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The survival of premature babies increased during the last decades. However, the neurocognitive long term development of these children is worrying, as demonstrated by EPIPAGE 1 study.
These children present high risk of deficits such as cognitive deficits, adaptive malfunction, behavior disorders and difficulties in school learning.
Understanding the specific neuropsychological disorders at the origin of these deficits is an important objective. Studies realized at school age showed that many premature children have executive functions (EF) disorders. However the specific nature of these disorders and the neuropathology associated are unknown.
The aim of this study is to realise MRI at term age in preterm babies born less than 32 GA and to correlate MRI findings with executives functions and neurodevelopmental outcome
An MRI would be realized between 39 and 41 GA
At the age of 5 years, executive functions and neurodevelopmental testing would be realized.
600 newborns were recruited.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MRI assessment | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| term MRI, executive EF functions testing | Procedure | An MRI will be realized at term born between 25 and 32 weeks GA |
|
| Measure | Description | Time Frame |
|---|---|---|
| Executive functions evaluation at age of 5 and comparison with conventionnal and advanced MRI imagings | During the 5 years follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Perinatal risk factors and cerebral lesions as assessed on MRI | During the 5 years follow up | |
| Perinatal risk factors and executive and cognitive functions evaluated at 5 years of age | During the 5 years follow up |
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Inclusion Criteria
Infants who were :
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de Neurologie Pédiatrique | Angers | 49 000 | France | |||
| Service de Néonatologie |
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| Bordeaux |
| 33 000 |
| France |
| Service de Néonatologie | Caen | 14 000 | France |
| Médecine Néonatale et Réanimation Pédiatrique | Grenoble | 38 000 | France |
| Service de REANIMATION NEONATALE ET PEDIATRIQUE, NEONATOLOGIE | Le Kremlin-Bicêtre | 94275 | France |
| Service de Néonatologie | Lille | 59 000 | France |
| Médecine Infantile - Néonatologie - Périnatologie | Marseille | 13 000 | France |
| Service de Néonatalogie | Marseille | 13 000 | France |
| Service de Néonatologie | Nancy | 54000 | France |
| Service de Néonatologie | Nantes | 44000 | France |
| Réanimation néonatale et Néonatologie | Paris | 75 000 | France |
| Service de Réanimation, Néonatologie | Reims | 51 000 | France |
| Service de Néonatologie | Rennes | 35000 | France |
| Service de Pédiatrie Néonatale et Réanimation | Rouen | 76000 | France |
| Service de Réanimation pédiatrique, Néonatologie | Tours | 37 000 | France |
| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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