Document Detail

Extremely low-birth-weight infants less than 901 g. Growth and development after one year of life.
MedLine Citation:
PMID:  8453219     Owner:  NLM     Status:  MEDLINE    
In a long-term prospective control study, 20 extremely low-birth-weight infants with birth weights between 500 and 900 g (mean 755 +/- 109 g) and gestational ages between 24 and 30 weeks (mean 26.2 +/- 1.8 weeks) were compared with 20 full-term infants, after the first year of life for growth, development and continuing morbidity after discharge from the intensive care unit. The total rate of neurological abnormalities was 17%; the rate of infantile post-hemorrhagic hydrocephalus requiring shunt operations was 8.7%, while 13% had retinopathy of prematurity with vision deficit, but none was blind. The hospital readmission rate was 70%, but for most infants only one or a few readmissions were needed whereas three infants with chronic lung disorders required frequent hospital readmissions, mainly for respiratory infections. Apart from 4 infants with major cerebral neonatal complications, 16 of 20 extremely low-birth-weight infants (80%) showed development within the normal range at one year of age, although with delay in some areas in comparison with full-term control infants. Follow-up into preschool and school age is in progress. We cautiously suggest that the results at the one year follow-up do indicate a possible favourable long-term outcome for many of these extremely low-birth-weight infants with normal cognitive development and with no major neurological sequelae.
K Stjernqvist; N W Svenningsen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  82     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-04-19     Completed Date:  1993-04-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  40-4     Citation Subset:  IM    
Department of Paediatrics, University Hospital, Lund, Sweden.
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MeSH Terms
Cerebral Hemorrhage / complications
Follow-Up Studies
Infant, Low Birth Weight / growth & development*
Infant, Newborn
Infant, Premature / growth & development*
Prospective Studies

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