Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-Analysis
Objective: To assess the association between birth asphyxia—as defined by the pH of umbilical cord blood—and cerebral palsy in asphyxiated neonates ≥35 weeks' gestation.Methods: Two reviewers independently selected English-language studies that included data on the incidence of cerebral palsy i...
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doaj-832a29ad77db4182ac9b67dcc12b9f512020-11-25T03:09:33ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-07-011110.3389/fneur.2020.00704550998Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-AnalysisShan Zhang0Bingbing Li1Xiaoli Zhang2Changlian Zhu3Changlian Zhu4Changlian Zhu5Xiaoyang Wang6Xiaoyang Wang7Henan Key Laboratory of Child Brain Injury, Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, ChinaHenan Key Laboratory of Child Brain Injury, Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, ChinaHenan Key Laboratory of Child Brain Injury, Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, ChinaHenan Key Laboratory of Child Brain Injury, Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, ChinaCenter for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, SwedenHenan Key Laboratory of Child Brain Injury, Third Affiliated Hospital and Institute of Neuroscience of Zhengzhou University, Zhengzhou, ChinaCenter of Perinatal Medicine and Health, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenObjective: To assess the association between birth asphyxia—as defined by the pH of umbilical cord blood—and cerebral palsy in asphyxiated neonates ≥35 weeks' gestation.Methods: Two reviewers independently selected English-language studies that included data on the incidence of cerebral palsy in asphyxiated neonates ≥35 weeks' gestation. Studies were searched from the Embase, Google Scholar, PubMed, and Cochrane Library databases up to 31 December 2019, and the references in the retrieved articles were screened.Results: We identified 10 studies that met the inclusion criteria for our meta-analysis, including 8 randomized controlled trials and 2 observational studies. According to a random effects model, the pooled rate of cerebral palsy in the randomized controlled trials was 20.3% (95% CI: 16.0–24.5) and the incidence of cerebral palsy in the observational studies was 22.2% (95% CI: 8.5–35.8). Subgroup analysis by treatment for hypoxic ischemic encephalopathy in asphyxiated neonates showed that the pooled rates of cerebral palsy were 17.3% (95% CI: 13.3–21.2) and 23.9% (95% CI: 18.1–29.7) for the intervention group and non-intervention group, respectively.Conclusion: Our findings suggest that the incidence of cerebral palsy in neonates (≥35 weeks' gestation) with perinatal asphyxia is significantly higher compared to that in the healthy neonate population. With the growing emphasis on improving neonatal neurodevelopment and reducing neurological sequelae, we conclude that the prevention and treatment of perinatal asphyxia is essential for preventing the development of cerebral palsy.https://www.frontiersin.org/article/10.3389/fneur.2020.00704/fullbirth asphyxiacerebral palsyerythropoietinhypothermiameta-analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shan Zhang Bingbing Li Xiaoli Zhang Changlian Zhu Changlian Zhu Changlian Zhu Xiaoyang Wang Xiaoyang Wang |
spellingShingle |
Shan Zhang Bingbing Li Xiaoli Zhang Changlian Zhu Changlian Zhu Changlian Zhu Xiaoyang Wang Xiaoyang Wang Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-Analysis Frontiers in Neurology birth asphyxia cerebral palsy erythropoietin hypothermia meta-analysis |
author_facet |
Shan Zhang Bingbing Li Xiaoli Zhang Changlian Zhu Changlian Zhu Changlian Zhu Xiaoyang Wang Xiaoyang Wang |
author_sort |
Shan Zhang |
title |
Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-Analysis |
title_short |
Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-Analysis |
title_full |
Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-Analysis |
title_fullStr |
Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-Analysis |
title_full_unstemmed |
Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-Analysis |
title_sort |
birth asphyxia is associated with increased risk of cerebral palsy: a meta-analysis |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Neurology |
issn |
1664-2295 |
publishDate |
2020-07-01 |
description |
Objective: To assess the association between birth asphyxia—as defined by the pH of umbilical cord blood—and cerebral palsy in asphyxiated neonates ≥35 weeks' gestation.Methods: Two reviewers independently selected English-language studies that included data on the incidence of cerebral palsy in asphyxiated neonates ≥35 weeks' gestation. Studies were searched from the Embase, Google Scholar, PubMed, and Cochrane Library databases up to 31 December 2019, and the references in the retrieved articles were screened.Results: We identified 10 studies that met the inclusion criteria for our meta-analysis, including 8 randomized controlled trials and 2 observational studies. According to a random effects model, the pooled rate of cerebral palsy in the randomized controlled trials was 20.3% (95% CI: 16.0–24.5) and the incidence of cerebral palsy in the observational studies was 22.2% (95% CI: 8.5–35.8). Subgroup analysis by treatment for hypoxic ischemic encephalopathy in asphyxiated neonates showed that the pooled rates of cerebral palsy were 17.3% (95% CI: 13.3–21.2) and 23.9% (95% CI: 18.1–29.7) for the intervention group and non-intervention group, respectively.Conclusion: Our findings suggest that the incidence of cerebral palsy in neonates (≥35 weeks' gestation) with perinatal asphyxia is significantly higher compared to that in the healthy neonate population. With the growing emphasis on improving neonatal neurodevelopment and reducing neurological sequelae, we conclude that the prevention and treatment of perinatal asphyxia is essential for preventing the development of cerebral palsy. |
topic |
birth asphyxia cerebral palsy erythropoietin hypothermia meta-analysis |
url |
https://www.frontiersin.org/article/10.3389/fneur.2020.00704/full |
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