Journal Article

Effects of neurodevelopmental risk factors on brainstem maturation in premature infants

Hafner, H, Littner, Y, Dinur, G, Cohen-Vaizer, A, Hochwald, O, Gordin, A, Kugelman, A, Riskin, A, Borenstein-Levin, L, Taha, R

2022

Overview

BackgroundInterpeak latencies (IPL), as measured by the auditory brainstem-evoked responses (ABR) test, represent the conduction time, and therefore the maturation of the brainstem auditory pathway. We aimed to study the effect of various risk factors for the neurodevelopmental delay on the conduction time in the auditory pathway among normal hearing premature infants, at term postmenstrual age (PMA).MethodsRetrospective analysis of 239 premature infants (gestational age 32.5 ± 2.1 weeks, birth weight 1827 ± 483 g). Interpeak latencies, demographic data, and risk factors were recorded.ResultsSex, PMA at ABR test, being small for gestational age (SGA), intraventricular hemorrhage (IVH) or periventricular leukomalacia (PVL), and days of invasive ventilation were found to significantly affect the IPL’s in the auditory pathway in a univariate analysis. Multivariable regression analysis revealed that male sex and less advanced PMA at the examination were independent factors associated with prolonged IPL’s, while bronchopulmonary dysplasia, IVH or PVL and being SGA shortened the IPL’s. Non-invasive mechanical ventilation, did not affect the caudal part of the auditory pathway, despite its high noise level.ConclusionsAmong various risk factors for the neurodevelopmental delay, male sex was associated with delayed, while IVH or PVL, BPD and SGA could be associated with accelerated auditory brainstem maturation.ImpactAuditory brainstem-evoked response (ABR) test, among normal hearing infants, can serve as a clinical tool to assess brainstem auditory maturation.Different neurodevelopmental risk factors could have different effects on the maturity of the auditory pathway.Male sex is significantly associated with prolonged interpeak latencies (IPL) among preterm and term infants, while intraventricular hemorrhage or periventricular leukomalacia, bronchopulmonary dysplasia, and being small for gestation age may be associated with shortened IPLThe corrected age at ABR testing is of significance, among preterm and term infants.

• Publisher: Nature Publishing Group
• Subject: Gestational age / Lung diseases / Premature babies / Premature birth / Risk factors / Ventilation