The effects of betamethasone on the amplitude integrated EEG of infants born at 34- or 35-weeks gestation.


Journal

Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884

Informations de publication

Date de publication:
12 2022
Historique:
received: 03 12 2021
accepted: 13 05 2022
revised: 21 04 2022
pubmed: 27 5 2022
medline: 3 12 2022
entrez: 26 5 2022
Statut: ppublish

Résumé

Assess if maternal betamethasone administration at 34-35 weeks accelerated neonatal amplitude integrated EEG (aEEG) maturation. Nested, observational cohort in 7 centers participating in the Antenatal Late Preterm Steroid randomized trial. Up to 2 aEEGs were obtained in neonates born from 34 58 neonates were enrolled (betamethasone, 28, placebo, 30). On aEEG 1, cycle frequency did not differ, but betamethasone exposed infants had a greater lower border voltage and a broader span. On aEEG 2, both groups displayed increases in lower border voltage. Betamethasone associated changes in lower border voltage support accelerated electrical activity. Further investigation is needed to understand the broader span.

Identifiants

pubmed: 35618748
doi: 10.1038/s41372-022-01415-4
pii: 10.1038/s41372-022-01415-4
pmc: PMC9699898
mid: NIHMS1836979
doi:

Substances chimiques

Betamethasone 9842X06Q6M

Banques de données

ClinicalTrials.gov
['NCT01222247']

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1615-1621

Subventions

Organisme : NICHD NIH HHS
ID : UG1 HD027869
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD087230
Pays : United States
Organisme : NICHD NIH HHS
ID : U10HD036801
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD027915
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD034208
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1HD027904
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD040485
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD027904
Pays : United States
Organisme : NICHD NIH HHS
ID : U10 HD036801
Pays : United States
Organisme : NICHD NIH HHS
ID : U24 HD036801
Pays : United States

Investigateurs

Abbot R Laptook (AR)
Lina Chalak (L)
Athina Pappas (A)
Alexis Davis (A)
Pablo J Sanchez (PJ)
Krisa P Van Meurs (KP)
William Oh (W)
Seetha Shankaran (S)
Angelita M Hensman (AM)
Scott McDonald (S)
Abhik Das (A)
Ronald N Goldberg (RN)
Namasivayam Ambalavanan (N)
Rosemary D Higgins (RD)
Dwight J Rouse (DJ)
Cynthia Gyamfi-Bannerman (C)
Elizabeth A Thom (EA)

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.

