| Functional outcomes and participation in young adulthood for very preterm and very low birth weight infants: the Dutch Project on Preterm and Small for Gestational Age Infants at 19 years of age. | |
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MedLine Citation:
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PMID: 17766499 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Young adults who were born very preterm or with a very low birth weight remain at risk for physical and neurodevelopmental problems and lower academic achievement scores. Data, however, are scarce, hospital based, mostly done in small populations, and need additional confirmation. METHODS: Infants who were born at < 32 weeks of gestation and/or with a birth weight of < 1500 g in The Netherlands in 1983 (Project on Preterm and Small for Gestational Age Infants) were reexamined at age 19. Outcomes were adjusted for nonrespondents using multiple imputation and categorized into none, mild, moderate, or severe problems. RESULTS: Of 959 surviving young adults, 74% were assessed and/or completed the questionnaires. Moderate or severe problems were present in 4.3% for cognition, 1.8% for hearing, 1.9% for vision, and 8.1% for neuromotor functioning. Using the Health Utility Index and the London Handicap Scale, we found 2.0% and 4.5%, respectively, of the young adults to have > or = 3 affected areas in activities and participation. Special education or lesser level was completed by 24%, and 7.6% neither had a paid job nor followed any education. Overall, 31.7% had > or = 1 moderate or severe problems in the assessed areas. CONCLUSIONS: A total of 12.6% of young adults who were born very preterm and/or with a very low birth weight had moderate or severe problems in cognitive or neurosensory functioning. Compared with the general Dutch population, twice as many young adults who were born very preterm and/or with a very low birth weight were poorly educated, and 3 times as many were neither employed nor in school at age 19. |
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Authors:
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Elysée T M Hille; Nynke Weisglas-Kuperus; J B van Goudoever; Gert W Jacobusse; Martina H Ens-Dokkum; Laila de Groot; Jan M Wit; Wil B Geven; Joke H Kok; Martin J K de Kleine; Louis A A Kollée; A L M Mulder; H L M van Straaten; Linda S de Vries; Mirjam M van Weissenbruch; S Pauline Verloove-Vanhorick; |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatrics Volume: 120 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-09-03 Completed Date: 2007-11-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: e587-95 Citation Subset: AIM; IM |
Affiliation:
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Division of Neonatology, Department of Pediatrics, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Cognition Disorders / epidemiology Disability Evaluation Education, Special / statistics & numerical data Educational Status Employment / statistics & numerical data Female Health Status Hearing Disorders / epidemiology Humans Infant, Newborn Infant, Premature* Infant, Premature, Diseases / epidemiology* Infant, Very Low Birth Weight* Longitudinal Studies Male Netherlands / epidemiology Psychomotor Performance Questionnaires Severity of Illness Index Vision Disorders / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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