Document Detail


Five-year-follow-up of very low birthweight infants: neurological and psychological outcome.
MedLine Citation:
PMID:  7678787     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
All surviving infants with birthweight < or = 1500 g born in 1982 and 1983 at St. James's University Hospital, Leeds, were followed up for 5 years. There were 88 survivors (including 5 in utero transfers) from the original cohort of 126 infants. In their fifth year the following assessments were made: neurological, audiological, intellectual, behavioural, growth and general health. A comparison group of full-term male infants was also studied with respect to intellectual status, social and emotional behaviour and general health. Principal neurological impairments found were: cerebral palsy 9 (10.2%), hydrocephalus 1 (1.1%), epilepsy 2 (2.3%) and sensorineural deafness 2 (2.3%). One third of the VLBW children required the services of the child development centre. Seventy-nine of the 88 VLBW children were tested with the WPPSI. Seven (8.8%) scored below 70. The VLBW boys had mean IQ scores of 90.6 while the mean for the girls was 100.2. The very low birthweight boys were significantly intellectually impaired compared with their peers. Socially and emotionally they were largely comparable with their full-term peers. The findings suggest that there has been no increase in severe disability following a policy of active neonatal intensive care. However, the quality of survival of VLBW children born in the 1980s, despite improvements in perinatal care, remains a major concern.
Authors:
S H Roussounis; P A Hubley; P R Dear
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Child: care, health and development     Volume:  19     ISSN:  0305-1862     ISO Abbreviation:  Child Care Health Dev     Publication Date:    1993 Jan-Feb
Date Detail:
Created Date:  1993-03-04     Completed Date:  1993-03-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7602632     Medline TA:  Child Care Health Dev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  45-59     Citation Subset:  IM    
Affiliation:
Regional Child Development Centre, St. Jame's University Hospital, Leeds, UK.
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MeSH Terms
Descriptor/Qualifier:
Cerebral Palsy / diagnosis
Child, Preschool
Developmental Disabilities / diagnosis*
Educational Status
Female
Follow-Up Studies
Gestational Age
Humans
Infant, Low Birth Weight / growth & development*,  psychology*
Infant, Newborn
Intelligence Tests
Male
Mothers
Social Class
Wechsler Scales

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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