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7. Early-Life Outcomes in Relation to Social Determinants of Health for Children Born Extremely Preterm.

Author

Brumbaugh, Jane, Vohr, Betty, Bell, Edward, Bann, Carla, Travers, Colm, McGowan, Elisabeth, Harmon, Heidi, Carlo, Waldemar, Duncan, Andrea, and Hintz, Susan

Subjects
discharge, education, insurance, neurodevelopment, premature, race, Infant, Newborn, Infant, Pregnancy, Female, Humans, Child, Infant, Extremely Premature, Cohort Studies, Aftercare, Social Determinants of Health, Patient Discharge, Gestational Age
Abstract

OBJECTIVE: To characterize the relationships between social determinants of health (SDOH) and outcomes for children born extremely preterm. STUDY DESIGN: This is a cohort study of infants born at 22-26 weeks of gestation in National Institute of Child Health and Human Development Neonatal Research Network centers (2006-2017) who survived to discharge. Infants were classified by 3 maternal SDOH: education, insurance, and race. Outcomes included postmenstrual age (PMA) at discharge, readmission, neurodevelopmental impairment (NDI), and death postdischarge. Regression analyses adjusted for center, perinatal characteristics, neonatal morbidity, ethnicity, and 2 SDOH (eg, group comparisons by education adjusted for insurance and race). RESULTS: Of 7438 children, 5442 (73%) had at least 1 risk-associated SDOH. PMA at discharge was older (adjusted mean difference 0.37 weeks, 95% CL 0.06, 0.68) and readmission more likely (aOR 1.27, 95% CL 1.12, 1.43) for infants whose mothers had public/no insurance vs private. Neither PMA at discharge nor readmission varied by education or race. NDI was twice as likely (aOR 2.36, 95% CL 1.86, 3.00) and death 5 times as likely (aOR 5.22, 95% CL 2.54, 10.73) for infants with 3 risk-associated SDOH compared with those with none. CONCLUSIONS: Children born to mothers with public/no insurance were older at discharge and more likely to be readmitted than those born to privately insured mothers. NDI and death postdischarge were more common among children exposed to multiple risk-associated SDOH at birth compared with those not exposed. Addressing disparities due to maternal education, insurance coverage, and systemic racism are potential intervention targets to improve outcomes for children born preterm.

Published
2023

8. Diagnostic accuracy of ASQ for screening of neurodevelopmental delays in low resource countries.

Author

Manasyan, Albert, Salas, Ariel, Nolen, Tracy, Chomba, Elwyn, Mazariegos, Manolo, Tshefu Kitoto, Antoinette, Saleem, Sarah, Naqvi, Farnaz, Hambidge, K, Goco, Norman, McClure, Elizabeth, Biasini, Fred, Goldenberg, Robert, Bose, Carl, Koso-Thomas, Marion, Krebs, Nancy, Carlo, Waldemar, and Wallander, Jan

Subjects
community child health, developmental neurology & neurodisability, paediatric neurology, Child, Infant, Humans, Child, Preschool, Communication, Guatemala, Health Personnel, Income, Neurodevelopmental Disorders
Abstract

OBJECTIVE: The Bayley Scales of Infant Development (BSID) is the most used diagnostic tool to identify neurodevelopmental disorders in children under age 3 but is challenging to use in low-resource countries. The Ages and Stages Questionnaire (ASQ) is an easy-to-use, low-cost clinical tool completed by parents/caregivers that screens children for developmental delay. The objective was to determine the performance of ASQ as a screening tool for neurodevelopmental impairment when compared with BSID second edition (BSID-II) for the diagnosis of moderate-to-severe neurodevelopmental impairment among infants at 12 and 18 months of age in low-resource countries. METHODS: Study participants were recruited as part of the First Bites Complementary Feeding trial from the Democratic Republic of Congo, Zambia, Guatemala and Pakistan between October 2008 and January 2011. Study participants underwent neurodevelopmental assessment by trained personnel using the ASQ and BSID-II at 12 and 18 months of age. RESULTS: Data on both ASQ and BSID-II assessments of 1034 infants were analysed. Four of five ASQ domains had specificities greater than 90% for severe neurodevelopmental delay at 18 months of age. Sensitivities ranged from 23% to 62%. The correlations between ASQ communications subscale and BSID-II Mental Development Index (MDI) (r=0.38) and between ASQ gross motor subscale and BSID-II Psychomotor Development Index (PDI) (r=0.33) were the strongest correlations found. CONCLUSION: At 18 months, ASQ had high specificity but moderate-to-low sensitivity for BSID-II MDI and/or PDI

Published
2023

11. Cortisol awakening response and developmental outcomes at 6–7 years in children born extremely preterm

Author

Jobe, Alan H, Caplan, Michael S, Polin, Richard A, Laptook, Abbot R, Hensman, Angelita M, Vieira, Elisa, Little, Emilee, Johnson, Katharine, Alksninis, Barbara, Keszler, Mary Lenore, Knoll, Andrea M, Leach, Theresa M, McGowan, Elisabeth C, Watson, Victoria E, Walsh, Michele C, Fanaroff, Avroy A, Payne, Allison, Wilson-Costello, Deanne E, Newman, Nancy S, Siner, Bonnie S, Zadell, Arlene, DiFiore, Julie, Bhola, Monika, Friedman, Harriet G, Yalcinkaya, Gulgun, Goldberg, Ronald N, Cotten, C Michael, Gustafson, Kathryn E, Goldstein, Ricki F, Ashley, Patricia, Auten, Kathy J, Fisher, Kimberley A, Foy, Katherine A, Freedman, Sharon F, Lohmeyer, Melody B, Malcolm, William F, Wallace, David K, Carlton, David P, Stoll, Barbara J, Adams-Chapman, Ira, Buchter, Susie, Piazza, Anthony J, Carter, Sheena, Fritz, Sobha, Hale, Ellen C, Hutchinson, Amy K, LaRossa, Maureen Mulligan, Loggins, Yvonne, Bottcher, Diane, Higgins, Rosemary D, Archer, Stephanie Wilson, Poindexter, Brenda B, Sokol, Gregory M, Harmon, Heidi M, Papile, Lu-Ann, Hines, Abbey C, Wilson, Leslie D, Herron, Dianne E, Smiley, Lucy, Granger, Douglas A, Kennedy, Kathleen A, Tyson, Jon E, Duncan, Andrea F, Dempsey, Allison G, John, Janice, Jones, Patrick M, Lillie, M Layne, Siddiki, Saba, Sperry, Daniel K, Blaisdell, Carol J, Das, Abhik, Wallace, Dennis, Gantz, Marie G, O’Donnell Auman, Jeanette, Hammond, Jane A, Newman, Jamie E, Poole, W Kenneth, Van Meurs, Krisa P, Stevenson, David K, Ball, M Bethany, DeAnda, Maria Elena, Goodlin, Gabrielle T, Frantz, Ivan D, Fiascone, John M, Kurfiss, Anne, MacKinnon, Brenda L, Nylen, Ellen, Brussa, Ana, Sibley, Cecelia, Carlo, Waldemar A, Ambalavanan, Namasivayam, Collins, Monica V, Cosby, Shirley S, Phillips, Vivien A, Domanovich, Kristy, Whitley, Sally, Smith, Leigh Ann, Kiser, Carin R, and Finer, Neil N

Subjects
Paediatrics, Biomedical and Clinical Sciences, Basic Behavioral and Social Science, Behavioral and Social Science, Mind and Body, Mental Health, Neurosciences, Clinical Research, Pediatric, 2.3 Psychological, social and economic factors, Aetiology, Mental health, Child, Female, Humans, Infant, Newborn, Executive Function, Hydrocortisone, Hypothalamo-Hypophyseal System, Infant, Extremely Premature, Pituitary-Adrenal System, SUPPORT NEURO School-Age Study Subcommittee of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network, Paediatrics and Reproductive Medicine, Public Health and Health Services, Pediatrics
Abstract

BackgroundExtremely preterm (EPT) birth has been related to dysregulation of stress responses and behavioral/learning problems at school age. Early adverse experiences can blunt HPA axis reactivity. We hypothesized that an attenuated cortisol awakening response would be associated with developmental and behavioral problems at school age in EPT children.MethodsThis secondary analysis of a sub-cohort of the SUPPORT study included children born between 24 and 27 weeks, evaluated at 6-7 years with a neurodevelopmental battery and cortisol measures. Differences were tested between EPT and a term-born group. Relationships of cortisol awakening response to test scores were analyzed.ResultsCortisol was measured in 110 EPT and 29 term-born 6-7 year olds. Unadjusted WISC-IV and NEPSY-II scores were significantly worse among EPT children only. Conners Parent Rating Scale behavior scores were significantly worse among EPT children. After adjusting for covariates, blunted cortisol awakening responses were found to be associated with poorer scores on memory tests and greater problems with inattention for the EPT group (p

