Table 4: Summary of the selected trials on neurodevelopmental outcome following IVH grades I-II.
Authors |
Study population |
Controls with Normal cUS |
Age of assessment and follow up rate |
Primary objective |
Neurodevelopmental outcomes |
Sherlock, et al. 2005 [34]
|
PT < 28 w. and or ELBW. n = 72 |
PT < 28 w. and or ELBW. n = 180 |
-8 y. -Follow up: 90.6% |
-CP -Neurosensory disability -Cognitive and educational outcome |
-CP in controls: 6.7% Vs. 6.4% in GI and 24% in GII. -Cognitive functions of infants with grade I, II were like those with no IVH. |
Patra, et al. 2006 [31] |
ELBW. n = 104 |
ELBW. n = 258 |
-20 m. -Follow up: 91% |
- CP, neurodevelopmental impairment, -unilateral or bilateral blindness and deafness at 20months. |
-CP in GI-II IVH: 8%. No IVH: 3%. -MDI in GI-II IVH: 45%. No IVH: 25% -Major neurogenic abnormality: 13% vs. 5% in no IVH. |
Futagi, et al. 2006 [33] |
Mean GA 28.1 w n = 381 |
No control |
-1.5, 3, and 6y. -Follow-up: 58.2% |
-Mortality Neurodevelopmental outcome (Normal, CP, MR) -Neurosensory impairment and epilepsy. |
-CP in GI: 7.2%, GII: 17.3% -Epilepsy in GI: 4.8% and in GII: 5.3%. -No significant difference in subtypes and severity of CP among different IVH grades. |
Klebermass-Schrehof, et al. 2012 [29] |
PT < 32w. n = 121 |
PT < 32 w. n = 287 |
-1,2,3, and 5y. -Follow up: 61% |
Neurodevelopmental outcome at 1,2, 3, and 5 years. -CP, visual and acoustic impairment. |
-CP in controls 14.3% Vs. 38.4% in GI, and 55% in GII. -Significant NDI in PT < 28 w with all grades of IVH compared to PT > 28 W. |
Payne et, al. 2013 [36] |
PT < 27 w. n = 270 |
PT < 27 w. n = 1021 |
-18-22-m. -Follow up: 87% |
-CP -Gross motor functional limitation. -Composite NDI (moderate to severe CP, severe visual impairment, deafness, or cognitive score < 70.) |
-No significant differences in the neurodevelopmental outcome among PT infants with GI-II IVH and those without IVH at 18-22 months CA. (CP in GI-II: 9% Vs. 8% in no IVH). |
Bolisetty, et al. 2014 [30] |
PT < 28w. n = 336 |
PT < 28w. n = 1043 |
-2-3 y. -Follow up: 74.8% |
-moderate to severe neurosensory impairment at 2 to 3 years’ corrected age (NDI, CP, Deafness, Blindness) |
-G I–II IVH had increased rates of neurosensory impairment (22% vs 12.1%), developmental delay (7.8% vs 3.4%), CP (10.4% vs 6.5%), and deafness (6.0% vs 2.3%) compared with the no IVH group. |
Vohr, et al. 2014 [32] |
PT with BW: 600-1250 g. n = 75 |
PT with BW: 600-1250 g. n = 251 |
-16 years Adults -Follow up: 77% |
-Neurocognitive,languageand intellectual abilities -CP and neurosensory impairment.
|
-CP in GI: 13.7%, GII: 15.1%. Vs. 6.7% in no IVH PT controls and none in term controls. -Preterm adolescents with isolated GII IVH have greater impairments of cognitive and executive functions compared to preterm adolescents with G I or no IVH. |
Ann Wy, et al. 2015 [35] |
LBW. n = 99. |
LBW. n = 291
|
-3-18 y. -Follow up:71.3% |
-Cognitive functioning at 3,8,18 years. -Behaviour and academic achievements at 8,18 years |
-No significant adverse neurobehavioral sequalae were observed at 3, 8, and 18 years of age among survivors with G1-II IVH. |
Reubsaet, et al. 2017 [37] |
PT:24-32 w. n = 136 |
PT:24-32 w. n = 255 |
-18-30-m. -Follow up: 87% |
-CP -Epilepsy, Neurosensory impairment
|
-Similar early neurodevelopmental outcomes between preterm infants with low grade IVH and matched controls with no IVH. (CP in GI-II: 9% Vs. 9% in no IVH) |
MDI: Mental Developmental Index; ELBW: Extreme Low Birth Weight; CP: Cerebral Palsy; PT: Preterm; CA: Corrected Age; NDI: neurodevelopmental Impairment.