scholarly journals Maternal employment and socio‐economic status of families raising children born very preterm with motor or cognitive impairments: the EPIPAGE cohort study

2020 ◽  
Vol 62 (10) ◽  
pp. 1182-1190 ◽  
Author(s):  
Marie‐Josephe Saurel‐Cubizolles ◽  
Laetitia Marchand‐Martin ◽  
Veronique Pierrat ◽  
Catherine Arnaud ◽  
Antoine Burguet ◽  
...  
Author(s):  
Anne R Synnes ◽  
Julie Petrie ◽  
Ruth E Grunau ◽  
Paige Church ◽  
Edmond Kelly ◽  
...  

ObjectiveTo examine whether the family integrated care (FICare) programme, a multifaceted approach which enables parents to be engaged as primary caregivers in the neonatal intensive care unit, impacts infant neurodevelopment and growth at 18 months’ corrected age.Design/MethodsProspective cohort study of infants born <29 weeks’ gestational age (GA) who participated in the FICare cluster randomised control trial (cRCT) and were assessed in the Canadian Neonatal Follow-Up Network (CNFUN). The primary outcome measure, Cognitive or Language composite score <85 on the Bayley-III, was compared between FICare exposed and routine care children using logistic regression, adjusted for potential confounders and employing generalised estimation equations to account for clustering of infants within sites.ResultsOf 756 infants <29 weeks’ GA in the FICare cRCT, 505 were enrolled in CNFUN and 455 were assessed (238 FICare, 217 control). Compared with controls, FICare infants had significantly higher incidence of intraventricular haemorrhage (IVH) (19.5% vs 11.7%, p=0.024) and higher proportion of employed mothers (76.6% vs 73.6%, p=0.043). There was no significant difference in the odds of the primary outcome (adjusted OR: 0.92 (0.59 to 1.42) FiCare vs Control) on multivariable analyses adjusted for GA, IVH and maternal employment. However, Bayley-III Motor scores (adjusted difference in mean (95% CI) 3.87 (1.22 to 6.53) and body mass index 0.67 (0.36 to 0.99) were higher in the FICare group.ConclusionsVery preterm infants exposed to FICare had no significant difference in incidence of cognitive or language delay but had better motor development.Trial registration numberParticipants in this cohort study were previously enrolled in a registered trial: NCT01852695


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Ingmar Schäfer ◽  
Heike Hansen ◽  
Gerhard Schön ◽  
Susanne Höfels ◽  
Attila Altiner ◽  
...  

2020 ◽  
Vol 37 (12) ◽  
pp. 2081-2088 ◽  
Author(s):  
R. A. S. Campbell ◽  
H. M. Colhoun ◽  
B. Kennon ◽  
R. J. McCrimmon ◽  
N. Sattar ◽  
...  

Author(s):  
Yun-Ju Lai ◽  
Hsin-Hao Lai ◽  
Yu-Yen Chen ◽  
Ming-Chung Ko ◽  
Chu-Chieh Chen ◽  
...  

Abstract Background Evidence indicates that socio-economic status (SES) may affect health outcomes in patients with chronic diseases. However, little is known about the impact of SES on the prognosis of acute dengue. This nationwide cohort study determined the risk of dengue haemorrhagic fever (DHF) in Taiwanese dengue fever patients from 2000 to 2014. Methods From 1 January 2000, we identified adult dengue cases reported in the Taiwan Centers for Disease Control Notifiable Diseases Surveillance System Database. Dengue cases were defined as positive virus isolation, nucleic acid amplification tests or serological tests. Associations between SES and incident DHF were estimated using a Cox proportional hazards model. Results Of 27 750 dengue patients, 985 (3.5%) had incident DHF during the follow-up period, including 442 (4.8%) and 543 (2.9%) with low and high SES, respectively. After adjusting for age, sex, history of dengue fever and comorbidities, low SES was significantly associated with an increased risk of incident DHF (adjusted hazard ratio [AHR] 1.61 [95% confidence interval {CI} 1.42 to 1.83]). Rural-dwelling dengue patients had a higher likelihood of DHF complication than their urban counterparts (AHR 2.18 [95% CI 1.90 to 2.51]). Conclusions This study suggests low SES is an independent risk factor for DHF. Future dengue control programs should particularly target dengue patients with low SES for improved outcomes.


2019 ◽  
Vol 39 (13) ◽  
pp. 1254-1261
Author(s):  
Eliza Kluckow ◽  
Jane Halliday ◽  
Alice Poulton ◽  
Anthea Lindquist ◽  
Briohny Hutchinson ◽  
...  

PLoS ONE ◽  
2012 ◽  
Vol 7 (6) ◽  
pp. e39264 ◽  
Author(s):  
Li-Chien Chien ◽  
Jau-Ching Wu ◽  
Yu-Chun Chen ◽  
Laura Liu ◽  
Wen-Cheng Huang ◽  
...  

Addiction ◽  
2013 ◽  
Vol 108 (8) ◽  
pp. 1441-1449 ◽  
Author(s):  
Karl Gauffin ◽  
Bo Vinnerljung ◽  
Mats Fridell ◽  
Morten Hesse ◽  
Anders Hjern

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