Battin Malcolm R, Williams Sîan A, Mackey Anna, Alzaher Woroud, Sorhage Alexandra, Stott N Susan
Newborn Services, Auckland City Hospital, Park Road, Grafton, Auckland 1023, New Zealand.
Liggins Institute, University of Auckland, Park Road, Grafton, Auckland 1142, New Zealand.
J Clin Med. 2022 Mar 28;11(7):1866. doi: 10.3390/jcm11071866.
Cerebral palsy is a common cause of physical disability. The New Zealand Cerebral Palsy Register (NZCPR) was established in 2015 and reports national data. Internationally, an early CP diagnosis has been a focus, with imaging and clinical tools used to enable early accurate detection. Accordingly, guidelines are being developed for New Zealand, including a specific pathway for high-risk neonatal intensive care (NICU) graduates, reflecting the high rate of CP in this group. To inform this work, we reviewed imaging data from a retrospective NICU cohort identified from the NZCPR. In these 140 individuals with CP and a confirmed NICU admission during 2000-2019 inclusive, imaging frequency, modality, and rate of abnormality was determined. Overall, 114 (81.4%) had imaging performed in the NICU, but the frequency and modality used varied by gestational subgroup. For infants born at less than 32 weeks gestation, 53/55 had routine imaging with ultrasound, and IVH was graded as none or mild (grade 1-2) in 35 or severe (grade 3-4) in 18 infants. For the 34 infants born between 32-36 weeks gestation, only 13/19 imaged in the NICU were reported as abnormal. For 51 term-born infants, 41/42 imaged in the NICU with MRI had abnormal results.
脑瘫是身体残疾的常见原因。新西兰脑瘫登记册（NZCPR）于2015年建立并报告全国数据。在国际上，早期脑瘫诊断一直是一个重点，人们使用影像学和临床工具来实现早期准确检测。因此，新西兰正在制定相关指南，包括针对高危新生儿重症监护病房（NICU）出院患儿的特定路径，这反映了该群体中脑瘫的高发病率。为了为这项工作提供信息，我们回顾了从NZCPR中确定的一个回顾性NICU队列的影像学数据。在这140名确诊为脑瘫且在2000年至2019年（含）期间确诊入住过NICU的个体中，确定了影像学检查的频率、方式和异常率。总体而言，114人（81.4%）在NICU进行了影像学检查，但使用的频率和方式因孕周亚组而异。对于孕周小于32周出生的婴儿，55人中有
