Growth Asymmetry, Head Circumference, and Neurodevelopmental Outcomes in Infants with Single Ventricles

Pediatric Heart Network Investigators

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective To assess the variability in asymmetric growth and its association with neurodevelopment in infants with single ventricle (SV). Study design We analyzed weight-for-age z-score minus head circumference-for-age z-score (HCAZ), relative head growth (cm/kg), along with individual growth variables in subjects prospectively enrolled in the Infant Single Ventricle Trial. Associations between growth indices and scores on the Psychomotor Developmental Index (PDI) and Mental Developmental Index (MDI) of the Bayley Scales of Infant Development-II (BSID-II) at 14 months were assessed. Results Of the 230 subjects enrolled in the Infant Single Ventricle trial, complete growth data and BSID-II scores were available in 168 (73%). Across the cohort, indices of asymmetric growth varied widely at enrollment and before superior cavopulmonary connection (SCPC) surgery. BSID-II scores were not associated with these asymmetry indices. In bivariate analyses, greater pre-SCPC HCAZ correlated with higher MDI (r = 0.21; P =.006) and PDI (r = 0.38; P

Original languageEnglish (US)
Pages (from-to)220-225
Number of pages6
JournalJournal of Pediatrics
Volume168
DOIs
StatePublished - Jan 1 2016

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Head
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Weights and Measures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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Growth Asymmetry, Head Circumference, and Neurodevelopmental Outcomes in Infants with Single Ventricles. / Pediatric Heart Network Investigators.

In: Journal of Pediatrics, Vol. 168, 01.01.2016, p. 220-225.

Research output: Contribution to journalArticle

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title = "Growth Asymmetry, Head Circumference, and Neurodevelopmental Outcomes in Infants with Single Ventricles",
abstract = "Objective To assess the variability in asymmetric growth and its association with neurodevelopment in infants with single ventricle (SV). Study design We analyzed weight-for-age z-score minus head circumference-for-age z-score (HCAZ), relative head growth (cm/kg), along with individual growth variables in subjects prospectively enrolled in the Infant Single Ventricle Trial. Associations between growth indices and scores on the Psychomotor Developmental Index (PDI) and Mental Developmental Index (MDI) of the Bayley Scales of Infant Development-II (BSID-II) at 14 months were assessed. Results Of the 230 subjects enrolled in the Infant Single Ventricle trial, complete growth data and BSID-II scores were available in 168 (73{\%}). Across the cohort, indices of asymmetric growth varied widely at enrollment and before superior cavopulmonary connection (SCPC) surgery. BSID-II scores were not associated with these asymmetry indices. In bivariate analyses, greater pre-SCPC HCAZ correlated with higher MDI (r = 0.21; P =.006) and PDI (r = 0.38; P",
author = "{Pediatric Heart Network Investigators} and Miller, {Thomas A.} and Victor Zak and Peter Shrader and Chitra Ravishankar and Pemberton, {Victoria L.} and Newburger, {Jane W.} and Shillingford, {Amanda J.} and Nicholas Dagincourt and Cnota, {James F.} and Lambert, {Linda M.} and Renee Sananes and Richmond, {Marc E.} and Hsu, {Daphne T.} and Miller, {Stephen G.} and Zyblewski, {Sinai C.} and Williams, {Richard V.}",
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AU - Pediatric Heart Network Investigators

AU - Miller, Thomas A.

AU - Zak, Victor

AU - Shrader, Peter

AU - Ravishankar, Chitra

AU - Pemberton, Victoria L.

AU - Newburger, Jane W.

AU - Shillingford, Amanda J.

AU - Dagincourt, Nicholas

AU - Cnota, James F.

AU - Lambert, Linda M.

AU - Sananes, Renee

AU - Richmond, Marc E.

AU - Hsu, Daphne T.

AU - Miller, Stephen G.

AU - Zyblewski, Sinai C.

AU - Williams, Richard V.

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N2 - Objective To assess the variability in asymmetric growth and its association with neurodevelopment in infants with single ventricle (SV). Study design We analyzed weight-for-age z-score minus head circumference-for-age z-score (HCAZ), relative head growth (cm/kg), along with individual growth variables in subjects prospectively enrolled in the Infant Single Ventricle Trial. Associations between growth indices and scores on the Psychomotor Developmental Index (PDI) and Mental Developmental Index (MDI) of the Bayley Scales of Infant Development-II (BSID-II) at 14 months were assessed. Results Of the 230 subjects enrolled in the Infant Single Ventricle trial, complete growth data and BSID-II scores were available in 168 (73%). Across the cohort, indices of asymmetric growth varied widely at enrollment and before superior cavopulmonary connection (SCPC) surgery. BSID-II scores were not associated with these asymmetry indices. In bivariate analyses, greater pre-SCPC HCAZ correlated with higher MDI (r = 0.21; P =.006) and PDI (r = 0.38; P

AB - Objective To assess the variability in asymmetric growth and its association with neurodevelopment in infants with single ventricle (SV). Study design We analyzed weight-for-age z-score minus head circumference-for-age z-score (HCAZ), relative head growth (cm/kg), along with individual growth variables in subjects prospectively enrolled in the Infant Single Ventricle Trial. Associations between growth indices and scores on the Psychomotor Developmental Index (PDI) and Mental Developmental Index (MDI) of the Bayley Scales of Infant Development-II (BSID-II) at 14 months were assessed. Results Of the 230 subjects enrolled in the Infant Single Ventricle trial, complete growth data and BSID-II scores were available in 168 (73%). Across the cohort, indices of asymmetric growth varied widely at enrollment and before superior cavopulmonary connection (SCPC) surgery. BSID-II scores were not associated with these asymmetry indices. In bivariate analyses, greater pre-SCPC HCAZ correlated with higher MDI (r = 0.21; P =.006) and PDI (r = 0.38; P

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