Published
2023

12. The Relationship Between Hispanic Ethnicity and Outcomes for Infants Born Extremely Preterm

Author

Jobe, Alan H., Caplan, Michael S., Polin, Richard A., Laptook, Abbot R., Keszler, Martin, Hensman, Angelita M., Alksninis, Barbara, Bishop, Carmena, Burke, Robert T., Caskey, Melinda, Hoffman, Laurie, Johnson, Katharine, Keszler, Mary Lenore, Knoll, Andrea M., Lamberson, Vita, Leach, Teresa M., Little, Emilee, Stephens, Bonnie E., Vieira, Elisa, St. Pierre, Lucille, Ventura, Suzy, Watson, Victoria E., Maria Hibbs, Anna, Walsh, Michele C., Newman, Nancy S., Bhola, Monika, Payne, Allison H., Wilson-Costello, Deanne E., Siner, Bonnie S., Yalcinkaya, Gulgun, Roth, Elizabeth, Truog, William E., Pallotto, Eugenia K., Kilbride, Howard W., Gauldin, Cheri, Holmes, Anne, Johnson, Kathy, Scott, Allison, Parimi, Prabhu S., Gaetano, Lisa, Poindexter, Brenda B., Schibler, Kurt, Kallapur, Suhas G., Donovan, Edward F., Merhar, Stephanie, Grisby, Cathy, Yolton, Kimberly, Alexander, Barbara, Beiersdorfer, Traci, Bridges, Kate, Cahill, Tanya E., Dudley, Juanita, Fischer, Estelle E., Gratton, Teresa L., Hayes, Devan, Hessling, Jody, Jackson, Lenora D., Kirker, Kristin, Mincey, Holly L., Muthig, Greg, Stacey, Sara, Steichen, Jean J., Tepe, Stacey, Thompson, Julia, Wuertz, Sandra, Cotten, C. Michael, Goldberg, Ronald N., Goldstein, Ricki F., Malcolm, William F., Propst, Joanne, Ashley, Patricia L., Mago-Shah, Deesha, Warren, Mollie, Auten, Kathy J., Fisher, Kimberley A., Grimes, Sandra, Gustafson, Kathryn E., Lohmeyer, Melody B., Laughon, Matthew M., Bose, Carl L., Bernhardt, Janice, Bose, Gennie, Clark, Cindy, Talbert, Jennifer, Warner, Diane, Wereszczak, Janice, Trembath, Andrea, Martin, Holly, O'Shea, Michael, Kicklighter, Stephen D., Rhodes-Ryan, Ginger, White, Donna, Bentley, Alexandra, Edwards, Laura, Patel, Ravi M., Carlton, David P., Stoll, Barbara J., Adams-Chapman, Ira, Hale, Ellen C., Loggins, Yvonne C., Blackwelder, Ann, Bottcher, Diane I., Carter, Sheena L., Kendrick-Allwood, Salathiel, Laursen, Judith, LaRossa, Maureen Mulligan, Mackie, Colleen, Sanders, Amy, Seabrook, Irma, Smikle, Gloria, Wineski, Lynn C., Higgins, Rosemary D., Bremer, Andrew A., Archer, Stephanie Wilson, Sokol, Gregory M., Dusick, Anna M., Papile, Lu Ann, Gunn, Susan, Hamer, Faithe, Harmon, Heidi M., Herron, Dianne E., Hines, Abbey C., Lytle, Carolyn, Miller, Lucy C., Minnich, Heike M., Richard, Leslie, Smiley, Lucy, Wilson, Leslie Dawn, Joyce, Jeffery, Tyson, Jon E., Rysavy, Matthew A., Kennedy, Kathleen A., Khan, Amir M., Stephens, Emily K., McDavid, Georgia E., Alaniz, Nora I., Allain, Elizabeth, Arldt-McAlister, Julie, Boricha, Fatima, Burson, Katrina, Dempsey, Allison G., Dieterich, Susan E., Eason, Elizabeth, Evans, Patricia W., Garcia, Carmen, Green, Charles, Hall, Donna, Harris, Beverly Foley, Jiminez, Margarita, John, Janice, Jones, Patrick M., Lillie, M. Layne, Lis, Anna E., Major-Kincade, Terri, Martin, Karen, Martin, Sara C., Mason, Carrie M., McKee, Shannon, Morris, Brenda H., Reddy, Tina, Mosquera, Ricardo, Rennie, Kimberly, Rodgers, Shawna, Siddiki, Saba Khan, Simmons, Maegan C., Sperry, Daniel, Pierce Tate, Patti L., Wright, Sharon L., Zanger, Dinorah, Sánchez, Pablo J., Nelin, Leif D., Jadcherla, Sudarshan R., Luzader, Patricia, Besner, Gail E., Clark, Erna, Fortney, Christine A., Gutentag, Julie, Maitre, Nathalie L., Park, Courtney, Parikh, Nehal A., Shadd, Julie, Sullivan, Margaret, Stein, Melanie, Das, Abhik, Gantz, Marie G., Gabrio, Jenna, Newman, Jamie E., Petrie Huitema, Carolyn M., O'Donnell Auman, Jeanette, Zaterka-Baxter, Kristin M., Parlberg, Lindsay, Lewis, Amanda, Van Meurs, Krisa P., Chock, Valerie Y., Stevenson, David K., Hintz, Susan R., Adams, Marian M., Bahmani, Dona, Ball, M. Bethany, Bentley, Barbara, Bruno, Elizabeth, Davis, Alexis S., Elena DeAnda, Maria, DeBattista, Anne M., Huffman, Lynne C., Ismael, Magdy, Kohn, Jean G., Krueger, Casey, Lowe, Janice, Lucash, Ryan E., Palmquist, Andrew W., Patel, Jessica, Proud, Melinda S., Reichert, Elizabeth N., Recine, Barbara P., Rutkowska, Lilia, St. John, Nicholas H., Sivakumar, Dharshi, Taylor, Heather L., Wager, Natalie, Williams, R. Jordan, Weiss, Hali, Frantz, Ivan D., III, Fiascone, John M., McGowan, Elisabeth C., MacKinnon, Brenda L., Furey, Anne, Nylen, Ellen, Church, Paige T., Sibley, Cecelia E., Brussa, Ana K., Ambalavanan, Namasivayam, Peralta-Carcelen, Myriam, Ladinsky, Morissa, Biasini, Fred J., Domnanovich, Kristy A., Rector, Richard V., Collins, Monica V., Cosby, Shirley S., Phillips, Vivien A., Whitley, Sally, McNair, Tara E., Chapman, Sheree York, Jno-Finn, Chantel J., Devaskar, Uday, Garg, Meena, Purdy, Isabell B., Chanlaw, Teresa, Geller, Rachel, Finer, Neil N., Vaucher, Yvonne E., Kaegi, David, Rasmussen, Maynard R., Arnell, Kathy, Demetrio, Clarence, Fuller, Martha G., Rich, Wade, Bouey, Nicolas J., Colaizy, Tarah T., Widness, John A., Acarregui, Michael J., Klein, Jonathan M., Dagle, John M., Johnson, Karen J., Eastman, Diane L., Goeke, Claire A., Schmelzel, Mendi L., Walker, Jacky R., Baack, Michelle L., Hogden, Laurie A., Broadbent, Megan, Elenkiwich, Chelsey, Henning, Megan M., Ellsbury, Dan L., Campbell, Donia B., Tud, Tracy L., Duara, Shahnaz, Bauer, Charles R., Everett-Thomas, Ruth, Fajardo-Hiriart, Sylvia, Rigaud, Arielle, Calejo, Maria, Frade Eguaras, Silvia M., Berkowits, Michelle Harwood, Garcia, Andrea, Pierre, Helina, Stoerger, Alexandra, Watterberg, Kristi L., Fuller, Janell, Ohls, Robin K., Beauman, Sandra Sundquist, Backstrom Lacy, Conra, Duncan, Andrea F., Hanson, Mary, Hartenberger, Carol, Kuan, Elizabeth, Lowe, Jean R., Thomson, Rebecca A., DeMauro, Sara B., Eichenwald, Eric C., Schmidt, Barbara, Kirpalani, Haresh, Chaudhary, Aasma S., Abbasi, Soraya, Mancini, Toni, Catts, Christine, Cook, Noah, Cucinotta, Dara M., Bernbaum, Judy C., Gerdes, Marsha, Ghavam, Sarvin, Hurt, Hallam, Snyder, Jonathan, Vangala, Saritha, Ziolkowski, Kristina, D'Angio, Carl T., Phelps, Dale L., Guillet, Ronnie, Myers, Gary J., Andrews-Hartley, Michelle, Johnson, Julie Babish, Binion, Kyle, Bowman, Melissa, Burnell, Erica, Fallone, Cait, Farooq, Osman, Hunn, Julianne, Hust, Diane, Jensen, Rosemary L., Kushner, Emily, Maffett, Deanna, Merzbach, Joan, Orme, Constance, Prinzing, Diane, Reubens, Linda J., Rochez, Daisy, Rowan, Mary, Sabaratnam, Premini, Scorsone, Ann Marie, Wadkins, Holly I.M., Yost, Kelley, Zwetsch, Lauren, Lakshminrusimha, Satyan, Reynolds, Anne Marie, Sacilowski, Michael G., Guilford, Stephanie, Williams, Ashley, Zorn, William A., Kent, Alison, Jones, Rachel, Boylin, Elizabeth, Moreland, Melissa, Li, Emily, Donato, Jennifer, Voelker, Kelsey, McKee, Kimberly, Coleman, Kelly, Cavanaugh, Brenna, Wyckoff, Myra H., Brion, Luc P., Rosenfeld, Charles R., Salhab, Walid A., Heyne, Roy J., Vasil, Diana M., Adams, Sally S., Chen, Lijun, De Leon, Maria M., Eubanks, Francis, Guzman, Alicia, Hensley, Gaynelle, Heyne, Elizabeth T., Lee, Lizette E., Leps, Melissa H., Madden, Linda A., McDougald, E. Rebecca, Miller, Nancy A., Morgan, Janet S., Pavageau, Lara, Puentez, Anna, Sepulveda, Pollieanna, Tolentino-Plata, Kristine, Boatman, Cathy Twell, Vera, Azucena, Waterbury, Jillian, Yoder, Bradley A., Baserga, Mariana, Faix, Roger G., Winter, Sarah, Minton, Stephen D., Sheffield, Mark J., Rau, Carrie A., Baker, Shawna, Bird, Karie, Burnett, Jill, Christensen, Susan, Cole-Bledsoe, Laura, Davis, Brandy, Elmont, Jennifer O., Jensen, Jennifer J., Loertscher, Manndi C., Jamie Jordan, Marchant, Trisha, Maxson, Earl, McGrath, Kandace M., Parry, D. Melody, Reich, Brixen A., Schaefer, Susan T., Spencer, Cynthia, Steffen, Michael, Tice, Katherine, Weaver-Lewis, Kimberlee, Woodbury, Kathryn D., Zanetti, Karen, Gerday, Erick B., Osborne, Karen, Cunningham, Sean, Hall, Becky, Jensen, Erika R., Mickelsen, Hena G., Morshedzadeh, Galina, Stout, Kelly, Stuart, Ashley L., O'Shea, T. Michael, Dillard, Robert G., Washburn, Lisa K., Jackson, Barbara G., Peters, Nancy, Chiu, Korinne, Allred, Deborah Evans, Goldstein, Donald J., Halfond, Raquel, Peterson, Carroll, Waldrep, Ellen L., Welch, Cherrie D., Morris, Melissa Whalen, Hounshell, Gail Wiley, Shankaran, Seetha, Sood, Beena G., Pappas, Athina, Natarajan, Girija, Abramczyk, Katherine, Agarwal, Prashant, Bajaj, Monika, Bara, Rebecca, Billian, Elizabeth, Chawla, Sanjay, Childs, Kirsten, De Jesus, Lilia C., Driscoll, Debra, February, Melissa, Goldston, Laura A., Johnson, Mary E., Muran, Geraldine, Panaitescu, Bogdan, Prentiss, Jeannette E., White, Diane, Woldt, Eunice, Barks, John, Wiggins, Stephanie A., Christensen, Mary K., Carlson, Martha D., Ehrenkranz, Richard A., Jacobs, Harris, Butler, Christine G., Cervone, Patricia, Greisman, Sheila, Konstantino, Monica, Poulsen, JoAnn, Taft, Janet, Williams, Joanne, Romano, Elaine, Brumbaugh, Jane E., Bann, Carla M., Bell, Edward F., Travers, Colm P., Vohr, Betty R., and Carlo, Waldemar A.

