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Updated: Jun 8, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Effects of mechanical ventilation on neurodevelopment at 12 months in preterm low birth weight pediatric patients: a
Valerie Vargas Caicedo1, Marta de la Plaza San Frutos1, Maria Dolores Sosa Reina1
1Universidad Europea de Madrid, Faculty of Sport Sciences, Villaviciosa de Odón, Spain.
Insights
Mechanical ventilation poses a risk to neurological development in premature infants. Prolonged exposure and specific ventilation types significantly impact neurodevelopmental outcomes in low-birth-weight infants.
Area of Science:
- Neonatal care
- Pediatric neurology
- Developmental pediatrics
Background:
- Mechanical ventilation (MV) directly impacts the neonatal central nervous system.
- Understanding long-term neurological effects in premature infants is crucial.
Purpose of the Study:
- To review scientific evidence on the effects of mechanical ventilation on neurological development.
- Focus on low-birth-weight premature infants beyond 12 months corrected age.
Main Methods:
- Systematic literature search (2003-2024) across major databases (PubMed, Cochrane, etc.).
- Included 10 cohort and cross-sectional studies assessing neurodevelopment.
- Articles scored using the Newcastle-Ottawa Scale.
Main Results:
- Mechanical ventilation identified as an independent neurodevelopmental risk factor.
- Exposure duration and ventilation type showed strongest evidence.
- Neurodevelopmental assessments covered multiple domains.
Conclusions:
- Mechanical ventilation is a significant risk factor for neurodevelopmental issues in preterm infants.
- Time and type of ventilation are key variables influencing outcomes.
Introduction:
The objective of this review is to know the existing scientific evidence about the effects of mechanical ventilation (MV) on neurological development in low-birth-weight premature pediatric patients after 12 months of life, taking as background the direct impact that ventilation has on the central nervous system in the newborn during the first days of life.
Methods:
A systematic search was carried out between 2003 and 2024 in the data bases of: PUBMED, Cochrane Library Plus, PEDro, CINAHL, and SciELO, and two investigators scored the articles according to the Newcastle-Ottawa Assessment scale.
Results:
Were found 129 non-replicated articles, and 10 cohort and cross-sectional studies were selected that performed an assessment of neurodevelopment in the three spheres after 12 months of life in corrected age of premature infants exposed to ventilator support and related the two variables independently.
Conclusions:
Mechanical ventilation is an independent neurodevelopmental risk factor in low-birth-weight preterm infants. The time of exposure and the type of ventilation were the variables with the most scientific evidence.
Systematic Review Registration:
https://www.crd.york.ac.uk/, Identifier CRD42023446797.
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