An Evidentiary Review Regarding the Use of Chronological and Adjusted Age in the Assessment of Preterm Infants

D’Agostino, Jo Ann

doi:10.1111/j.1744-6155.2009.00215.x

Cited by 30 publications

(15 citation statements)

References 24 publications

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“…1,8,[12][13][14][15] Basing our hypothesis on previous results, we suggest that either performances of infants born preterm follow the same developmental patterns found in term children, or the differing levels of development in infants born preterm in the individually considered cognitive, language, and motor domains may indicate that their developmental patterns vary from those of infants born at term. 1,8,[12][13][14][15] Basing our hypothesis on previous results, we suggest that either performances of infants born preterm follow the same developmental patterns found in term children, or the differing levels of development in infants born preterm in the individually considered cognitive, language, and motor domains may indicate that their developmental patterns vary from those of infants born at term.…”

supporting

confidence: 72%

“…The use of uncorrected age presents the opposite risk: that difficulties are postulated on non-existing developmental delays. 1,8,[12][13][14][15] Basing our hypothesis on previous results, we suggest that either performances of infants born preterm follow the same developmental patterns found in term children, or the differing levels of development in infants born preterm in the individually considered cognitive, language, and motor domains may indicate that their developmental patterns vary from those of infants born at term. We therefore compared the patterns of development in relation to their gestational age to see whether they overlap or whether they are discrepant.…”

supporting

confidence: 72%

“…5 Marlow, 6 among others, supports the use of corrected age as the most appropriate way to assess infants born preterm during the first year of life. 7,8 This approach is also supported by important institutions such as the American Academy of Pediatrics. [9][10][11] In the case of low-risk infants born preterm, the suggestion is to apply the correction only up to 1 year of age.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Age correction in cognitive, linguistic, and motor domains for infants born preterm: an analysis of the Bayley Scales of Infant and Toddler Development, Third Edition developmental patterns

Morsan

Fantoni

Tallandini

2018

Develop Med Child Neuro

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supporting

confidence: 72%

supporting

confidence: 72%

mentioning

confidence: 99%

See 1 more Smart Citation

Age correction in cognitive, linguistic, and motor domains for infants born preterm: an analysis of the Bayley Scales of Infant and Toddler Development, Third Edition developmental patterns

Morsan

Fantoni

Tallandini

2018

Develop Med Child Neuro

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“…13 Corrected age at testing was used to determine scoring categories. 17 Hearing and vision impairments were recorded from routine ophthalmology and audiology assessments beginning in the NICU and followed to 2 years of age. Standard-of-care hearing assessment was auditory brainstem response (ABR) testing for all children performed by certified audiologists.…”

Section: What This Study Addsmentioning

confidence: 99%

Abnormal sensory reactivity in preterm infants during the first year correlates with adverse neurodevelopmental outcomes at 2 years of age

Chorna

Solomon

Slaughter

et al. 2014

Arch Dis Child Fetal Neonatal Ed

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Background Sensory experience is the basis for learning in infancy. In older children, abnormal sensory reactivity is associated with behavioural and developmental disorders. We hypothesised that in preterm infants, abnormal sensory reactivity during infancy would be associated with perinatal characteristics and correlate with 2-year neurodevelopmental outcomes. Methods We conducted a prospective observational study of infants with birth weight ≤1500 g using the Test of Sensory Function in Infants (TSFI) in the first year. Infants with gestational age ≤30 weeks were tested with the Bayley Scales of Infant and Toddler Development III (BSID III) at 24 months. Results Of the 72 participants evaluated at 4–12 months corrected age (median 8 months), 59 (82%) had a least one TSFI score concerning for abnormal sensory reactivity. Lower gestational age was associated with abnormal reactivity to deep pressure and vestibular stimulation (p<0.001). Poor ocular-motor control predicted worse cognitive and motor scores in early childhood (OR 16.7; p=0.004), but was tightly correlated to the presence of severe white matter injury. Poor adaptive motor function in response to tactile stimuli predicted worse BSID III motor (p=0.01) and language scores (p=0.04) at 2 years, even after adjusting for confounders. Conclusions Abnormal sensory reactivity is common in preterm infants; is associated with immaturity at birth, severe white matter injury and lower primary caregiver education; and predicts neurodevelopmental delays. Early identification of abnormal sensory reactivity of very preterm infants may promote parental support and education and may facilitate improved neurodevelopment.

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“…At 6, 12, 18, and 24 months corrected age, the BSID-III was administered by experienced testers (17). The BSID-III contains two main scales: The mental developmental index (MDI) and psychomotor developmental index (PDI).…”

Section: Methodsmentioning

confidence: 99%

Gestational age, not transient hyperthyrotropinemia impacts brain white matter diffusion tensor imaging in premature infants

et al. 2017

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Abstract. Transient hypothyroidism is common in premature infants and increases the risk of adverse neurodevelopmental outcomes. Thyroid hormone (TH) is involved in oligodendrocyte development and myelination, however, whether transient hypothyroidism is associated with oligodendrocyte dysplasia and abnormal myelination is unclear. The aim of the present study was to investigate correlations among TH levels, neurodevelopmental outcomes and white matter (WM) microstructure in premature infants. The authors designed a cohort study recruiting 81 premature infants (age, 23-35 weeks). A total of 17 were born with a gestational age (GA) <30 weeks (early preterm group) and 64 of them were born with a GA ≥30 weeks (late preterm group). For outcome measurement, thyroid stimulating hormone (TSH) levels at 0, 18, and 24 h of admission were measured. Neurodevelopmental outcomes were assessed using Bayley III test. Diffusion tensor imaging was used to explore the characterization of WM microstructure. The data demonstrated that GA, however not TSH level was associated with neurodevelopmental outcomes in the following 2 years. Fractional anisotrophy (FA) increased with TSH0 levels over anterior limb of internal capsule, while axial diffusivity decreased with TSH0 levels over splenium of corpus callosum (CC). The late preterm group had more intact WM integrity over the internal and external capsule (EC) in FA compared with the early preterm group. Infants with motor dysfunction had significantly increased mean diffusivity (MD) values at regions of interest in the genu and splenium of CC.The results of the present study demonstrated that GA, however not transient hypothyroidism influenced neurodevelopmental outcomes in the premature infants. FA increased with age in a regionally-specific manner over regions of the internal capsule and EC. MD may act as a potential predictor for motor function in premature babies.

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An Evidentiary Review Regarding the Use of Chronological and Adjusted Age in the Assessment of Preterm Infants

Cited by 30 publications

References 24 publications

Age correction in cognitive, linguistic, and motor domains for infants born preterm: an analysis of the Bayley Scales of Infant and Toddler Development, Third Edition developmental patterns

Age correction in cognitive, linguistic, and motor domains for infants born preterm: an analysis of the Bayley Scales of Infant and Toddler Development, Third Edition developmental patterns

Abnormal sensory reactivity in preterm infants during the first year correlates with adverse neurodevelopmental outcomes at 2 years of age

Gestational age, not transient hyperthyrotropinemia impacts brain white matter diffusion tensor imaging in premature infants

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