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Admissions of all gestations to a regional neonatal unit versus controls: 2-year outcome
- Source :
- Journal of Paediatrics and Child Health. 45:187-193
- Publication Year :
- 2009
- Publisher :
- Wiley, 2009.
-
Abstract
- To assess neurodevelopmental outcome at 2 years for neonatal intensive care unit (NICU) admissions compared with controls, and to trial a parent-reporting scheme.All infants admitted to the NICU at Christchurch Women's Hospital over a 12-month period and whose parents were domiciled in a defined geographical region were eligible for study, together with every eighth term infant not admitted (to a total of 300). Parents completed a two-page questionnaire on their child's 2nd birthday. All infants28 weeks gestation and a random 300 NICU admissions and 108 controls underwent a paediatric examination and Bayley II assessment at 2 years of age.A total of 387 NICU infants (86% eligible) and 306 controls were enrolled. At 2 years of age, 276 NICU infants (89% survivors) and 94 controls (87%) had some follow up. For infants of33 weeks, 33-36 weeks,or =37 weeks gestation and controls, the percentage1 SD below the mean on the Bayley Mental Development Index scales were 33.3, 36.5, 44.6 and 24.1, respectively (P= 0.03); on the Psychomotor Developmental Index scales were 30.0, 29.1, 41.1 and 19.5 (P= 0.02) and the percentage with any cerebral palsy were 11.1, 2.8, 5.2 and 1.2.At 2 years of age, NICU graduates have more developmental problems than controls across a range of measures. In many cases, term NICU graduates have the least favourable outcome. There was only moderate agreement between parents' reporting of moderate or severe developmental disability by means of a questionnaire, compared with professionals (kappa statistic 0.38), with parents tending to underestimate problems.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Neonatal intensive care unit
Developmental Disabilities
Cerebral palsy
Young Adult
Pregnancy
Risk Factors
Intensive Care Units, Neonatal
Surveys and Questionnaires
Outcome Assessment, Health Care
medicine
Humans
Young adult
Psychomotor learning
business.industry
Infant, Newborn
Infant
Infant, Low Birth Weight
medicine.disease
Pregnancy Complications
Treatment Outcome
Term Infant
Premature birth
Child, Preschool
Pediatrics, Perinatology and Child Health
Intensive Care, Neonatal
Premature Birth
Gestation
Female
business
Follow-Up Studies
New Zealand
Subjects
Details
- ISSN :
- 14401754 and 10344810
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Journal of Paediatrics and Child Health
- Accession number :
- edsair.doi.dedup.....a79b8a85538032e319b951f3af88f5e5
- Full Text :
- https://doi.org/10.1111/j.1440-1754.2008.01457.x