Published
2025
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15. Apnea, Intermittent Hypoxemia, and Bradycardia Events Predict Late-Onset Sepsis in Infants Born Extremely Preterm

Author

Krahn, Katy N., Zimmet, Amanda M., Hopkins, Bradley S., Lonergan, Erin K., Rand, Casey M., Zadell, Arlene, Nakhmani, Arie, Carlo, Waldemar A., Laney, Deborah, Travers, Colm P., Vanbuskirk, Silvia, D’Ugard, Carmen, Aguilar, Ana Cecilia, Schott, Alini, Hoffmann, Julie, Linneman, Laura, Kausch, Sherry L., Lake, Douglas E., Di Fiore, Juliann M., Weese-Mayer, Debra E., Claure, Nelson, Ambalavanan, Namasivayam, Vesoulis, Zachary A., Fairchild, Karen D., Dennery, Phyllis A., Hibbs, Anna Maria, Martin, Richard J., Indic, Premananda, Bancalari, Eduardo, Hamvas, Aaron, Kemp, James S., Carroll, John L., Moorman, J. Randall, and Sullivan, Brynne A.

Published
2024
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16. Use of term reference infants in assessing the developmental outcome of extremely preterm infants: lessons learned in a multicenter study

Author

Green, Charles E., Tyson, Jon E., Heyne, Roy J., Hintz, Susan R., Vohr, Betty R., Bann, Carla M., Das, Abhik, Bell, Edward F., Debsareea, Sana Boral, Stephens, Emily, Gantz, Marie G., Petrie Huitema, Carolyn M., Johnson, Karen J., Watterberg, Kristi L., Mosquera, Ricardo, Peralta-Carcelen, Myriam, Wilson-Costello, Deanne E., Colaizy, Tarah T., Maitre, Nathalie L., Merhar, Stephanie L., Adams-Chapman, Ira, Fuller, Janell, Hartley-McAndrew, Michelle E., Malcolm, William F., Winter, Sarah, Duncan, Andrea F., Myer, Gary J., Kicklighter, Stephen D., Wyckoff, Myra H., DeMauro, Sara B., Hibbs, Anna Maria, Stoll, Barbara J., Carlo, Waldemar A., Van Meurs, Krisa P., Rysavy, Matthew A., Patel, Ravi M., Sánchez, Pablo J., Laptook, Abbot R., Cotten, C. Michael, D’Angio, Carl T., and Walsh, Michele C.

Published
2023
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18. Oxygen management among infants in neonatal units in sub-Saharan Africa: a cross-sectional survey.

Author

Herrod, Scott, Stevenson, Alex, Vaucher, Yvonne, Lambert, Scott, Isenberg, Sherwin, Yap, Vivien, Ezeaka, V, and Carlo, Waldemar

Subjects
Africa South of the Sahara, Cross-Sectional Studies, Humans, Infant, Infant, Newborn, Oxygen, Oxygen Inhalation Therapy, Surveys and Questionnaires
Abstract

OBJECTIVES: To provide more comprehensive data on the management of oxygen supplementation in neonates in sub-Saharan Africa. STUDY DESIGN: An online survey on the management of oxygen supplementation for infants in neonatal units was sent to 278 healthcare personnel in sub-Saharan Africa. RESULTS: One hundred and nine responses from 82 neonatal care units in 54% (26/48) sub-Saharan African countries were received. All units had the capacity to provide oxygen supplementation. However, only 50% (38/76) had access to blend oxygen with medical air and 1% (1/75) had the capacity to blend oxygen/air for every infant. Although 96% (72/75) of units could monitor oxygen saturation, monitoring was mostly intermittent and only 32% (24/75) were able to monitor oxygen saturation in every infant receiving oxygen supplementation. CONCLUSIONS: Findings indicate that oxygen supplementation is inadequately managed in neonatal units in sub-Saharan Africa, which may put infants at risk of developing severe ROP.

Published
2021

21. Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation: A Multicenter Randomized Clinical Trial.

