Document Detail


Are outcomes of extremely preterm infants improving? Impact of Bayley assessment on outcomes.
MedLine Citation:
PMID:  22421261     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare 18- to 22-month cognitive scores and neurodevelopmental impairment (NDI) in 2 time periods using the National Institute of Child Health and Human Development's Neonatal Research Network assessment of extremely low birth weight infants with the Bayley Scales of Infant Development, Second Edition (Bayley II) in 2006-2007 (period 1) and using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley III), with separate cognitive and language scores, in 2008-2011 (period 2).
STUDY DESIGN: Scores were compared with bivariate analysis, and regression analyses were run to identify differences in NDI rates.
RESULTS: Mean Bayley III cognitive scores were 11 points higher than mean Bayley II cognitive scores. The NDI rate was reduced by 70% (from 43% in period 1 to 13% in period 2; P < .0001). Multivariate analyses revealed that Bayley III contributed to a decreased risk of NDI by 5 definitions: cognitive score <70 and <85, cognitive or language score <70; cognitive or motor score <70, and cognitive, language, or motor score <70 (P < .001).
CONCLUSION: Whether the Bayley III is overestimating cognitive performance or whether it is a more valid assessment of emerging cognitive skills than the Bayley II is uncertain. Because the Bayley III identifies significantly fewer children with disability, it is recommended that all extremely low birth weight infants be offered early intervention services at the time of discharge from the neonatal intensive care unit, and that Bayley scores be interpreted with caution.
Authors:
Betty R Vohr; Bonnie E Stephens; Rosemary D Higgins; Carla M Bann; Susan R Hintz; Abhik Das; Jamie E Newman; Myriam Peralta-Carcelen; Kimberly Yolton; Anna M Dusick; Patricia W Evans; Ricki F Goldstein; Richard A Ehrenkranz; Athina Pappas; Ira Adams-Chapman; Deanne E Wilson-Costello; Charles R Bauer; Anna Bodnar; Roy J Heyne; Yvonne E Vaucher; Robert G Dillard; Michael J Acarregui; Elisabeth C McGowan; Gary J Myers; Janell Fuller;
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-03-14
Journal Detail:
Title:  The Journal of pediatrics     Volume:  161     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-26     Completed Date:  2012-10-02     Revised Date:  2013-10-17    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  222-8.e3     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Mosby, Inc. All rights reserved.
Affiliation:
Department of Pediatrics, Women & Infants' Hospital, Brown University, Providence, RI 02905, USA. bvohr@wihri.org
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MeSH Terms
Descriptor/Qualifier:
Cognition*
Developmental Disabilities / diagnosis*
Gestational Age
Humans
Infant
Infant, Extremely Low Birth Weight*
Infant, Newborn
Infant, Premature*
Infant, Premature, Diseases / physiopathology
Language Development
Neuropsychological Tests*
Grant Support
ID/Acronym/Agency:
M01 RR000997/RR/NCRR NIH HHS; U10 HD027904/HD/NICHD NIH HHS; U10 HD053089/HD/NICHD NIH HHS
Investigator
Investigator/Affiliation:
