The Risk Factors of Cerebral Palsy in Very Low Birth Weight Prematurity

Authors

Jen-Wen Hung
Min-Yuan Yu
Hsueh-Wen Chang
Fang-Chih Hung
Chau-Peng Leong
Chung-Bin Huang
May-Kuen Wong

Translated Title

極低出生體重早產兒造成腦性麻痺的危險因子之探討

Abstract

nfants with a birth weight less than 1500gm (very low birth weight, VLBW) are more likely to have disabling cerebral palsy(CP). The aim of this study was to identify prenatal, perinatal, postnatal risk factors for CP in VLBW infants and to determine the usefulness of cranial ultrasonographic (us) findings in predicting CP.The study group comprised 159 VLBW infants born at Chang Gung Memorial Hospital in Kaohsiung in the period from 1989 to 1996. CP was diagnosed via clinical evaluation in twenty-five (15.7%) of these Children. Univariate analysis identified antepartum hemorrhage, pre-eclampsia, birth weight, gestational age, the type of delivery, Apgar score at 5 minutes, ventilation days, hospitalization days, respiratory distress syndrome, bronchopulmonary dysplasia (BPD), patent ductus arteriosus (PDA) and abnormal cranial US findings as risk factors for CP. Multivariate analysis identified BPD and abnormal cranial US showing grade 3 to 4 intraventricular hemorrhage, periventricular leukomalacia as independent predictors of CP. These results suggest that abnormal cranial US findings and BPD are useful predictors of CP in VLBW infants.

Language

Traditional Chinese

First Page

181

Last Page

187

Recommended Citation

Hung, Jen-Wen; Yu, Min-Yuan; Chang, Hsueh-Wen; Hung, Fang-Chih; Leong, Chau-Peng; Huang, Chung-Bin; and Wong, May-Kuen (1998) "The Risk Factors of Cerebral Palsy in Very Low Birth Weight Prematurity," Rehabilitation Practice and Science: Vol. 26: Iss. 4, Article 5.
DOI: https://doi.org/10.6315/3005-3846.2057
Available at: https://rps.researchcommons.org/journal/vol26/iss4/5