Author

Blakely, Martin L, Tyson, Jon E, Lally, Kevin P, Hintz, Susan R, Eggleston, Barry, Stevenson, David K, Besner, Gail E, Das, Abhik, Ohls, Robin K, Truog, William E, Nelin, Leif D, Poindexter, Brenda B, Pedroza, Claudia, Walsh, Michele C, Stoll, Barbara J, Geller, Rachel, Kennedy, Kathleen A, Dimmitt, Reed A, Carlo, Waldemar A, Cotten, C Michael, Laptook, Abbot R, Van Meurs, Krisa P, Calkins, Kara L, Sokol, Gregory M, Sanchez, Pablo J, Wyckoff, Myra H, Patel, Ravi M, Frantz, Ivan D, Shankaran, Seetha, D'Angio, Carl T, Yoder, Bradley A, Bell, Edward F, Watterberg, Kristi L, Martin, Colin A, Harmon, Carroll M, Rice, Henry, Kurkchubasche, Arlet G, Sylvester, Karl, Dunn, James CY, Markel, Troy A, Diesen, Diana L, Bhatia, Amina M, Flake, Alan, Chwals, Walter J, Brown, Rebeccah, Bass, Kathryn D, St Peter, Shawn D, Shanti, Christina M, Pegoli, Walter, Skarda, David, Shilyansky, Joel, Lemon, David G, Mosquera, Ricardo A, Peralta-Carcelen, Myriam, Goldstein, Ricki F, Vohr, Betty R, Purdy, Isabell B, Hines, Abbey C, Maitre, Nathalie L, Heyne, Roy J, DeMauro, Sara B, McGowan, Elisabeth C, Yolton, Kimberly, Kilbride, Howard W, Natarajan, Girija, Yost, Kelley, Winter, Sarah, Colaizy, Tarah T, Laughon, Matthew M, Lakshminrusimha, Satyanarayana, and Higgins, Rosemary D

Subjects
Perinatal Period - Conditions Originating in Perinatal Period, Clinical Research, Infant Mortality, Rare Diseases, Digestive Diseases, Preterm, Low Birth Weight and Health of the Newborn, Pediatric, Clinical Trials and Supportive Activities, Good Health and Well Being, Drainage, Enterocolitis, Necrotizing, Feasibility Studies, Female, Humans, Infant, Extremely Low Birth Weight, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases, Intestinal Perforation, Laparotomy, Male, Neurodevelopmental Disorders, Survival Rate, Treatment Outcome, isolated intestinal perforation, neonatal surgery, premature infant, randomized clinical trial, surgical necrotizing enterocolitis, Eunice Kennedy Shriver National Institute of Child Health, Human Development Neonatal Research Network, Medical and Health Sciences, Surgery
Abstract

ObjectiveThe aim of this study was to determine which initial surgical treatment results in the lowest rate of death or neurodevelopmental impairment (NDI) in premature infants with necrotizing enterocolitis (NEC) or isolated intestinal perforation (IP).Summary background dataThe impact of initial laparotomy versus peritoneal drainage for NEC or IP on the rate of death or NDI in extremely low birth weight infants is unknown.MethodsWe conducted the largest feasible randomized trial in 20 US centers, comparing initial laparotomy versus peritoneal drainage. The primary outcome was a composite of death or NDI at 18 to 22 months corrected age, analyzed using prespecified frequentist and Bayesian approaches.ResultsOf 992 eligible infants, 310 were randomized and 96% had primary outcome assessed. Death or NDI occurred in 69% of infants in the laparotomy group versus 70% with drainage [adjusted relative risk (aRR) 1.0; 95% confidence interval (CI): 0.87-1.14]. A preplanned analysis identified an interaction between preoperative diagnosis and treatment group (P = 0.03). With a preoperative diagnosis of NEC, death or NDI occurred in 69% after laparotomy versus 85% with drainage (aRR 0.81; 95% CI: 0.64-1.04). The Bayesian posterior probability that laparotomy was beneficial (risk difference

Published
2021

22. Umbilical Cord Milking vs Delayed Cord Clamping and Associations with In-Hospital Outcomes among Extremely Premature Infants

Author

Kumbhat, Neha, Eggleston, Barry, Davis, Alexis S, DeMauro, Sara B, Van Meurs, Krisa P, Foglia, Elizabeth E, Lakshminrusimha, Satyan, Walsh, Michele C, Watterberg, Kristi L, Wyckoff, Myra H, Das, Abhik, Handley, Sara C, Network, Generic Database Subcommittee of the National Institute of Child Health and Human Development Neonatal Research, Polin, Richard A, Laptook, R, Keszler, Martin, Hensman, Angelita M, Vieira, Elisa, St. Pierre, Lucille, Hibbs, Anna Maria, Truog, William E, Pallotto, Eugenia K, Parimi, Prabhu S, Gauldin, Cheri, Holmes, Anne, Knutson, Allison, Gaetano, Lisa, Poindexter, Brenda B, Schibler, Kurt, Merhar, Stephanie L, Grisby, Cathy, Kirker, Kristin, Cotten, C Michael, Goldberg, Ronald N, Finkle, Joanne, Fisher, Kimberley A, Laughon, Matthew M, Bose, Carl L, Bernhardt, Janice, Bose, Gennie, Clark, Cindy, Kicklighter, Stephen D, Rhodes-Ryan, Ginger, White, Donna, Carlton, David P, Patel, Ravi M, Loggins, Yvonne, Mackie, Colleen, Bottcher, Diane I, Bremer, Andrew A, Higgins, Rosemary D, Archer, Stephanie Wilson, Sokol, Gregory M, Herron, Dianne E, Tyson, Jon E, Khan, Amir M, Kennedy, Kathleen A, Pedrozza, Claudia, Eason, Elizabeth, Stephens, Emily K, McDavid, Georgia E, Martin, Karen, Hall, Donna, Wright, Sharon L, Sánchez, Pablo J, Nelin, Leif D, Jadcherla, Sudarshan R, Luzader, Patricia, Clark, Erna, Gutentag, Julie, Park, Courtney, Shadd, Julie C, Stein, Melanie, Baugher, Hallie, McCool, Jacqueline, Gantz, Marie G, Bann, Carla M, Wallace, Dennis, Zaterka-Baxter, Kristin M, Gabrio, Jenna, Leblond, David, Auman, Jeanette O'Donnell, Stevenson, David K, Chock, Valerie Y, Ball, M Bethany, Proud, Melinda S, Reichert, Elizabeth N, Williams, R Jordan, Carlo, Waldemar A, Ambalavanan, Namasivayam, Collins, Monica V, Cosby, Shirley S, McNair, Tara, Devaskar, Uday, Garg, Meena, Chanlaw, Teresa, Geller, Rachel, Bell, Edward F, Colaizy, Tarah T, and Ellsbury, Dan L

Subjects
Paediatrics, Biomedical and Clinical Sciences, Prevention, Preterm, Low Birth Weight and Health of the Newborn, Infant Mortality, Clinical Research, Neurosciences, Cardiovascular, Clinical Trials and Supportive Activities, Perinatal Period - Conditions Originating in Perinatal Period, Pediatric, Reproductive health and childbirth, Good Health and Well Being, Cerebral Intraventricular Hemorrhage, Constriction, Female, Gestational Age, Hospital Mortality, Humans, Infant, Extremely Premature, Infant, Newborn, Male, Retrospective Studies, Umbilical Cord, Generic Database Subcommittee of the National Institute of Child Health and Human Development Neonatal Research Network, Neonatal Research Network, intraventricular hemorrhage, placental transfusion, Human Movement and Sports Sciences, Paediatrics and Reproductive Medicine, Pediatrics
Abstract

ObjectiveTo compare in-hospital outcomes after umbilical cord milking vs delayed cord clamping among infants

Published
2021

23. Short, medium, and long deferral of umbilical cord clamping compared with umbilical cord milking and immediate clamping at preterm birth: a systematic review and network meta-analysis with individual participant data

Author

Seidler, Anna Lene, Libesman, Sol, Hunter, Kylie E, Barba, Angie, Aberoumand, Mason, Williams, Jonathan G, Shrestha, Nipun, Aagerup, Jannik, Sotiropoulos, James X, Montgomery, Alan A, Gyte, Gillian M L, Tarnow-Mordi, William O, El-Naggar, Walid, Carlo, Waldemar A, Datta, Vikram, Lago, Victor, Sundaram, Venkataseshan, Manoj, Varanattu C, Debray, Thomas P A, Sahoo, Tanushree, Trongkamonthum, Tanai, Hooper, Stuart B, Dias, Sofia, Pratesi, Simone, Badurdeen, Shiraz, Hosono, Shigeharu, Belk, Sheila S, Shekhar, Shashank, Chamnanvanakij, Sangkae, Arsan, Saadet, Knol, Ronny, Simes, Robert John, Riley, Richard D, Pongmee, Pharuhad, Davis, Peter G, Andersson, Ola, Dipak, Niraj K, Nasef, Nehad, Allam, Nahed E, Mangla, Mukul K, Meyer, Michael P, March, Melissa I, Kluckow, Martin, Goya, Maria, de Veciana, Margarita, Gharehbaghi, Manizheh M, Robledo, Kristy P, Murphy, Kellie E, Wallace, Kedra, Fairchild, Karen D, Josephsen, Justin B, Mercer, Judith S, Dorling, Jon S, Kattwinkel, John, Liu, Jiang-Qin, Nour, Islam, Atia, Hytham, Liley, Helen G, Rabe, Heike, Al-Wassia, Heidi K, Carroli, Guillermo, Polglase, Graeme R, Ram Mohan, Govindu, Dempsey, Eugene M, Okulu, Emel, Blank, Douglas A, Chawla, Deepak, Ruangkit, Chayatat, Tanprasertkul, Chamnan, De Paco Matallana, Catalina, Backes, Carl H, Schwaberger, Bernhard, Urlesberger, Berndt, KC, Ashish, te Pas, Arjan B, Katheria, Anup C, Thukral, Anu, George, Anu A, Webster, Angela C, Kugelman, Amir, Tan, Aidan C, Kumar, Aditi, Garg, Aashim, Duley, Lelia, and Askie, Lisa M

