OBJECTIVE: Traditional measure of postnatal growth failure assessment has poor discriminatory power for long-term outcomes. Our objective was to identify measure of postnatal growth failure associated with long-term outcome in preterm infants born at < 28 weeks' gestation. PATIENTS AND METHODS: Four measures of defining postnatal growth failure at 36 weeks corrected gestational age: (1) weight < 10(th) centile, (2) weight < 3(rd) centile, (3) z score difference from birth > 1 and, (4) z score difference from birth > 2; were compared for their predictive values and strength of association with adverse neurodevelopmental outcomes at 18-24 months. RESULTS: Postnatal growth failure defined as a decrease in z score of > 2 between birth and 36 weeks corrected gestational age had the best predictive values compared to other postnatal growth failure measures, however, it was significantly associated with psychomotor developmental (P=0.006) but not with mental developmental indices (P=0.379). CONCLUSION: Postnatal growth failure defined by z score change influenced psychomotor but not mental tasks in this cohort. This method of ascertainment could be useful to identify infants who might benefit from nutritional interventions.
OBJECTIVE: Traditional measure of postnatal growth failure assessment has poor discriminatory power for long-term outcomes. Our objective was to identify measure of postnatal growth failure associated with long-term outcome in preterm infants born at < 28 weeks' gestation. PATIENTS AND METHODS: Four measures of defining postnatal growth failure at 36 weeks corrected gestational age: (1) weight < 10(th) centile, (2) weight < 3(rd) centile, (3) z score difference from birth > 1 and, (4) z score difference from birth > 2; were compared for their predictive values and strength of association with adverse neurodevelopmental outcomes at 18-24 months. RESULTS:Postnatal growth failure defined as a decrease in z score of > 2 between birth and 36 weeks corrected gestational age had the best predictive values compared to other postnatal growth failure measures, however, it was significantly associated with psychomotor developmental (P=0.006) but not with mental developmental indices (P=0.379). CONCLUSION:Postnatal growth failure defined by z score change influenced psychomotor but not mental tasks in this cohort. This method of ascertainment could be useful to identify infants who might benefit from nutritional interventions.
Authors: Erin A Plummer; Qi Wang; Catherine M Larson-Nath; Johannah M Scheurer; Sara E Ramel Journal: Early Hum Dev Date: 2018-12-17 Impact factor: 2.079
Authors: Tanis R Fenton; Barbara Cormack; Dena Goldberg; Roseann Nasser; Belal Alshaikh; Misha Eliasziw; William W Hay; Angela Hoyos; Diane Anderson; Frank Bloomfield; Ian Griffin; Nicholas Embleton; Niels Rochow; Sarah Taylor; Thibault Senterre; Richard J Schanler; Seham Elmrayed; Sharon Groh-Wargo; David Adamkin; Prakesh S Shah Journal: J Perinatol Date: 2020-03-25 Impact factor: 2.521
Authors: Ken K Ong; Kathy Kennedy; Eurídice Castañeda-Gutiérrez; Stewart Forsyth; Keith M Godfrey; Berthold Koletzko; Marie E Latulippe; Susan E Ozanne; Ricardo Rueda; Marieke H Schoemaker; Eline M van der Beek; Stef van Buuren; Mary Fewtrell Journal: Acta Paediatr Date: 2015-10 Impact factor: 2.299