Références

Raju TN, Higgins RD, Stark AR, Leveno KJ. Optimizing care and outcome for late-preterm (near-term) infants: a summary of the workshop sponsored by the National Institute of Child Health and Human Development. Pediatrics. 2006;118:1207–14.
doi: 10.1542/peds.2006-0018 pubmed: 16951017
Kugelman A, Colin AA. Late preterm infants: near term but still in a critical developmental time period. Pediatrics. 2013;132:741–51.
doi: 10.1542/peds.2013-1131 pubmed: 24062372
Engle WA, Tomashek KM, Wallman C. “Late-preterm” infants: a population at risk. Pediatrics. 2007;120:1390–401.
doi: 10.1542/peds.2007-2952 pubmed: 18055691
Kinney HC. The near-term (late preterm) human brain and risk for periventricular leukomalacia: a review. Semin Perinatol. 2006;30:81–8.
doi: 10.1053/j.semperi.2006.02.006 pubmed: 16731282
Kapellou O, Counsell SJ, Kennea N, Dyet L, Saeed N, Stark J, et al. Abnormal cortical development after premature birth shown by altered allometric scaling of brain growth. PLoS Med. 2006;3:e265.
doi: 10.1371/journal.pmed.0030265 pubmed: 16866579 pmcid: 1523379
Huppi PS, Warfield S, Kikinis R, Barnes PD, Zientara GP, Jolesz FA, et al. Quantitative magnetic resonance imaging of brain development in premature and mature newborns. Ann Neurol. 1998;43:224–35.
doi: 10.1002/ana.410430213 pubmed: 9485064
Burdjalov VF, Baumgart S, Spitzer AR. Cerebral function monitoring: a new scoring system for the evaluation of brain maturation in neonates. Pediatrics. 2003;112:855–61.
doi: 10.1542/peds.112.4.855 pubmed: 14523177
Sommers R, Tucker R, Harini C, Laptook AR. Neurological maturation of late preterm infants at 34 wk assessed by amplitude integrated electroencephalogram. Pediatr Res. 2013;74:705–11.
doi: 10.1038/pr.2013.157 pubmed: 24002334
Gyamfi-Bannerman C, Thom EA, Blackwell SC, Tita AT, Reddy UM, Saade GR, et al. Antenatal betamethasone for women at risk for late preterm delivery. N. Engl J Med. 2016;374:1311–20.
doi: 10.1056/NEJMoa1516783 pubmed: 26842679 pmcid: 4823164
Hellstrom-Westas L. Amplitude-integrated EEG classification and interpretation in preterm and term infants. NeoReviews. 2006;7:e76–e87.
doi: 10.1542/neo.7-2-e76
Darnall RA, Ariagno RL, Kinney HC. The late preterm infant and the control of breathing, sleep, and brainstem development: a review. Clin Perinatol. 2006;33:883–914.
doi: 10.1016/j.clp.2006.10.004 pubmed: 17148011
Gewolb IH, Vice FL. Maturational changes in the rhythms, patterning, and coordination of respiration and swallow during feeding in preterm and term infants. Dev Med Child Neurol. 2006;48:589–94.
doi: 10.1017/S001216220600123X pubmed: 16780629
McHugh ML. Interrater reliability: the kappa statistic. Biochem Med. 2012;22:276–82.
doi: 10.11613/BM.2012.031
Soubasi V, Mitsakis K, Nakas CT, Petridou S, Sarafidis K, Griva M, et al. The influence of extrauterine life on the aEEG maturation in normal preterm infants. Early Hum Dev. 2009;85:761–5.
doi: 10.1016/j.earlhumdev.2009.10.004 pubmed: 19919892
Kato T, Okumura A, Hayakawa F, Tsuji T, Natsume J, Watanabe K. Evaluation of brain maturation in pre-term infants using conventional and amplitude-integrated electroencephalograms. Clin Neurophysiol. 2011;122:1967–72.
doi: 10.1016/j.clinph.2010.12.063 pubmed: 21511528
Kuint J, Turgeman A, Torjman A, Maayan-Metzger A. Characteristics of amplitude-integrated electroencephalogram in premature infants. J Child Neurol. 2007;22:277–81.
doi: 10.1177/0883073807299860 pubmed: 17621496
Kidokoro H, Inder T, Okumura A, Watanabe K. What does cyclicity on amplitude-integrated EEG mean? J Perinatol. 2012;32:565–9.
doi: 10.1038/jp.2012.25 pubmed: 22441113
Thornberg E, Thiringer K. Normal pattern of the cerebral function monitor trace in term and preterm neonates. Acta Paediatr Scand. 1990;79:20–5.
doi: 10.1111/j.1651-2227.1990.tb11324.x pubmed: 2316356
Sisman J, Campbell DE, Brion LP, Amplitude-integrated EEG. in preterm infants: maturation of background pattern and amplitude voltage with postmenstrual age and gestational age. J Perinatol. 2005;25:391–6.
doi: 10.1038/sj.jp.7211291 pubmed: 15815708
Zhang D, Liu Y, Hou X, Zhou C, Luo Y, Ye D, et al. Reference values for amplitude-integrated EEGs in infants from preterm to 3.5 months of age. Pediatrics. 2011;127:e1280–1287.
doi: 10.1542/peds.2010-2833 pubmed: 21482614
Cui H, Ding Y, Yu Y, Yang L. Changes of amplitude integration electroencephalogram (aEEG) in different maturity preterm infant. Childs Nerv Syst. 2013;29:1169–76.
doi: 10.1007/s00381-013-2060-5 pubmed: 23463128
Niemarkt HJ, Jennekens W, Maartens IA, Wassenberg T, van Aken M, Katgert T, et al. Multi-channel amplitude-integrated EEG characteristics in preterm infants with a normal neurodevelopment at two years of corrected age. Early Hum Dev. 2012;88:209–16.
doi: 10.1016/j.earlhumdev.2011.08.008 pubmed: 21924567
Shany E, Berger I, Goldberg O, Karplus M, Gilat S, Benzaquen O, et al. Do prenatal corticosteroids affect brain maturation of the premature infant? An electroencephalography study. Clin EEG Neurosci. 2017;48:79–87.
doi: 10.1177/1550059416643202 pubmed: 27090506
Meledin I, Abu Tailakh M, Gilat S, Yogev H, Golan A, Novack V, et al. Comparison of amplitude-integrated EEG and conventional EEG in a cohort of premature infants. Clin EEG Neurosci. 2017;48:146–54.
doi: 10.1177/1550059416648044 pubmed: 27230038
Vesoulis ZA, Paul RA, Mitchell TJ, Wong C, Inder TE, Mathur AM. Normative amplitude-integrated EEG measures in preterm infants. J Perinatol. 2015;35:428–33.
doi: 10.1038/jp.2014.225 pubmed: 25521561
Yerushalmy-Feler A, Marom R, Peylan T, Korn A, Haham A, Mandel D, et al. Electroencephalographic characteristics in preterm infants born with intrauterine growth restriction. J Pediatr. 2014;164:756–761 e751.
doi: 10.1016/j.jpeds.2013.12.030 pubmed: 24485822
Davidson JO, Quaedackers JS, George SA, Gunn AJ, Bennet L. Maternal dexamethasone and EEG hyperactivity in preterm fetal sheep. J Physiol. 2011;589:3823–35.
doi: 10.1113/jphysiol.2011.212043 pubmed: 21646408 pmcid: 3171888
Schwab M, Schmidt K, Roedel M, Mueller T, Schubert H, Anwar MA, et al. Non-linear changes of electrocortical activity after antenatal betamethasone treatment in fetal sheep. J Physiol. 2001;531:535–43.
doi: 10.1111/j.1469-7793.2001.0535i.x pubmed: 11230525 pmcid: 2278465
Schneider U, Arnscheidt C, Schwab M, Haueisen J, Seewald HJ, Schleussner E. Steroids that induce lung maturation acutely affect higher cortical function: a fetal magnetoencephalography study. Reprod Sci. 2011;18:99–106.
doi: 10.1177/1933719110381140 pubmed: 20876381
O’Toole JM, Pavlidis E, Korotchikova I, Boylan GB, Stevenson NJ. Temporal evolution of quantitative EEG within 3 days of birth in early preterm infants. Sci Rep. 2019;9:4859.
doi: 10.1038/s41598-019-41227-9 pubmed: 30890761 pmcid: 6425040

