Influence of Intensive Care Unit Enlightenment on Premature Infants on Functional Brain Maturation Assessed by Amplitude-Integrated Electroencephalograph

dc.authoridTandircioglu, Umit Ayse/0000-0002-1743-8194
dc.contributor.authorTandircioglu, Umit Ayse
dc.contributor.authorGuzoglu, Nilufer
dc.contributor.authorGucuyener, Kivilcim
dc.contributor.authorAliefendioglu, Didem
dc.date.accessioned2025-01-21T16:41:46Z
dc.date.available2025-01-21T16:41:46Z
dc.date.issued2021
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective Amplitude-integrated electroencephalograph (aEEG) presents a valuable tool for functional brain maturation of preterm infants. However, the effect of enlightenment on functional brain maturation of premature infants has not been investigated. We aimed to do this with aEEG. Study Design A total of 32 infants, 30 to 35 gestational weeks, were involved in the study. They were randomly distributed into three groups in which different lighting protocols were applied. In group 1, the infants' incubators were covered for 24 hours. In group 2, the infants' incubators were open for 24 hours. In group 3, the infants' incubators were covered for 12 hours and open for another 12 hours. The infants are evaluated with aEEG recordings done on the 3rd (first measurement) and 10th days (second measurement) along with the Burdjalov scoring. Analysis of aEEG recordings was performed, based on sleep-wake cycles (SWCs), upper and lower margin amplitudes, narrowband and broadband of SWC, and bandwidth of SWC. Results At first, the narrowband lower amplitudes in group 1 were higher than those of the other groups (p = 0.042), but the difference was not significant in the second measurement (p = 0.110). The Burdjalov scores were higher in group 1 and group 3 on 10th day, though not statistically significant (p = 0.871). When the infants were reevaluated according to the gestational weeks, the Burdjalov scores of the two groups less than 34 weeks (30-31 and 32-33 weeks) were similar, whereas 34 to 35 weeks were higher when compared with those of the two groups. Conclusion The difference observed between groups in terms of narrowband lower amplitude in the first measurement may reflect the effect of intrauterine environment rather than enlightenment at the same gestational age because it was made on the third day. However, the fact that all groups have similar results on day 10 suggests that other factors in the intensive care setting may diminish the effect of enlightenment. Burdjalov scores are associated with maturation, and high scores found in the 34- to 35-week group suggest that the 34-week maturation might be a threshold for SWC and development in our group sample.
dc.identifier.doi10.1055/s-0039-1697681
dc.identifier.endpage362
dc.identifier.issn0735-1631
dc.identifier.issn1098-8785
dc.identifier.issue4
dc.identifier.pmid31683326
dc.identifier.scopus2-s2.0-85101600361
dc.identifier.scopusqualityQ1
dc.identifier.startpage357
dc.identifier.urihttps://doi.org/10.1055/s-0039-1697681
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24948
dc.identifier.volume38
dc.identifier.wosWOS:000626157300007
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherThieme Medical Publ Inc
dc.relation.ispartofAmerican Journal of Perinatology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectpremature; functional brain maturation; aEEG
dc.titleInfluence of Intensive Care Unit Enlightenment on Premature Infants on Functional Brain Maturation Assessed by Amplitude-Integrated Electroencephalograph
dc.typeArticle

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