Improved outcome to two years of very low-birthweight infants: fact or artifact? / William H. KITCHEN in Developmental Medicine & Child Neurology, 28-5 (October 1986)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 28-5 (October 1986) . - p.579-588 Titre : Improved outcome to two years of very low-birthweight infants: fact or artifact? Type de document : Texte imprimé et/ou numérique Auteurs : William H. KITCHEN, Auteur ; Margaret M. RYAN, Auteur ; Anne L. RICKARDS, Auteur ; Geoffrey W. FORD, Auteur ; Jean V. LISSENDEN, Auteur ; Lex W. BOYLE, Auteur Année de publication : 1986 Article en page(s) : p.579-588 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : In 1966-70, the survival rate for very low-birthweight (VLBW) children born in a tertiary perinatal centre was 37.1 per cent but by 1980-82 it had increased to 68.3 per cent. The latter cohort had a significantly reduced prevalence of strabismus, myopia and a head circumference under the 10th percentile, but a significantly increased prevalence of cerebral palsy compared with the 1966-70 VLBW children. Survivors born in 1980-82 had a significantly increased mean Mental Development Index (MDI) on the Bayley Scales compared with the sub-group of survivors born in 1968-70 but there was also a significant improvement in mean MDI over time for a group of normal-birthweight children. No improvement of MDI scores of VLBW survivors in the 1980-82 cohort could be attributed solely to perinatal care. The two-year-old VLBW children in the 1980-82 cohort had similar rates of sensorineural impairments, disabilities and mean MDI to those who would have survived with the care available in 1966-70. It is concluded that survival of VLBW infants has improved in recent times but that neurodevelopmental outcome still lags behind that of normal-birthweight peers. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=618 [article] Improved outcome to two years of very low-birthweight infants: fact or artifact? [Texte imprimé et/ou numérique] / William H. KITCHEN, Auteur ; Margaret M. RYAN, Auteur ; Anne L. RICKARDS, Auteur ; Geoffrey W. FORD, Auteur ; Jean V. LISSENDEN, Auteur ; Lex W. BOYLE, Auteur . - 1986 . - p.579-588. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 28-5 (October 1986) . - p.579-588 Index. décimale : PER Périodiques Résumé : In 1966-70, the survival rate for very low-birthweight (VLBW) children born in a tertiary perinatal centre was 37.1 per cent but by 1980-82 it had increased to 68.3 per cent. The latter cohort had a significantly reduced prevalence of strabismus, myopia and a head circumference under the 10th percentile, but a significantly increased prevalence of cerebral palsy compared with the 1966-70 VLBW children. Survivors born in 1980-82 had a significantly increased mean Mental Development Index (MDI) on the Bayley Scales compared with the sub-group of survivors born in 1968-70 but there was also a significant improvement in mean MDI over time for a group of normal-birthweight children. No improvement of MDI scores of VLBW survivors in the 1980-82 cohort could be attributed solely to perinatal care. The two-year-old VLBW children in the 1980-82 cohort had similar rates of sensorineural impairments, disabilities and mean MDI to those who would have survived with the care available in 1966-70. It is concluded that survival of VLBW infants has improved in recent times but that neurodevelopmental outcome still lags behind that of normal-birthweight peers. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=618

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