforation , *PREMATURE infants , *DEVELOPMENTAL delay , *INFANT mortality , *CEREBRAL palsy - Abstract
Purpose: The primary objective was to evaluate the impact of necrotising enterocolitis (NEC) and spontaneous intestinal perforation (SIP) on mortality and neurodevelopmental outcomes at 2 years' corrected age (CA) in infants born before 32 weeks' gestation (WG). Methods: We studied neurodevelopment at 2 years' CA of infants with NEC or SIP who were born before 32 WG from the EPIPAGE-2 cohort study. The primary outcome was death or the presence of moderate-to-severe motor or sensory disability defined by moderate-to-severe cerebral palsy or hearing or visual disability. The secondary outcome was developmental delay defined by a score < 2 SDs below the mean for any of the five domains of the Ages and Stages Questionnaire. Results: At 2 years' CA, 46% of infants with SIP, 34% of infants with NEC, and 14% of control infants died or had a moderate-to-severe sensorimotor disability (p < 0.01). This difference was mainly due to an increase in in-hospital mortality in the infants with SIP or NEC. Developmental delay at 2 years' CA was more frequent for infants with SIP than controls (70.8% vs 44.0%, p = 0.02) but was similar for infants with NEC and controls (49.3% vs 44.0%, p = 0.5). On multivariate analysis, the likelihood of developmental delay was associated with SIP (adjusted odds ratio = 3.0, 95% CI 1.0–9.1) but not NEC as compared with controls. Conclusion: NEC and SIP significantly increased the risk of death or sensorimotor disability at 2 years' CA. SIP was also associated with risk of developmental delay at 2 years' CA. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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