Document Detail

Neuropsychological and functional outcomes of very low birth weight infants.
MedLine Citation:
PMID:  9205976     Owner:  NLM     Status:  MEDLINE    
Advances in perinatal and neonatal management have resulted in a significant increase in the survival of fragile extremely low birth weight (ELBW) infants > 1,000 g at birth. The evaluation and reporting of the outcome of these infants aids in assessing the efficacy of interventions, provides data to aid in policy decisions, and provides critical information for parents and primary care providers. Comprehensive assessment of multiple domains including neurologic/neurosensory, developmental-cognitive, visual perceptual, speech/language, motor, functional skills for daily living, and Kindergarten readiness permit a total view of the child within the context of the family. Survival of VLBW infants < 800 g has steadily improved from 0% (1943 to 1945) to 49% to 70% (1994 to 1995). Rates of cerebral palsy, mental retardation, blindness, and deafness have remained stable in the 1980s and 1990s. There is evidence, however, that the percent of functional limitations may be increasing. A requirement for Special Education Resources among VLBW infants remains high at 44% to 56%. As increasing numbers of infants at the limits of viability survive, the medical community must remain vigilant in its surveillance and advocate both humanistically and scientifically for comprehensive strategies that optimize long-term functional, academic, and family outcomes.
B R Vohr; M E Msall
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  21     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-08-21     Completed Date:  1997-08-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  202-20     Citation Subset:  IM    
Women and Infants' Hospital, Child Development Center of Rhode Island Hospital, Brown University School of Medicine, Providence 02905, USA.
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MeSH Terms
Child Development
Follow-Up Studies
Infant, Newborn
Infant, Very Low Birth Weight*
Nervous System Diseases / epidemiology
Neuropsychological Tests
Survival Rate
Treatment Outcome
Vision Disorders / epidemiology

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

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