Published
2023
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24. Deferred cord clamping, cord milking, and immediate cord clamping at preterm birth: a systematic review and individual participant data meta-analysis

Author

Seidler, Anna Lene, Aberoumand, Mason, Hunter, Kylie E, Barba, Angie, Libesman, Sol, Williams, Jonathan G, Shrestha, Nipun, Aagerup, Jannik, Sotiropoulos, James X, Montgomery, Alan A, Gyte, Gillian M L, Garg, Aashim, Kumar, Aditi, Tan, Aidan C, Kugelman, Amir, Webster, Angela C, George, Anu A, Thukral, Anu, Katheria, Anup C, te Pas, Arjan B, KC, Ashish, Urlesberger, Berndt, Schwaberger, Bernhard, Backes, Carl H, De Paco Matallana, Catalina, Tanprasertkul, Chamnan, Ruangkit, Chayatat, Chawla, Deepak, Blank, Douglas A, Okulu, Emel, Dempsey, Eugene M, Ram Mohan, Govindu, Polglase, Graeme R, Carroli, Guillermo, Al-Wassia, Heidi K, Rabe, Heike, Liley, Helen G, Atia, Hytham, Nour, Islam, Liu, Jiang-Qin, Kattwinkel, John, Dorling, Jon S, Mercer, Judith S, Josephsen, Justin B, Fairchild, Karen D, Wallace, Kedra, Murphy, Kellie E, Robledo, Kristy P, Gharehbaghi, Manizheh M, de Veciana, Margarita, Goya, Maria, Kluckow, Martin, March, Melissa I, Meyer, Michael P, Mangla, Mukul K, Allam, Nahed E, Nasef, Nehad, Dipak, Niraj K, Andersson, Ola, Davis, Peter G, Pongmee, Pharuhad, Riley, Richard D, Simes, Robert John, Knol, Ronny, Arsan, Saadet, Shekhar, Shashank, Belk, Sheila S, Hosono, Shigeharu, Badurdeen, Shiraz, Pratesi, Simone, Dias, Sofia, Hooper, Stuart B, Sahoo, Tanushree, Debray, Thomas P A, Manoj, Varanattu C, Sundaram, Venkataseshan, Lago, Victor, Datta, Vikram, El-Naggar, Walid, Carlo, Waldemar A, Tarnow-Mordi, William O, Duley, Lelia, and Askie, Lisa M

Published
2023
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25. The impact of risk factors on aspirin's efficacy for the prevention of preterm birth

Author

Nuss, Emily E., Hoffman, Matthew K., Goudar, Shivaprasad S., Kavi, Avinash, Metgud, Mrityunjay, Somannavar, Manjunath, Okitawutshu, Jean, Lokangaka, Adrien, Tshefu, Antoinette, Bauserman, Melissa, Tembo, Abigail Mwapule, Chomba, Elwyn, Carlo, Waldemar A., Figueroa, Lester, Krebs, Nancy F., Jessani, Saleem, Saleem, Sarah, Goldenberg, Robert L., Kurhe, Kunal, Das, Prabir, Hibberd, Patricia L., Achieng, Emmah, Nyongesa, Paul, Esamai, Fabian, Liechty, Edward A., Bucher, Sherri, Goco, Norman, Hemingway-Foday, Jennifer, Moore, Janet, McClure, Elizabeth M., Silver, Robert M., and Derman, Richard J.

Published
2023
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26. Building a predictive model of low birth weight in low- and middle-income countries: a prospective cohort study

Author

Patterson, Jackie K., Thorsten, Vanessa R., Eggleston, Barry, Nolen, Tracy, Lokangaka, Adrien, Tshefu, Antoinette, Goudar, Shivaprasad S., Derman, Richard J., Chomba, Elwyn, Carlo, Waldemar A., Mazariegos, Manolo, Krebs, Nancy F., Saleem, Sarah, Goldenberg, Robert L., Patel, Archana, Hibberd, Patricia L., Esamai, Fabian, Liechty, Edward A., Haque, Rashidul, Petri, Bill, Koso-Thomas, Marion, McClure, Elizabeth M., Bose, Carl L., and Bauserman, Melissa

Published
2023
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28. Early-Life Outcomes in Relation to Social Determinants of Health for Children Born Extremely Preterm

