ArticleNeonatology2026
Cerebral Oxygenation during the First 15 Minutes after Birth and Short-Term Outcome Measured by the Motor Optimality Score-Revised in Preterm Infants.
Article in Neonatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionMonitoring cerebral regional oxygen saturation (crSO₂) using near-infrared spectroscopy (NIRS) during immediate postnatal transition may help detect and mitigate cerebral hypoxia. General movement assessment (GMA), including fidgety movements (FMs) and the Motor Optimality Score-Revised (MOS-R), is widely used to evaluate early motor development.
methodsThe objective was to assess differences in early motor outcome at 6-20 weeks corrected age according to group allocation in the randomized multicenter COSGOD III trial. This was a retrospective ancillary observational study. Preterm infants (<32 weeks' gestation) enrolled in COSGOD III at two Austrian centers (Graz and Inns-bruck) with available GMA video recordings at 6-20 weeks corrected age were included. MOS-R was scored retrospectively from these recordings. In COSGOD III, infants randomized to the NIRS group received continuous crSO₂ monitoring during immediate postnatal transition to guide resuscitation; in the control group, crSO₂ values were not displayed. The main outcome measure was MOS-R (range 5-28) derived from GMA video analysis.
resultsA total of 162 infants were included (NIRS: n = 76; control: n=86; median gestational age 29.6 vs. 28.8 weeks; p = 0.357). Normal FMs were present in 95% of infants (96% vs. 94%). However, MOS-R scores were significantly higher in the NIRS group (median [IQR]: 26 [24-28] vs. 24 [22-26]; p = 0.003), with more infants showing an age-adequate motor repertoire (83% vs. 66%; p = 0.003).
conclusionAlthough FM presence was similar between groups, NIRS-guided management during immediate transition was associated with improved early motor performance, suggesting that targeted cerebral oxygenation may influence early neurodevelopment.
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