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. 2015 Jan;135(1):e32–e42. doi: 10.1542/peds.2014-0898

TABLE 6.

Independent Associations of Neonatal Neuroimaging Findings With 18 to 22 Months’ Corrected Age Outcomes

Neuroimaging Adverse Finding NDI or Death Significant Gross Motor Impairment or Death
Adjusted OR (95% CI) P Adjusted OR (95% CI) P
Full model
 Perinatal/neonatal factorsa + early CUS + late CUS + brain MRI
  Early CUSb 0.7 (0.2–2.4) .56 0.8 (0.2–3.3) .77
  Late CUSc 9.8 (2.8–35) .0005 10.9 (2.5–47.3) .0014
  MRI moderate or severe WMA 1.5 (0.6–3.6) .34 1.6 (0.5–4.9) .45
  MRI significant cerebellar lesions 3.0 (1.3–6.8) .0078 5.2 (1.9–14.1) .0012
Limited models
 Perinatal/neonatal factors + early CUS+ brain MRI (excludes late CUS)
  Early CUSb 1.8 (0.7–4.6) .22 2.1 (0.7–6.7) .19
  MRI moderate or severe WMA 2.4 (1.1–5.2) .024 2.8 (1.0–7.6) .04
  MRI significant cerebellar lesions 2.7 (1.3–5.9) .01 4.5 (1.8–11.6) .0017
 Perinatal/neonatal factors + early CUS + late CUS (excludes MRI)
  Early CUSb 1.0 (0.3–3.3) .96 1.2 (0.3–4.6) .74
  Late CUSc 11.9 (3.6–39.8) <.0001 13.2 (3.4–50.8) .0002
a

Perinatal/neonatal factors included in the model for NDI or death: race, late sepsis, BPD, and postnatal steroids; and included in the model for significant gross motor impairment or death: race, multiple gestation, maternal insurance, late sepsis, BPD, and PNS.

b

Early CUS composite adverse finding: grade III or IV ICH or cPVL.

c

Late CUS composite adverse finding: moderate or severe VE, or cPVL, or porencephalic cyst, or shunt.