Auteurs

Abbot R Laptook (AR)

Department of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI, USA. alaptook@wihri.org.

Lina Chalak (L)

Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Athina Pappas (A)

Department of Pediatrics, Wayne State University, Detroit, MI, USA.

Alexis Davis (A)

Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.

Pablo J Sanchez (PJ)

Department of Pediatrics, Nationwide Children's Hospital, The Ohio State College of Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.

Krisa P Van Meurs (KP)

Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.

William Oh (W)

Department of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI, USA.

Ross Sommers (R)

Neonatology, Wellington Medical Center, Boca Raton, FL, USA.

Seetha Shankaran (S)

Department of Pediatrics, Wayne State University, Detroit, MI, USA.

Angelita M Hensman (AM)

Department of Pediatrics, Women and Infants Hospital, Brown University, Providence, RI, USA.

Dwight J Rouse (DJ)

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Women and Infants Hospital, Brown University, Providence, RI, USA.

Scott McDonald (S)

Social, Statistical and Environmental Sciences Unit, RTI International, Research Triangle, NC, USA.

Abhik Das (A)

Social, Statistical and Environmental Sciences Unit, RTI International, Rockville, MD, USA.

Ronald N Goldberg (RN)

Department of Pediatrics, Duke University, Durham, NC, USA.

Namasivayam Ambalavanan (N)

Division of Neonatology, University of Alabama at Birmingham, Birmingham, AL, USA.

Cynthia Gyamfi-Bannerman (C)

Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY, USA.

Elizabeth A Thom (EA)

Department of Biostatistics and Bioinformatics, George Washington University, Washington, DC, USA.

Rosemary D Higgins (RD)

Department of Global and Community Health, George Mason University, Fairfax, VA, USA.

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