Author

Jobe, Alan H., Caplan, Michael S., Polin, Richard A., Laptook, Abbot R., Keszler, Martin, Hensman, Angelita M., Alksninis, Barbara, Bishop, Carmena, Burke, Robert T., Caskey, Melinda, Hoffman, Laurie, Johnson, Katharine, Keszler, Mary Lenore, Knoll, Andrea M., Lamberson, Vita, Leach, Teresa M., Little, Emilee, McGowan, Elisabeth C., Stephens, Bonnie E., Vieira, Elisa, St. Pierre, Lucille, Ventura, Suzy, Watson, Victoria E., Hibbs, Anna Maria, Walsh, Michele C., Wilson-Costello, Deanne E., Newman, Nancy S., Bhola, Monika, Payne, Allison H., Siner, Bonnie S., Yalcinkaya, Gulgun, Truog, William E., Pallotto, Eugenia K., Kilbride, Howard W., Gauldin, Cheri, Holmes, Anne, Johnson, Kathy, Scott, Allison, Parimi, Prabhu S., Gaetano, Lisa, Poindexter, Brenda B., Schibler, Kurt, Kallapur, Suhas G., Donovan, Edward F., Merhar, Stephanie, Grisby, Cathy, Yolton, Kimberly, Alexander, Barbara, Beiersdorfer, Traci, Bridges, Kate, Cahill, Tanya E., Dudley, Juanita, Fischer, Estelle E., Gratton, Teresa L., Hayes, Devan, Hessling, Jody, Jackson, Lenora D., Kirker, Kristin, Mincey, Holly L., Muthig, Greg, Stacey, Sara, Steichen, Jean J., Tepe, Stacey, Thompson, Julia, Wuertz, Sandra, Cotten, C. Michael, Goldberg, Ronald N., Goldstein, Ricki F., Malcolm, William F., Mago-Shah, Deesha, Ashley, Patricia L., Finkle, Joanne, Auten, Kathy J., Fisher, Kimberley A., Grimes, Sandra, Gustafson, Kathryn E., Lohmeyer, Melody B., Laughon, Matthew M., Bose, Carl L., Bernhardt, Janice, Bose, Gennie, Clark, Cindy, Talbert, Jennifer, Warner, Diane, Trembath, Andrea, O'Shea, T. Michael, Wereszczak, Janice, Kicklighter, Stephen D., Rhodes-Ryan, Ginger, White, Donna, Patel, Ravi M., Carlton, David P., Stoll, Barbara J., Hale, Ellen C., Loggins, Yvonne C., Adams-Chapman, Ira, Blackwelder, Ann, Bottcher, Diane I., Carter, Sheena L., Kendrick-Allwood, Salathiel, Laursen, Judith, LaRossa, Maureen Mulligan, Mackie, Colleen, Sanders, Amy, Seabrook, Irma, Smikle, Gloria, Wineski, Lynn C., Higgins, Rosemary D., Bremer, Andrew A., Archer, Stephanie Wilson, Sokol, Gregory M., Dusick, Anna M., Papile, Lu Ann, Gunn, Susan, Hamer, Faithe, Harmon, Heidi M., Herron, Dianne E., Hines, Abbey C., Lytle, Carolyn, Miller, Lucy C., Minnich, Heike M., Richard, Leslie, Smiley, Lucy, Wilson, Leslie Dawn, Tyson, Jon E., Kennedy, Kathleen A., Khan, Amir M., Duncan, Andrea, Mosquera, Ricardo, Stephens, Emily K., McDavid, Georgia E., Alaniz, Nora I., Allain, Elizabeth, Arldt-McAlister, Julie, Burson, Katrina, Dempsey, Allison G., Eason, Elizabeth, Evans, Patricia W., Garcia, Carmen, Green, Charles, Hall, Donna, Harris, Beverly Foley, Jiminez, Margarita, John, Janice, Jones, Patrick M., Lillie, M. Layne, Lis, Anna E., Martin, Karen, Martin, Sara C., Mason, Carrie M., McKee, Shannon, Morris, Brenda H., Rennie, Kimberly, Rodgers, Shawna, Siddiki, Saba Khan, Simmons, Maegan C., Sperry, Daniel, Pierce Tate, Patti L., Wright, Sharon L., Sánchez, Pablo J., Nelin, Leif D., Jadcherla, Sudarshan R., Slaughter, Jonathan L., Yeates, Keith O., Keim, Sarah, Maitre, Nathalie L., Timan, Christopher J., Luzader, Patricia, Clark, Erna, Fortney, Christine A., Gutentag, Julie, Park, Courtney, Shadd, Julie, Sullivan, Margaret, Stein, Melanie, Nelin, Mary Ann, Newton, Julia, Small, Kristi, Burkhardt, Stephanie, Purnell, Jessica, Pietruszewski, Lindsay, Levengood, Katelyn, Batterson, Nancy, Morehead, Pamela, Carey, Helen, Yoseff-Salameh, Lina, Sullivan, Rox Ann, Hague, Cole, Grothause, Jennifer, Fearns, Erin, Fowler, Aubrey, Notestine, Jennifer, Tonneman, Jill, Hay, Krystal, Chao, Michelle, Warnimont, Kyrstin, Marzec, Laura, Miller, Bethany, Beckford, Demi R., Baugher, Hallie, DeSantis, Brittany, Hanlon, Cory, McCool, Jacqueline, Das, Abhik, Gantz, Marie G., Bann, Carla M., Wallace, Dennis, Crawford, Margaret M., Gabrio, Jenna, Leblond, David, Newman, Jamie E., Petrie Huitema, Carolyn M., O'Donnell Auman, Jeanette, Poole, W. Kenneth, Zaterka-Baxter, Kristin M., Van Meurs, Krisa P., Chock, Valerie Y., Stevenson, David K., Adams, Marian M., Ball, M. Bethany, Bentley, Barbara, Bruno, Elizabeth, Davis, Alexis S., Elena DeAnda, Maria, DeBattista, Anne M., Huffman, Lynne C., Ismael, Magdy, Kohn, Jean G., Krueger, Casey, Lowe, Janice, Lucash, Ryan E., Palmquist, Andrew W., Patel, Jessica, Proud, Melinda S., Reichert, Elizabeth N., John, Nicholas H. St., Sivakumar, Dharshi, Taylor, Heather L., Wager, Natalie, Williams, R. Jordan, Weiss, Hali, Frantz, Ivan D., III, Fiascone, John M., MacKinnon, Brenda L., Furey, Anne, Nylen, Ellen, Church, Paige T., Sibley, Cecelia E., Brussa, Ana K., Carlo, Waldemar A., Ambalavanan, Namasivayam, Peralta-Carcelen, Myriam, Nelson, Kathleen G., Bailey, Kirstin J., Biasini, Fred J., Chopko, Stephanie A., Collins, Monica V., Cosby, Shirley S., Johnston, Kristen C., Moses, Mary Beth, Patterson, Cryshelle S., Phillips, Vivien A., Preskitt, Julie, Rector, Richard V., Whitley, Sally, Devaskar, Uday, Garg, Meena, Purdy, Isabell B., Chanlaw, Teresa, Geller, Rachel, Finer, Neil N., Vaucher, Yvonne E., Kaegi, David, Rasmussen, Maynard R., Arnell, Kathy, Demetrio, Clarence, Fuller, Martha G., Rich, Wade, Bell, Edward F., Colaizy, Tarah T., Widness, John A., Brumbaugh, Jane E., Acarregui, Michael J., Johnson, Karen J., Eastman, Diane L., Goeke, Claire A., Schmelzel, Mendi L., Walker, Jacky R., Baack, Michelle L., Hogden, Laurie A., Broadbent, Megan, Elenkiwich, Chelsey, Henning, Megan M., Van Muyden, Sarah, Ellsbury, Dan L., Campbell, Donia B., Tud, Tracy L., Duara, Shahnaz, Bauer, Charles R., Everett-Thomas, Ruth, Fajardo-Hiriart, Sylvia, Rigaud, Arielle, Calejo, Maria, Frade Eguaras, Silvia M., Berkowits, Michelle Harwood, Garcia, Andrea, Pierre, Helina, Stoerger, Alexandra, Watterberg, Kristi L., Fuller, Janell, Ohls, Robin K., Beauman, Sandra Sundquist, Lacy, Conra Backstrom, Duncan, Andrea F., Hanson, Mary, Hartenberger, Carol, Kuan, Elizabeth, Lowe, Jean R., Thomson, Rebecca A., DeMauro, Sara B., Eichenwald, Eric C., Schmidt, Barbara, Kirpalani, Haresh, Chaudhary, Aasma S., Abbasi, Soraya, Mancini, Toni, Catts, Christine, Cook, Noah, Cucinotta, Dara M., Bernbaum, Judy C., Gerdes, Marsha, Ghavam, Sarvin, Hurt, Hallam, Snyder, Jonathan, Vangala, Saritha, Ziolkowski, Kristina, D'Angio, Carl T., Phelps, Dale L., Guillet, Ronnie, Myers, Gary J., Andrews-Hartley, Michelle, Johnson, Julie Babish, Binion, Kyle, Bowman, Melissa, Boylin, Elizabeth, Burnell, Erica, Coleman, Kelly R., Fallone, Cait, Farooq, Osman, Hunn, Julianne, Hust, Diane, Jensen, Rosemary L., Jones, Rachel, Kachelmeyer, Jennifer, Kushner, Emily, Maffett, Deanna, McKee, Kimberly G., Merzbach, Joan, Orme, Constance, Prinzing, Diane, Reubens, Linda J., Rochez, Daisy, Rowan, Mary, Sabaratnam, Premini, Scorsone, Ann Marie, Wadkins, Holly I.M., Yost, Kelley, Zwetsch, Lauren, Lakshminrusimha, Satyan, Reynolds, Anne Marie, Sacilowski, Michael G., Guilford, Stephanie, Li, Emily, Williams, Ashley, Zorn, William A., Wyckoff, Myra H., Brion, Luc P., Salhab, Walid A., Rosenfeld, Charles R., Heyne, Roy J., Vasil, Diana M., Adams, Sally S., Chen, Lijun, De Leon, Maria M., Eubanks, Francis, Guzman, Alicia, Hensley, Gaynelle, Heyne, Elizabeth T., Lee, Lizette E., Leps, Melissa H., Madden, Linda A., McDougald, E. Rebecca, Miller, Nancy A., Morgan, Janet S., Pavageau, Lara, Sepulveda, Pollieanna, Tolentino-Plata, Kristine, Boatman, Cathy Twell, Vera, Azucena, Waterbury, Jillian, Yoder, Bradley A., Baserga, Mariana, Faix, Roger G., Winter, Sarah, Minton, Stephen D., Sheffield, Mark J., Rau, Carrie A., Baker, Shawna, Bird, Karie, Burnett, Jill, Christensen, Susan, Cole-Bledsoe, Laura, Davis, Brandy, Elmont, Jennifer O., Jensen, Jennifer J., Loertscher, Manndi C., Jordan, Jamie, Marchant, Trisha, Maxson, Earl, McGrath, Kandace M., Osborne, Karen A., Parry, D. Melody, Reich, Brixen A., Schaefer, Susan T., Spencer, Cynthia, Steffen, Michael, Tice, Katherine, Weaver-Lewis, Kimberlee, Woodbury, Kathryn D., Zanetti, Karen, Dillard, Robert G., Washburn, Lisa K., Jackson, Barbara G., Peters, Nancy, Chiu, Korinne, Allred, Deborah Evans, Goldstein, Donald J., Halfond, Raquel, Peterson, Carroll, Waldrep, Ellen L., Welch, Cherrie D., Morris, Melissa Whalen, Hounshell, Gail Wiley, Shankaran, Seetha, Sood, Beena G., Natarajan, Girija, Pappas, Athina, Abramczyk, Katherine, Agarwal, Prashant, Bajaj, Monika, Bara, Rebecca, Billian, Elizabeth, Chawla, Sanjay, Childs, Kirsten, De Jesus, Lilia C., Driscoll, Debra, February, Melissa, Goldston, Laura A., Johnson, Mary E., Muran, Geraldine, Panaitescu, Bogdan, Prentiss, Jeannette E., White, Diane, Woldt, Eunice, Barks, John, Wiggins, Stephanie A., Christensen, Mary K., Carlson, Martha D., Ehrenkranz, Richard A., Jacobs, Harris, Butler, Christine G., Cervone, Patricia, Greisman, Sheila, Konstantino, Monica, Poulsen, JoAnn, Taft, Janet, Williams, Joanne, Romano, Elaine, Vohr, Betty R., Travers, Colm P., and Hintz, Susan R.

