Seonghoon Eun1, Jeong Min Lee1, Dae Yong Yi1, Na Mi Lee1, Hyery Kim1, Sin Weon Yun1, InSeok Lim1, Eung Sang Choi1, Soo Ahn Chae2. 1. Department of Pediatrics, College of Medicine, Chung-Ang University, 224-1 Heukseok-dong Dongjak-gu, Seoul 156-755, Republic of Korea. 2. Department of Pediatrics, College of Medicine, Chung-Ang University, 224-1 Heukseok-dong Dongjak-gu, Seoul 156-755, Republic of Korea. Electronic address: kidbrain@korea.com.
Abstract
PURPOSE: The study aimed to assess the association between Apgar scores at 1 and 5 min after birth and seizures in infants less than 1 year old. METHODS: We conducted a retrospective, observational, hospital-based study by utilising medical records from the Chung-Ang University Hospital admissions from January 2006 to May 2015 in order to identify infants less than 1 year old who had a history of seizures. Using electronic medical records, infants who were diagnosed with infantile seizures at the Chung-Ang University Hospital from January 2006 to May 2015 were included in the seizure group (n=93), and a control group consisting of 296 age-matched cases without a history of seizures was selected from a group of infants born at Chung-Ang University Hospital during the same study period. RESULTS: We found that Apgar scores were significant risk factors for infantile seizures. Apgar scores differed depending on gestational age and birth weight. We found strong associations between Apgar scores and infantile seizures in the full-term and the normal-birth weight groups (bodyweight ≥2.5 kg), regardless of delivery mode. The Apgar scores were inversely correlated with the EEG class, and only the 1-min Apgar scores were correlated with MRI findings. CONCLUSION: Low Apgar scores are significant perinatal risk factors for infantile seizures, especially in full-term and normal-birth weight infants, and have a strong negative linear relationship with EEG and brain MRI results in the seizure group.
PURPOSE: The study aimed to assess the association between Apgar scores at 1 and 5 min after birth and seizures in infants less than 1 year old. METHODS: We conducted a retrospective, observational, hospital-based study by utilising medical records from the Chung-Ang University Hospital admissions from January 2006 to May 2015 in order to identify infants less than 1 year old who had a history of seizures. Using electronic medical records, infants who were diagnosed with infantile seizures at the Chung-Ang University Hospital from January 2006 to May 2015 were included in the seizure group (n=93), and a control group consisting of 296 age-matched cases without a history of seizures was selected from a group of infants born at Chung-Ang University Hospital during the same study period. RESULTS: We found that Apgar scores were significant risk factors for infantile seizures. Apgar scores differed depending on gestational age and birth weight. We found strong associations between Apgar scores and infantile seizures in the full-term and the normal-birth weight groups (bodyweight ≥2.5 kg), regardless of delivery mode. The Apgar scores were inversely correlated with the EEG class, and only the 1-min Apgar scores were correlated with MRI findings. CONCLUSION: Low Apgar scores are significant perinatal risk factors for infantile seizures, especially in full-term and normal-birth weight infants, and have a strong negative linear relationship with EEG and brain MRI results in the seizure group.
Authors: Bogdan Mihai Neamțu; Gabriela Visa; Ionela Maniu; Maria Livia Ognean; Rubén Pérez-Elvira; Andrei Dragomir; Maria Agudo; Ciprian Radu Șofariu; Mihaela Gheonea; Antoniu Pitic; Remus Brad; Claudiu Matei; Minodora Teodoru; Ciprian Băcilă Journal: Int J Environ Res Public Health Date: 2021-04-30 Impact factor: 3.390
Authors: Rebecca J Weiss; Sara V Bates; Ya'nan Song; Yue Zhang; Emily M Herzberg; Yih-Chieh Chen; Maryann Gong; Isabel Chien; Lily Zhang; Shawn N Murphy; Randy L Gollub; P Ellen Grant; Yangming Ou Journal: J Transl Med Date: 2019-11-21 Impact factor: 5.531