Outcomes of Babies with Opioid Exposure (OBOE): protocol of a prospective longitudinal cohort study.


Journal

Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714

Informations de publication

Date de publication:
05 2023
Historique:
received: 24 05 2022
accepted: 05 08 2022
revised: 01 08 2022
medline: 12 5 2023
pubmed: 31 8 2022
entrez: 30 8 2022
Statut: ppublish

Résumé

While the health, social, and economic impacts of opioid addiction on adults and their communities are well known, the impact of maternal opioid use on the fetus exposed in utero is less well understood. This paper presents the protocol of the ACT NOW Outcomes of Babies with Opioid Exposure (OBOE) Study, a multi-site prospective longitudinal cohort study of infants with antenatal opioid exposure and unexposed controls. Study objectives are to determine the impact of antenatal opioid exposure on brain development and neurodevelopmental outcomes over the first 2 years of life and explore whether family, home, and community factors modify developmental trajectories during this critical time period. Primary outcomes related to brain development include cortical volumes, deep cerebral gray matter volumes, resting-state functional connectivity measures, and structural connectivity measures using diffusion tensor imaging. Primary neurodevelopmental outcomes include visual abnormalities, cognitive, language, and motor skills measured using the Bayley Scales of Infant Development and social-emotional and behavioral problems and competence measured by the Brief Infant-Toddler Social and Emotional Assessment. The OBOE study has been designed to overcome challenges of previous studies and will help further understanding of the effects of antenatal opioid exposure on early infant development. This study will integrate MRI findings and comprehensive neurodevelopmental assessments to provide early insights into the functional topography of the brain in this high-risk population and assess MRI as a potential biomarker. Rather than conducting neuroimaging at a single time point, the study will include serial MRI assessments from birth to 2 years, allowing for the examination of trajectories throughout this period of rapid brain development. While previous studies often have had limited information on exposures, this study will use umbilical cord assays to accurately measure amounts of opioids and other substances from 20 weeks of gestation to birth.

Sections du résumé

BACKGROUND
While the health, social, and economic impacts of opioid addiction on adults and their communities are well known, the impact of maternal opioid use on the fetus exposed in utero is less well understood.
METHODS
This paper presents the protocol of the ACT NOW Outcomes of Babies with Opioid Exposure (OBOE) Study, a multi-site prospective longitudinal cohort study of infants with antenatal opioid exposure and unexposed controls. Study objectives are to determine the impact of antenatal opioid exposure on brain development and neurodevelopmental outcomes over the first 2 years of life and explore whether family, home, and community factors modify developmental trajectories during this critical time period.
RESULTS
Primary outcomes related to brain development include cortical volumes, deep cerebral gray matter volumes, resting-state functional connectivity measures, and structural connectivity measures using diffusion tensor imaging. Primary neurodevelopmental outcomes include visual abnormalities, cognitive, language, and motor skills measured using the Bayley Scales of Infant Development and social-emotional and behavioral problems and competence measured by the Brief Infant-Toddler Social and Emotional Assessment.
CONCLUSIONS
The OBOE study has been designed to overcome challenges of previous studies and will help further understanding of the effects of antenatal opioid exposure on early infant development.
IMPACT
This study will integrate MRI findings and comprehensive neurodevelopmental assessments to provide early insights into the functional topography of the brain in this high-risk population and assess MRI as a potential biomarker. Rather than conducting neuroimaging at a single time point, the study will include serial MRI assessments from birth to 2 years, allowing for the examination of trajectories throughout this period of rapid brain development. While previous studies often have had limited information on exposures, this study will use umbilical cord assays to accurately measure amounts of opioids and other substances from 20 weeks of gestation to birth.

Identifiants

pubmed: 36042329
doi: 10.1038/s41390-022-02279-2
pii: 10.1038/s41390-022-02279-2
pmc: PMC9971338
mid: NIHMS1829720
doi:

Substances chimiques

Analgesics, Opioid 0

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1772-1779

Subventions

Organisme : NICHD NIH HHS
ID : P50 HD105328
Pays : United States
Organisme : NICHD NIH HHS
ID : PL1 HD101059
Pays : United States

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2022. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.

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Auteurs

Carla M Bann (CM)

RTI International, Research Triangle Park, NC, USA. cmb@rti.org.

Jamie E Newman (JE)

RTI International, Research Triangle Park, NC, USA.

Brenda Poindexter (B)

Emory University, Atlanta, GA, USA.

Katherine Okoniewski (K)

RTI International, Research Triangle Park, NC, USA.

Sara DeMauro (S)

Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Scott A Lorch (SA)

Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Deanne Wilson-Costello (D)

Case Western Reserve University, Cleveland, OH, USA.

Namasivayam Ambalavanan (N)

University of Alabama, Birmingham, AL, USA.

Myriam Peralta-Carcelen (M)

University of Alabama, Birmingham, AL, USA.

Catherine Limperopoulos (C)

Children's National Medical Center, Washington, DC, USA.

Kushal Kapse (K)

Children's National Medical Center, Washington, DC, USA.

Jonathan M Davis (JM)

Tufts University, Boston, MA, USA.

Michele Walsh (M)

Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.

Stephanie Merhar (S)

Cincinnati Children's Hospital Medical Center and University of Cincinnati Department of Pediatrics, Cincinnati, OH, USA.

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