Publications by authors named "Steve Pastyrnak"

Objective: To identify neurobehavioural risks in preterm infants with bronchopulmonary dysplasia (BPD) prior to hospital discharge.

Design And Patients: Longitudinal study of 676 newborns born before 30 weeks of gestation.

Setting: Nine university NICUs affiliated with six universities.

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Importance: The ability to identify poor outcomes and treatable risk factors among very preterm infants remains challenging; improving early risk detection and intervention targets to potentially address developmental and behavioral delays is needed.

Objective: To determine associations between neonatal neurobehavior using the Neonatal Intensive Care Unit (NICU) Network Neurobehavioral Scale (NNNS), neonatal medical risk, and 2-year outcomes.

Design, Setting, And Participants: This multicenter cohort enrolled infants born at less than 30 weeks' gestation at 9 US university-affiliated NICUs.

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Article Synopsis
  • - The study investigated how a mother's pre-pregnancy body mass index (BMI) affects the neurobehavior of very premature infants, focusing on 664 cases, including 227 infants born to obese mothers.
  • - Results showed that higher maternal BMI, particularly when combined with factors like infection or diabetes, led to poorer neurobehavioral outcomes in infants, including issues with self-regulation and attention.
  • - Ultimately, while maternal BMI alone didn't seem to impact short-term neurobehavior in extremely preterm infants, additional complications increased the risk of poor neurobehavioral profiles.
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Background: Among preterm infants, neurodevelopmental outcomes are influenced by both medical and sociodemographic factors. Less is known about the impact on these factors on neonatal neurobehavioral patterns.

Objective: To determine associations between demographic, psychosocial and medical risk factors and neonatal neurobehavior.

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