AIM: To examine the predictive value of early assessments on developmental outcome at 5 years in children born extremely preterm. METHODS: This is a prospective observational study of all infants born in Norway in 1999-2000 with gestational age (GA) <28 weeks or birth weight (BW) <1000 g. At 2 years of age, paediatricians assessed mental and motor development from milestones. At 5 years, parents completed questionnaires on development and professional support before cognitive function was assessed with Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-R) and motor function with the Movement Assessment Battery for children (ABC test). RESULTS: Twenty-six of 373 (7%) children had cerebral palsy at 2 and 29 of 306 (9%) children at 5 years. Of children without major impairments, 51% (95% CI 35-67) of those with and 22% (95% CI 16-28) without mental delay at 2 years had IQ <85 at 5 years, and 36% (95% CI 20-53 with and 16% (95% CI 11-21) without motor delay at 2 years had an ABC score >95th percentile (poor function). Approximately half of those without major impairments but IQ <85 or ABC score >95th percentile had received support or follow-up beyond routine primary care. CONCLUSION: Previous assessments had limited value in predicting cognitive and motor function at 5 years in these extremely preterm children without major impairments.
AIM: To examine the predictive value of early assessments on developmental outcome at 5 years in children born extremely preterm. METHODS: This is a prospective observational study of all infants born in Norway in 1999-2000 with gestational age (GA) <28 weeks or birth weight (BW) <1000 g. At 2 years of age, paediatricians assessed mental and motor development from milestones. At 5 years, parents completed questionnaires on development and professional support before cognitive function was assessed with Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-R) and motor function with the Movement Assessment Battery for children (ABC test). RESULTS: Twenty-six of 373 (7%) children had cerebral palsy at 2 and 29 of 306 (9%) children at 5 years. Of children without major impairments, 51% (95% CI 35-67) of those with and 22% (95% CI 16-28) without mental delay at 2 years had IQ <85 at 5 years, and 36% (95% CI 20-53 with and 16% (95% CI 11-21) without motor delay at 2 years had an ABC score >95th percentile (poor function). Approximately half of those without major impairments but IQ <85 or ABC score >95th percentile had received support or follow-up beyond routine primary care. CONCLUSION: Previous assessments had limited value in predicting cognitive and motor function at 5 years in these extremely preterm children without major impairments.
Authors: Ira Adams-Chapman; Roy J Heyne; Sara B DeMauro; Andrea F Duncan; Susan R Hintz; Athina Pappas; Betty R Vohr; Scott A McDonald; Abhik Das; Jamie E Newman; Rosemary D Higgins Journal: Pediatrics Date: 2018-04-17 Impact factor: 7.124
Authors: Kristen E Gray; Kathleen A Kapp-Simon; Jacqueline R Starr; Brent R Collett; Erin R Wallace; Matthew L Speltz Journal: Dev Med Child Neurol Date: 2014-11-23 Impact factor: 5.449
Authors: Jessica B Girault; Benjamin W Langworthy; Barbara D Goldman; Rebecca L Stephens; Emil Cornea; J Steven Reznick; Jason Fine; John H Gilmore Journal: Intelligence Date: 2018-03-16
Authors: Donna S Hurley; Theresa Sukal-Moulton; Deborah Gaebler-Spira; Kristin J Krosschell; Larissa Pavone; Akmer Mutlu; Julius Pa Dewald; Michael E Msall Journal: Int J Phys Med Rehabil Date: 2015-03-23
Authors: Mark Adams; Thomas M Berger; Cristina Borradori-Tolsa; Myriam Bickle-Graz; Sebastian Grunt; Roland Gerull; Dirk Bassler; Giancarlo Natalucci Journal: BMJ Open Date: 2019-03-15 Impact factor: 2.692