Protecting the premature brain: Current evidence based strategies for minimising perinatal brain injury in preterm infants

Charlotte L. Lea*, Adam Smith-Collins, Karen Luyt

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

14 Citations (Scopus)
434 Downloads (Pure)

Abstract

Improving neurodevelopmental outcome for preterm infants is an important challenge for neonatal medicine. The disruption of normal brain growth and neurological development is a significant consequence of preterm birth and can result in physical and cognitive impairments. While advances in neonatal medicine have led to progressively better survival rates for preterm infants, there has only been a modest improvement in the proportion of surviving infants without neurological impairment, and no change in the proportion with severe disability. The overall number of children with neurodisability due to prematurity is increasing. Trials investigating novel therapies are underway and many have promising early results; however, in the interim, current treatments and management strategies that have proven benefit for neurodevelopment or reduction in neonatal brain injury are often underutilised. We collate the evidence for the efficacy of such interventions, recommended by guidelines or supported by large metaanalysis or randomised control trials. We address controversies that have hindered uptake and problems with translating research into practice. We then look to the future of preterm neuroprotective care.

Original languageEnglish
JournalArchives of Disease in Childhood
Early online date16 Feb 2017
DOIs
Publication statusE-pub ahead of print - 16 Feb 2017

Keywords

  • Evidence Based Medicine
  • Injury Prevention
  • Neonatology,
  • Neurodisability
  • Neurodevelopment

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