A longitudinal study of very low-birthweight infants. I: study design and mortality rates / William H. KITCHEN in Developmental Medicine & Child Neurology, 20-5 (October 1978)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 20-5 (October 1978) . - p.605-618 Titre : A longitudinal study of very low-birthweight infants. I: study design and mortality rates Type de document : Texte imprimé et/ou numérique Auteurs : William H. KITCHEN, Auteur ; Margaret M. RYAN, Auteur ; Anne L. RICKARDS, Auteur ; E. GUADRY, Auteur ; A. M. BRENTON, Auteur ; F. A. BILLSON, Auteur ; D. W. FORTUNE, Auteur ; E. H. KEIR, Auteur ; E. E. LUNDAHL-HEGEDUS, Auteur Année de publication : 1978 Article en page(s) : p.605-618 Langues : Anglais (eng) Index. décimale : PER Périodiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483 [article] A longitudinal study of very low-birthweight infants. I: study design and mortality rates [Texte imprimé et/ou numérique] / William H. KITCHEN, Auteur ; Margaret M. RYAN, Auteur ; Anne L. RICKARDS, Auteur ; E. GUADRY, Auteur ; A. M. BRENTON, Auteur ; F. A. BILLSON, Auteur ; D. W. FORTUNE, Auteur ; E. H. KEIR, Auteur ; E. E. LUNDAHL-HEGEDUS, Auteur . - 1978 . - p.605-618. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 20-5 (October 1978) . - p.605-618 Index. décimale : PER Périodiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483

A longitudinal study of very low-birthweight infants. II: Results of controlled trial of intensive care and incidence of handicaps / William H. KITCHEN in Developmental Medicine & Child Neurology, 21-5 (October 1979)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 21-5 (October 1979) . - p.582-589 Titre : A longitudinal study of very low-birthweight infants. II: Results of controlled trial of intensive care and incidence of handicaps Type de document : Texte imprimé et/ou numérique Auteurs : William H. KITCHEN, Auteur ; Margaret M. RYAN, Auteur ; Anne L. RICKARDS, Auteur ; F. A. BILLSON, Auteur ; E. H. KEIR, Auteur ; A. B. MCDOUGALL, Auteur ; F. D. NAYLOR, Auteur Année de publication : 1979 Article en page(s) : p.582-589 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Between 1966 and 1970, infants with birthweights between 1000 and 1500g entered a randomized controlled trial to determine the short-term and long-term results of neonatal intensive care. Of 158 long-term survivors, five were lost to follow-up, but the multidisciplinary research team prospectively followed 143 children up to the age of eight years. Useful data were available for the other 10 children. Of the long-term survivors 74 had received routine, and 84 had received intensive nursery care. At eight years of age there were no statistically significant differences in the frequencies of a variety of individual abnormalities; fewer of the intensively managed children had cerebral palsy, but sensorineural deafness and ocular abnormalities occurred more frequently. Individual children were graded into four carefully defined groups: (a) profound handicap (4.4 per cent of entire study group); (b) severe handicap (10.1 per cent); (c) significant handicap (37.3 per cent); and (d) trivial or no handicap (41.8 per cent). Inadequate data were available for 6.3 per cent of the children. It was apparent that the improved survival attributed to intensive neonatal care was achieved at the expense of additional severely handicapped children, and this feature is discussed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500 [article] A longitudinal study of very low-birthweight infants. II: Results of controlled trial of intensive care and incidence of handicaps [Texte imprimé et/ou numérique] / William H. KITCHEN, Auteur ; Margaret M. RYAN, Auteur ; Anne L. RICKARDS, Auteur ; F. A. BILLSON, Auteur ; E. H. KEIR, Auteur ; A. B. MCDOUGALL, Auteur ; F. D. NAYLOR, Auteur . - 1979 . - p.582-589. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 21-5 (October 1979) . - p.582-589 Index. décimale : PER Périodiques Résumé : Between 1966 and 1970, infants with birthweights between 1000 and 1500g entered a randomized controlled trial to determine the short-term and long-term results of neonatal intensive care. Of 158 long-term survivors, five were lost to follow-up, but the multidisciplinary research team prospectively followed 143 children up to the age of eight years. Useful data were available for the other 10 children. Of the long-term survivors 74 had received routine, and 84 had received intensive nursery care. At eight years of age there were no statistically significant differences in the frequencies of a variety of individual abnormalities; fewer of the intensively managed children had cerebral palsy, but sensorineural deafness and ocular abnormalities occurred more frequently. Individual children were graded into four carefully defined groups: (a) profound handicap (4.4 per cent of entire study group); (b) severe handicap (10.1 per cent); (c) significant handicap (37.3 per cent); and (d) trivial or no handicap (41.8 per cent). Inadequate data were available for 6.3 per cent of the children. It was apparent that the improved survival attributed to intensive neonatal care was achieved at the expense of additional severely handicapped children, and this feature is discussed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500

