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Neurodevelopmental Follow-up of Very Preterm Infants after Proactive Treatment at a Gestational Age of ≥23 Weeks
- Source :
- The Journal of Pediatrics. 152:771-776.e2
- Publication Year :
- 2008
- Publisher :
- Elsevier BV, 2008.
-
Abstract
- To determine the long-term neurodevelopmental outcome in extremely preterm infants after offering life support to all infantsor = 23 weeks gestation ("pro-active management").With parental consent, all infants born at 23 to 25 completed weeks gestation were treated proactively. Surviving infants born from July 1996 to June 1999 were assessed for standardized cognitive and neurological outcomes at 5 years corrected age.70 of 91 infants admitted to the neonatal intensive care unit survived until follow-up. 67 of the 70 surviving infants were examined at a median corrected age of 5.6 years; 12% had cerebral palsy and a Gross Motor Function Classification Scale score2; 4% were blind; 1% required a hearing aid; and 12% had a Kaufmann Assessment Battery for Children mental processing composite51, resulting in 18% sustaining a severe disability. 43% had normal results on a neurological examination, Gross Motor Function Classification Scale score = 0, mental processing composite85, and had neither severe visual nor hearing impairment. 57% qualified for regular schooling.Improved survival was not associated with an increased risk of severe disability when compared with results of earlier publications. These findings may result from proactive management and are important for counseling patients at risk of imminent extremely preterm delivery.
- Subjects :
- Male
Hearing aid
Pediatrics
medicine.medical_specialty
Time Factors
Neonatal intensive care unit
Developmental Disabilities
medicine.medical_treatment
Gestational Age
Cerebral palsy
medicine
Humans
Child
business.industry
Infant, Newborn
Gestational age
Prenatal Care
medicine.disease
Life Support Care
Very preterm
Treatment Outcome
Child, Preschool
Life support
Pediatrics, Perinatology and Child Health
Gestation
Female
Nervous System Diseases
Parental consent
business
Infant, Premature
Follow-Up Studies
Subjects
Details
- ISSN :
- 00223476
- Volume :
- 152
- Database :
- OpenAIRE
- Journal :
- The Journal of Pediatrics
- Accession number :
- edsair.doi.dedup.....c30ccddccb764a2a33093e37d68249e9
- Full Text :
- https://doi.org/10.1016/j.jpeds.2007.11.004