Published
2023
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29. Ventilator Parameters

Author

Travers, Colm P., Carlo, Waldemar A., Ambalavanan, Namasivayam, Chatburn, Robert L., Donn, Steven M., editor, Mammel, Mark C., editor, and van Kaam, Anton H.L.C., editor

Published
2022
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32. Cost-effectiveness of low-dose aspirin for the prevention of preterm birth: a prospective study of the Global Network for Women's and Children's Health Research

Author

Patterson, Jackie K, Neuwahl, Simon, Goco, Norman, Moore, Janet, Goudar, Shivaprasad S, Derman, Richard J, Hoffman, Matthew, Metgud, Mrityunjay, Somannavar, Manjunath, Kavi, Avinash, Okitawutshu, Jean, Lokangaka, Adrien, Tshefu, Antoinette, Bose, Carl L, Mwapule, Abigail, Mwenechanya, Musaku, Chomba, Elwyn, Carlo, Waldemar A, Chicuy, Javier, Figueroa, Lester, Krebs, Nancy F, Jessani, Saleem, Saleem, Sarah, Goldenberg, Robert L, Kurhe, Kunal, Das, Prabir, Patel, Archana, Hibberd, Patricia L, Achieng, Emmah, Nyongesa, Paul, Esamai, Fabian, Bucher, Sherri, Liechty, Edward A, Bresnahan, Brian W, Koso-Thomas, Marion, and McClure, Elizabeth M

Published
2023
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35. Early brain and abdominal oxygenation in extremely low birth weight infants

Author

Chock, Valerie Y., Smith, Emily, Tan, Sylvia, Ball, M. Bethany, Das, Abhik, Hintz, Susan R., Kirpalani, Haresh, Bell, Edward F., Chalak, Lina F., Carlo, Waldemar A., Cotten, C. Michael, Widness, John A., Kennedy, Kathleen A., Ohls, Robin K., Seabrook, Ruth B., Patel, Ravi M., Laptook, Abbot R., Mancini, Toni, Sokol, Gregory M., Walsh, Michele C., Yoder, Bradley A., Poindexter, Brenda B., Chawla, Sanjay, D’Angio, Carl T., Higgins, Rosemary D., and Van Meurs, Krisa P.

Published
2022
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37. Inadequate oral feeding as a barrier to discharge in moderately preterm infants

Author

Edwards, Laura, Cotten, C Michael, Smith, P Brian, Goldberg, Ronald, Saha, Shampa, Das, Abhik, Laptook, Abbot R, Stoll, Barbara J, Bell, Edward F, Carlo, Waldemar A, D’Angio, Carl T, DeMauro, Sara B, Sanchez, Pablo J, Shankaran, Seetha, Van Meurs, Krisa P, Vohr, Betty R, Walsh, Michele C, and Malcolm, William F

Subjects
Paediatrics, Biomedical and Clinical Sciences, Clinical Research, Preterm, Low Birth Weight and Health of the Newborn, Lung, Infant Mortality, Neonatal Respiratory Distress, Pediatric, Perinatal Period - Conditions Originating in Perinatal Period, Reproductive health and childbirth, Bottle Feeding, Breast Feeding, Energy Intake, Feeding Behavior, Feeding Methods, Female, Humans, Infant, Infant, Newborn, Infant, Premature, Logistic Models, Male, Patient Discharge, Prospective Studies, Respiratory Distress Syndrome, Newborn, Sepsis, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Clinical Sciences, Paediatrics and Reproductive Medicine, Pediatrics
Abstract

ObjectivesThe objectives describe the frequency that inadequate oral feeding (IOF) is the reason why moderately preterm (MPT) infants remain hospitalized and its association with neonatal morbidities.Study designProspective study using the NICHD Neonatal Research Network MPT Registry. Multivariable logistic regression was used to describe associations between IOF and continued hospitalization at 36 weeks postmenstrual age (PMA).ResultA total of 6017 MPT infants from 18 centers were included. Three-thousand three-seventy-six (56%) remained hospitalized at 36 weeks PMA, of whom 1262 (37%) remained hospitalized due to IOF. IOF was associated with RDS (OR 2.02, 1.66-2.46), PDA (OR 1.86, 1.37-2.52), sepsis (OR 2.36, 95% 1.48-3.78), NEC (OR 16.14, 7.27-35.90), and BPD (OR 3.65, 2.56-5.21) compared to infants discharged and was associated with medical NEC (OR 2.06, 1.19-3.56) and BPD (OR 0.46, 0.34-0.61) compared to infants remaining hospitalized for an alternative reason.ConclusionIOF is the most common barrier to discharge in MPT infants, especially among those with neonatal morbidities.

Published
2019

38. Association between Policy Changes for Oxygen Saturation Alarm Settings and Neonatal Morbidity and Mortality in Infants Born Very Preterm

Author

Foglia, Elizabeth E, Carper, Benjamin, Gantz, Marie, DeMauro, Sara B, Lakshminrusimha, Satyan, Walsh, Michele, Schmidt, Barbara, Network, Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research, Caplan, Michael S, Laptook, Abbott R, Keszler, Martin, Hensman, Angelita M, Knoll, Andrea M, Little, Emilee, Vieira, Elisa, Basso, Kristin M, Keller, Jennifer A, Hibbs, Anna Maria, Fanaroff, Avroy A, Newman, Nancy S, Payne, Allison H, Schibler, Kurt, Donovan, Edward F, Grisby, Cathy, Bridges, Kate, Alexander, Barbara, Fischer, Estelle E, Mincey, Holly L, Hessling, Jody, Jackson, Lenora, Kirker, Kristin, Muthig, Greg, Tepe, Stacey, Cotten, C Michael, Goldberg, Ronald N, Auten, Kathy J, Fisher, Kimberley A, Finkle, Joanne, Carlton, David P, Stoll, Barbara J, Hale, Ellen C, Loggins, Yvonne, Bottcher, Diane I, Mackie, Colleen, Higgins, Rosemary D, Archer, Stephanie Wilson, Poindexter, Brenda B, Sokol, Gregory M, Herron, Dianne E, Miller, Lucy, Wilson, Leslie Dawn, Kennedy, Kathleen A, Tyson, Jon E, McDavid, Georgia E, Arldt-McAlister, Julie, Burson, Katrina, Garcia, Carmen, Harris, Beverly Foley, Lis, Anna E, Martin, Karen, Martin, Sara C, Rodgers, Shawna, Simmons, Maegan C, Tate, Patti L Pierce, Das, Abhik, Wallace, Dennis, Poole, W Kenneth, Auman, Jeanette O'Donnell, Crawford, Margaret M, Huitema, Carolyn M Petrie, Zaterka-Baxter, Kristin M, Van Meurs, Krisa P, Stevenson, David K, Adams, Marian M, Ball, M Bethany, Ismail, Magdy, Palmquist, Andrew W, Proud, Melinda S, Carlo, Waldemar A, Ambalavanan, Namasivayam, Collins, Monica V, Cosby, Shirley S, Bell, Edward F, Colaizy, Tarah T, Widness, John A, Johnson, Karen J, Walker, Jacky R, Watterberg, Kristi L, Ohls, Robin K, Lacy, Conra Backstrom, Hartenberger, Carol H, Beauman, Sandra Sundquist, Hanson, Mary Ruffaner, Wyckoff, Myra H, Brion, Luc P, Salhab, Walid A, Rosenfeld, Charles R, Vasil, Diana M, Chen, Lijun, and Guzman, Alicia

Subjects
Paediatrics, Biomedical and Clinical Sciences, Clinical Research, Lung, Preterm, Low Birth Weight and Health of the Newborn, Neonatal Respiratory Distress, Prevention, Perinatal Period - Conditions Originating in Perinatal Period, Infant Mortality, Pediatric, Rare Diseases, 2.4 Surveillance and distribution, Reproductive health and childbirth, Good Health and Well Being, Bronchopulmonary Dysplasia, Cohort Studies, Enterocolitis, Necrotizing, Female, Health Policy, Humans, Infant, Infant, Extremely Premature, Infant, Newborn, Intensive Care Units, Neonatal, Male, Morbidity, Oximetry, Oxygen Consumption, Policy Making, Retinopathy of Prematurity, Retrospective Studies, Surveys and Questionnaires, Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network, mortality, oxygen saturation, preterm, retinopathy of prematurity, Human Movement and Sports Sciences, Paediatrics and Reproductive Medicine, Pediatrics
Abstract

ObjectiveTo determine the impact of policy changes for pulse oximetry oxygen saturation (SpO2) alarm limits on neonatal mortality and morbidity among infants born very preterm.Study designThis was a retrospective cohort study of infants born very preterm in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Infants were classified based on treatment at a hospital with an SpO2 alarm policy change and study epoch (before vs after policy change). We used a generalized linear mixed model to determine the effect of hospital group and epoch on the primary outcomes of mortality and severe retinopathy of prematurity (ROP) and secondary outcomes of necrotizing enterocolitis, bronchopulmonary dysplasia, and any ROP.ResultsThere were 3809 infants in 10 hospitals with an SpO2 alarm policy change and 3685 infants in 9 hospitals without a policy change. The nature of most policy changes was to narrow the SpO2 alarm settings. Mortality was lower in hospitals without a policy change (aOR 0.63; 95% CI 0.50-0.80) but did not differ between epochs in policy change hospitals. The odds of bronchopulmonary dysplasia were greater for hospitals with a policy change (aOR 1.65; 95% CI 1.36-2.00) but did not differ for hospitals without a policy change. Severe ROP and necrotizing enterocolitis did not differ between epochs for either group. The adjusted odds of any ROP were lower in recent years in both hospital groups.ConclusionsChanging SpO2 alarm policies was not associated with reduced mortality or increased severe ROP among infants born very preterm.

