School-age outcomes of extremely preterm or extremely low birth weight children.
نویسندگان
چکیده
OBJECTIVE Research is required to monitor changes in the nature of neurobehavioral deficits in extremely preterm (EP) or extremely low birth weight (ELBW) survivors. This study examines cognitive, academic, and behavioral outcomes at age 8 years for a regional cohort of EP/ELBW children born in 1997. METHODS The EP/ELBW cohort comprised all live births with a gestational age <28 weeks (EP) or birth weight <1000 g (ELBW) born in the state of Victoria, Australia, in 1997. Of 317 live births, 201 (63.4%) survived to 2 years of age.A term/normal birth weight (T/NBW) cohort was recruited comprising 199 infants with birthweights ≥2500 g or gestational age ≥37 weeks [corrected]. Measures of intellectual ability, educational achievement, and behavior were administered at age 8. RESULTS Retention was 94% for the EP/ELBW group and 87% for the T/NBW group. The EP/ELBW group performed poorer than the T/NBW group on measures of IQ, educational achievement, and certain behavioral domains, even after adjustment for sociodemographic factors and exclusion of children with neurosensory impairment. The rate of any neurobehavioral impairment was elevated in the EP/ELBW group (71% vs 42%), and one-half of subjects had multiple impairments. The outcomes for those with <750 g birth weight or <26 weeks' gestational age were similar to those with a birth weight of 750 to 999 g or a gestational age of 26 to 27 weeks, respectively. CONCLUSIONS Despite ongoing improvements in the management of EP/ELBW infants, the rate of neurobehavioral impairment at school-age remains too high relative to controls.
منابع مشابه
Relationship between Visual Impairments and Motor Problems Children 3-6 Age with Low Birth Weight
Abstract Birth weight is one of the most important indicators of neonatal health in any society and is considered as the best tool to measure the outcome of pregnancy and the most important factor in determining the incidence of disease or death of the infant. The purpose of this study was to investigating relationship between visual impairments and motor problems in children 3-6 age with ve...
متن کاملNeurobehavioral outcomes of school-age children born extremely low birth weight or very preterm in the 1990s.
CONTEXT The outcome into school age of regional cohorts of children born in the 1990s with birth weights less than 1000 g (extremely low birth weight, ELBW) or earlier than 28 weeks' gestation (very preterm) is not known. OBJECTIVE To determine the cognitive, educational, and behavioral outcome of ELBW or very preterm infants born in the 1990s compared with normal birth weight (NBW) controls....
متن کاملSeven Years Cognitive Functioning and Early Assessment in Extremely Low Birth Weight Children
Infants born preterm are at high risk for the onset of cognitive dysfunctions at school age. The aim of this study was to investigate the association between early neurodevelopmental assessment and the risk of adverse cognitive outcome in extremely low birth weight children. We enrolled all newborns (January 2002 - April 2007) consecutively admitted to our Institution, with a birthweight < 1000...
متن کاملFunctional MRI, structural MRI and school performance in extremely preterm/extremely low birth weight children
متن کامل
[Growth and developmental outcomes of the extremely preterm infant].
OBJECTIVE To provide information for pediatricians and neonatologists to create realistic outcome expectations and thus help plan their actions. SOURCES OF DATA Searches were made of the Cochrane Library, MEDLINE, and Lilacs databases. SUMMARY OF THE FINDINGS The assessment of growth and development over the first 2-3 years must adjust chronological age with respect of the degree of prematu...
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ورودعنوان ژورنال:
- Pediatrics
دوره 131 4 شماره
صفحات -
تاریخ انتشار 2013