A longitudinal study of very low-birthweight infants. IV: An overview of performance at eight years of age / William H. KITCHEN in Developmental Medicine & Child Neurology, 22-2 (April 1980)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 22-2 (April 1980) . - p.172-88 Titre : A longitudinal study of very low-birthweight infants. IV: An overview of performance at eight years of age Type de document : Texte imprimé et/ou numérique Auteurs : William H. KITCHEN, Auteur ; Margaret M. RYAN, Auteur ; Anne L. RICKARDS, Auteur ; F. A. BILLSON, Auteur ; E. H. KEIR, Auteur ; A. B. MCDOUGALL, Auteur ; F. D. NAYLOR, Auteur Année de publication : 1980 Article en page(s) : p.172-88 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : A cohort of 169 very low-birthweight infants (800 to 1500g) was followed prospectively to the age of eight years. Information on 159 of the children was available at that age, and for a further five to the age of six years. A comparison group of 67 normal-birthweight children was also followed, but only 43 of these children were seen at the age of eight years. Eight of the very low-birthweight (VLBW) children were attending special schools and 156 attended normal schools: placement of the remaining five was unknown. Of the VLBW children who were adequately assessed, 15.9 per cent were either not reading or were retarded by more than 18 months. Mean VLBW full-scale IQ was 88.8, compared with 98.8 for the normal-birthweight group. A subgroup of 10 VLBW children with birthweights under 1000g had lower mean scores on all three WISC-R scales compared with those with birthweights between 1000 and 1500g. Of the adequately assessed VLBW children, 3.7 per cent had epilepsy, 3.7 per cent had significant sensorineural deafness and 2.4 per cent suffered from cerebral palsy. One or more visual defects were detected in 31.4 per cent of the children, though in only 3.8 per cent was the defect serious. At eight years, growth dimensions for the VLBW children were below the 10th percentile for 11.0 per cent in weight, 16.1 per cent in height and 15.0 per cent in head circumference. Degrees of handicap in the VLBW children were profound in 5.1 per cent, severe in 10.8 per cent and significant in 40.5 per cent: handicap was minimal or absent in the remaining 43.6 per cent. For the normal-birthweight group the percentages were 2.3, 0, 25.6 and 72.1 respectively. The VLBW children with minimal or no handicap were considered to have a satisfactory outcome. This was significantly correlated with the following: gestation over 30 weeks; birthweight over 1199g; no major apnoeic attacks; lowest postnatal weight before six days; return to birth weight before 21 days; peak serum bilirubin not exceeding 255 mumol/litre; and parental social-class between 2 and 5 on the seven-point Congalton Scale. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=505 [article] A longitudinal study of very low-birthweight infants. IV: An overview of performance at eight years of age [Texte imprimé et/ou numérique] / William H. KITCHEN, Auteur ; Margaret M. RYAN, Auteur ; Anne L. RICKARDS, Auteur ; F. A. BILLSON, Auteur ; E. H. KEIR, Auteur ; A. B. MCDOUGALL, Auteur ; F. D. NAYLOR, Auteur . - 1980 . - p.172-88. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 22-2 (April 1980) . - p.172-88 Index. décimale : PER Périodiques Résumé : A cohort of 169 very low-birthweight infants (800 to 1500g) was followed prospectively to the age of eight years. Information on 159 of the children was available at that age, and for a further five to the age of six years. A comparison group of 67 normal-birthweight children was also followed, but only 43 of these children were seen at the age of eight years. Eight of the very low-birthweight (VLBW) children were attending special schools and 156 attended normal schools: placement of the remaining five was unknown. Of the VLBW children who were adequately assessed, 15.9 per cent were either not reading or were retarded by more than 18 months. Mean VLBW full-scale IQ was 88.8, compared with 98.8 for the normal-birthweight group. A subgroup of 10 VLBW children with birthweights under 1000g had lower mean scores on all three WISC-R scales compared with those with birthweights between 1000 and 1500g. Of the adequately assessed VLBW children, 3.7 per cent had epilepsy, 3.7 per cent had significant sensorineural deafness and 2.4 per cent suffered from cerebral palsy. One or more visual defects were detected in 31.4 per cent of the children, though in only 3.8 per cent was the defect serious. At eight years, growth dimensions for the VLBW children were below the 10th percentile for 11.0 per cent in weight, 16.1 per cent in height and 15.0 per cent in head circumference. Degrees of handicap in the VLBW children were profound in 5.1 per cent, severe in 10.8 per cent and significant in 40.5 per cent: handicap was minimal or absent in the remaining 43.6 per cent. For the normal-birthweight group the percentages were 2.3, 0, 25.6 and 72.1 respectively. The VLBW children with minimal or no handicap were considered to have a satisfactory outcome. This was significantly correlated with the following: gestation over 30 weeks; birthweight over 1199g; no major apnoeic attacks; lowest postnatal weight before six days; return to birth weight before 21 days; peak serum bilirubin not exceeding 255 mumol/litre; and parental social-class between 2 and 5 on the seven-point Congalton Scale. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=505

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