Published
2019

39. Discordance in Antenatal Corticosteroid Use and Resuscitation Following Extremely Preterm Birth

Author

Rysavy, Matthew A, Bell, Edward F, Iams, Jay D, Carlo, Waldemar A, Li, Lei, Mercer, Brian M, Hintz, Susan R, Stoll, Barbara J, Vohr, Betty R, Shankaran, Seetha, Walsh, Michele C, Brumbaugh, Jane E, Colaizy, Tarah T, Das, Abhik, Higgins, Rosemary D, and Network, Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research

Subjects
Paediatrics, Biomedical and Clinical Sciences, Perinatal Period - Conditions Originating in Perinatal Period, Preterm, Low Birth Weight and Health of the Newborn, Clinical Trials and Supportive Activities, Lung, Infant Mortality, Neonatal Respiratory Distress, Pediatric, Prevention, Neurosciences, Clinical Research, Reproductive health and childbirth, Good Health and Well Being, Adrenal Cortex Hormones, Female, Follow-Up Studies, Gestational Age, Humans, Infant, Infant, Extremely Premature, Infant, Newborn, Infant, Premature, Diseases, Male, Multivariate Analysis, Premature Birth, Prospective Studies, Resuscitation, Treatment Outcome, Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network, Human Movement and Sports Sciences, Paediatrics and Reproductive Medicine, Pediatrics
Abstract

ObjectiveTo describe discordance in antenatal corticosteroid use and resuscitation following extremely preterm birth and its relationship with infant survival and neurodevelopment.Study designA multicenter cohort study of 4858 infants 22-26 weeks of gestation born 2006-2011 at 24 US hospitals participating in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network, with follow-up through 2013. Survival and neurodevelopmental outcomes were available at 18-22 months of corrected age for 4576 (94.2%) infants. We described antenatal interventions, resuscitation, and infant outcomes. We modeled the effect on infant outcomes of each hospital increasing antenatal corticosteroid exposure for resuscitated infants born at 22-24 weeks of gestation to rates observed at 25-26 weeks of gestation.ResultsDiscordant antenatal corticosteroid use and resuscitation, where one and not the other occurred, were more frequent for births at 22 and 23 but not 24 weeks (rate ratio [95% CI] at 22 weeks: 1.7 [1.3-2.2]; 23 weeks: 2.6 [2.2-3.2]; 24 weeks: 1.0 [0.8-1.2]) when compared with 25-26 weeks. Among infants resuscitated at 23 weeks, adjusting each hospital's rate of antenatal corticosteroid use to the average at 25-26 weeks (89.2%) was projected to increase infant survival by 7.1% (95% CI 5.4-8.8%) and survival without severe impairment by 6.4% (95% CI 4.7-8.1%). No significant change in outcomes was projected for infants resuscitated at 22 weeks, where few (n = 22) resuscitated infants received antenatal corticosteroids.ConclusionsInfants born at 23 weeks were more frequently resuscitated without antenatal corticosteroids than other extremely preterm infants. When resuscitation is intended, consistent provision of antenatal corticosteroids may increase infant survival and survival without impairment.Trial registrationClinicalTrials.govNCT00063063 (Generic Database) and NCT00009633 (Follow-Up Study).

Published
2019

46. The Genetically Engineered Heart as a Bridge to Allotransplantation in Infants Just Around the Corner?

Author

Cleveland, David C., Jagdale, Abhijit, Carlo, Waldemar F., Iwase, Hayato, Crawford, Jack, Walcott, Gregory P., Dabal, Robert J., Sorabella, Robert A., Rhodes, Leslie, Timpa, Joey, Litovsky, Silvio, O’Meara, Carlisle, Padilla, Luz A., Foote, Jeremy, Mauchley, David, Bikhet, Mohamed, Ayares, David, Yamamoto, Takayuki, Hara, Hidetaka, and Cooper, David K.C.

Published
2022
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49. Weaning of Moderately Preterm Infants from the Incubator to the Crib: A Randomized Clinical Trial.

Author

Shankaran, Seetha, Bell, Edward F, Laptook, Abbot R, Saha, Shampa, Newman, Nancy S, Kazzi, S Nadya J, Barks, John, Stoll, Barbara J, Bara, Rebecca, Gabrio, Jenna, Childs, Kirsten, Das, Abhik, Higgins, Rosemary D, Carlo, Waldemar A, Sánchez, Pablo J, Carlton, David P, Pavageau, Lara, Malcolm, William F, D'Angio, Carl T, Ohls, Robin K, Poindexter, Brenda B, Sokol, Gregory M, Van Meurs, Krisa P, Colaizy, Tarah T, Khmour, Ayman, Puopolo, Karen M, Garg, Meena, Walsh, Michele C, and Eunice Kennedy Shriver National Institute of Child Health, and Human Development Neonatal Research Network

Subjects
Eunice Kennedy Shriver National Institute of Child Health, and Human Development Neonatal Research Network, Humans, Body Weight, Length of Stay, Patient Discharge, Incubators, Infant, Infant Equipment, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Female, Male, incubator, moderately preterm infants, randomized controlled trial, temperature, weaning, Infant Mortality, Perinatal Period - Conditions Originating in Perinatal Period, Patient Safety, Clinical Research, Pediatric, Clinical Trials and Supportive Activities, Preterm, Low Birth Weight and Health of the Newborn, Reproductive health and childbirth, Good Health and Well Being, Human Movement and Sports Sciences, Paediatrics and Reproductive Medicine, Pediatrics
Abstract

ObjectiveTo assess whether length of hospital stay is decreased among moderately preterm infants weaned from incubator to crib at a lower vs higher weight.Study designThis trial was conducted in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Infants with gestational ages 29-33 weeks, birthweight

Published
2019

50. Low-dose aspirin for the prevention of preterm delivery in nulliparous women with a singleton pregnancy (ASPIRIN): a randomised, double-blind, placebo-controlled trial

Author

Achieng, Emmah, Bauserman, Melissa, Bose, Carl, Bucher, Sherri, Carlo, Waldemar, Charantimath, Umesh S, Chicuy, Javier, Chomba, Elwyn, Das, Prabir, Derman, Richard, Esamai, Fabian, Figueroa, Lester, Ganachari, MS, Garces, Ana, Goco, Noman, Goldenberg, Robert, Goudar, Shivaprasad, Hemingway-Foday, Jennifer, Hibberd, Patricia, Hoffman, Matthew, Honnungar, Narayan V, Jessani, Saleem, Kavi, Avinash, Kodkany, Bhalachandra, Koso-Thomas, Marion, Krebs, Nancy, Kumar Shashikanth, Yogesh, Kurhe, Kunal, Liechty, Edward, Lokangaka, Adrien, MacGuire, Emily, Mallapur, Ashalata A, McClure, Elizabeth, Metgud, Mrityunjay, Miodovnik, Menachem, Moore, Janet, Mwapule, Abigail, Mwenechanya, Musaku, Naqvi, Farnaz, Naqvi, Seemab, Nathan, Robert, Nolen, Tracy, Nyongesa, Paul, Okitawutshu, Jean, Parepalli, Suchita, Patel, Archana, Ramadurg, Umesh Y, Saleem, Sarah, Silver, Robert, Somannavar, Manjunath, Soomro, Zahid, Tshefu, Antoinette, Vernekar, Sunil S, Wallace, Dennis, Zehra, Farnaz, Hoffman, Matthew K, Goudar, Shivaprasad S, Kodkany, Bhalachandra S, Bose, Carl L, Carlo, Waldemar A, Krebs, Nancy F, Goldenberg, Robert L, Hibberd, Patricia L, Liechty, Edward A, Goco, Norman, Nolen, Tracy L, McClure, Elizabeth M, Silver, R, and Derman, Richard J

Published
2020
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