William Oh / ; Abbot R Laptook / ; Angelita M Hensman / ; Barbara Alksninis / ; Dawn Andrews / ; Kristen Angela / ; Bill Cashore / ; Kim Francis / ; Regina A Gargus / ; Dan Gingras / ; Shabnam Lainwala / ; Theresa M Leach / ; Martha R Leonard / ; James R Moore / ; Lucy Noel / ; Rachel V Walden / ; Victoria E Watson / ; Michele C Walsh / ; Avroy A Fanaroff / ; Nancy S Newman / ; Bonnie S Siner / ; Harriet G Friedman / ; Kurt Schibler / ; Edward F Donovan / ; Jean J Steichen / ; Kate Bridges / ; Barbara Alexander / ; Cathy Grisby / ; Holly L Mincey / ; Jody Hessling / ; Teresa L Gratton / ; Marcia Worley Mersmann / ; Ronald N Goldberg / ; C Michael Cotten / ; William F Malcolm / ; Patricia Ashley / ; Kathy J Auten / ; Kimberley A Fisher / ; Katherine A Foy / ; Sandra Grimes / ; Kathryn E Gustafson / ; Melody B Lohmeyer / ; Barbara J Stoll / ; David P Carlton / ; Ellen C Hale / ; Sheena Carter / ; Maureen Mulligan LaRossa / ; Rosemary D Higgins / ; Stephanie Wilson Archer / ; Ivan D Frantz / ; John M Fiascone / ; Brenda L MacKinnon / ; Ellen Nylen / ; Anne Furey / ; Brenda B Poindexter / ; James A Lemons / ; Dianne E Herron / ; Leslie Dawn Wilson / ; Jessica Bissey / ; Ann B Cook / ; Faithe Hamer / ; Carolyn Lytle / ; Heike M Minnich / ; W Kenneth Poole / ; Dennis Wallace / ; Jeanette O'Donnell Auman / ; Margaret Cunningham / ; Amanda R Irene / ; Jamie E Newman / ; Carolyn M Petrie Huitema / ; James W Pickett / ; Scott E Schaefer / ; Kristin M Zaterka-Baxter / ; Krisa P Van Meurs / ; David K Stevenson / ; M Bethany Ball / ; Marian M Adams / ; Joan M Baran / ; Ginger K Brudos / ; Maria Elena DeAnda / ; Anne M DeBattista / ; Jean G Kohn / ; Renee P Pyle / ; Waldemar A Carlo / ; Namasivayam Ambalavanan / ; Amanda Soong / ; Monica V Collins / ; Shirley S Cosby / ; Vivien A Phillips / ; Kirstin J Bailey / ; Fred J Biasini / ; Stephanie A Chopko / ; Kristen C Johnston / ; Kathleen G Nelson / ; Cryshelle S Patterson / ; Richard V Rector / ; Sally Whitley / ; Neil N Finer / ; Maynard R Rasmussen / ; Paul R Wozniak / ; Martha G Fuller / ; Kathy Arnell / ; Renee Bridge / ; Clarence Demetrio / ; Donna Posin / ; Wade Rich / ; Edward F Bell / ; Karen J Johnson / ; Diane L Eastman / ; Nancy J Krutzfield / ; Shahnaz Duara / ; Ruth Everett-Thomas / ; Maria Calejo / ; Alexis N Diaz / ; Silvia M Frade Eguaras / ; Andrea Garcia / ; Kasey Hamlin-Smith / ; Michelle Harwood / ; Sylvia Hiriart-Fajardo / ; Elaine O Mathews / ; Helina Pierre / ; Arielle Riguard / ; Alexandra Stroerger / ; Kristi L Watterberg / ; Robin K Ohls / ; Conra Backstrom Lacy / ; Jean Lowe / ; Rebecca Montman / ; Dale L Phelps / ; Linda J Reubens / ; Erica Burnell / ; Julie Babish Johnson / ; Cassandra A Horihan / ; Diane Hust / ; Rosemary L Jensen / ; Emily Kushner / ; Joan Merzbach / ; Lauren Zwetsch / ; Kelley Yost / ; Pablo J Sánchez / ; Charles R Rosenfeld / ; Walid A Salhab / ; Alicia Guzman / ; Gaynelle Hensley / ; Nancy A Miller / ; Elizabeth Heyne / ; Linda A Madden / ; Sally Adams / ; Janet S Morgan / ; Catherine Twell Boatman / ; Melisa H Leps / ; Lizette E Torres / ; Lyndon Baines Johnson / ; Jon E Tyson / ; Kathleen A Kennedy / ; Esther G Akpa / ; Nora I Alaniz / ; Susan Dieterich / ; Charles Green / ; Margarita Jiminez / ; Anna E Lis / ; Sarah Martin / ; Georgia E McDavid / ; Brenda H Morris / ; M Layne Poundstone / ; Stacey Reddoch / ; Saba Siddiki / ; Maegan C Simmons / ; Patti L Pierce Tate / ; Sharon L Wright / ; Roger G Faix / ; Bradley A Yoder / ; Karen A Osborne / ; Jennifer J Jensen / ; Cynthia Spencer / ; Kimberlee Weaver-Lewis / ; R Karena Strong / ; Mike Steffens / ; Jill Burnett / ; Shawna Baker / ; T Michael O'Shea / ; Nancy J Peters / ; Carroll Peterson / ; Ellen L Waldrep / ; Lisa K Washburn / ; Cherrie D Welch / ; Melissa Whalen Morris / ; Gail Wiley / ; Seetha Shankaran / ; Rebecca Bara / ; Geraldine Muran / ; Laura Goldston / ; Christine G Butler / ; Harris Jacobs / ; Patricia Cervone / ; Patricia Gettner / ; Sheila Greisman / ; Monica Konstantino / ; JoAnn Poulsen / ; Janet Taft / ; Joanne Williams / ; Nancy Close / ; Walter Gilliam / ; Elaine Romano /
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