Extremely preterm infants small for gestational age are at risk for motor impairment at 3years corrected age

Kato, Takeshi; Mandai, Tsurue; Iwatani, Sota; Koda, Tsubasa; Nagasaka, Miwako; Fujita, Kaori; Kurokawa, Daisuke; Yamana, Kazunari; Nishida, Kosuke; Taniguchi‐Ikeda, Mariko; Tanimura, Kenji; Deguchi, Masashi; Yamada, Hideto; Iijima, Kazumoto; Morioka, Ichiro

doi:10.1016/j.braindev.2015.07.008

Cited by 24 publications

(18 citation statements)

References 13 publications

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“…No impairment was defined as a DQ ≥80 and no hearing dysfunction; mild sequelae was defined as unilateral hearing dysfunction or a DQ of 70-79; and severe sequelae was defined as a DQ <70, bilateral hearing dysfunction requiring hearing aids, blindness or epilepsy requiring anti-epileptic drugs [10]. DQ was assessed using the Kyoto Scale of Psychological Development, the most commonly used method for determining developmental outcomes in Japan [17].…”

Section: Neurodevelopmental Outcomesmentioning

confidence: 99%

Prediction of poor neurological development in patients with symptomatic congenital cytomegalovirus diseases after oral valganciclovir treatment

Fukushima

Morioka

Ohyama

et al. 2019

Brain and Development

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Section: Neurodevelopmental Outcomesmentioning

confidence: 99%

Prediction of poor neurological development in patients with symptomatic congenital cytomegalovirus diseases after oral valganciclovir treatment

Fukushima

Morioka

Ohyama

et al. 2019

Brain and Development

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“…In the long term, other authors observed neurological development deficit in premature infants born SGA at the age of five years, in comparison to premature infants born AGA, and these deficit rates were mostly associated with microcephaly 5 However, the studies are controversial when they state that the condition of premature SGA birth increases the risks for problems in neuropsychomotor development in the short, medium or long term. 4 , 6 , 7 , 8 These studies assessed only preterm newborns (PT-NB) after reaching the age of term or after that, and there are not many investigations comparing the neurodevelopment of premature newborns SGA and AGA before they reach 37 weeks of postconceptional age.…”

Section: Introductionmentioning

confidence: 99%

Neurocomportamento De Bebês Nascidos Pré-Termo, Pequenos E Adequados Para a Idade Gestacional

Silva

Cunha

Linhares

et al. 2018

Rev. paul. pediatr.

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Objective: To compare the neurobehavioral development of preterm infants with postconceptional age between 32 and 36 weeks and 6 days, according to the adequacy of the weight for the gestational age at birth.Methods: A cross-sectional study was performed comparing two independent groups. The 55 preterm infants who were included in the sample were hospitalized in a neonatal intermediate care unit and were evaluated using the Neurobehavioral Assessment of the Preterm Infant (NAPI) at the postconceptional age between 32 and 36 weeks and 6 days and compared according to the adequacy of the weight for the gestational age. In addition to the comparison between the groups, infants who were born small for gestational age (SGA) and those ones adequate for gestational age (AGA) were also compared, considering the type of intrauterine growth. The following instruments were used: NAPI, anamnesis script, Brazilian Economic Classification Criteria, and medical records.Results: Infants were born with mean gestational age of 32.0 weeks, with the postconceptional age and postnatal age of 34.8 weeks and 19.5 days, respectively. The sample consisted of 55% of female infants. The results did not show any differences in NAPI domains between SGA and AGA groups, neither in the subgroups of SGA babies with symmetric or asymmetric growth.Conclusions: There was no difference between SGA and AGA babies in relation to neurobehavioral development evaluated before reaching term.

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“…Az intrauterin retardáció (small for gestational age, SGA) fejlődésre gyakorolt hatásáról ellentmondásosak a kutatások. Kato és mtsai az SGA negatív hatását csak a 28. gesztációs hétnél korábban született koraszülöttek esetében találták jelentősnek [33], míg Gortner kutatócsoportja nem talált különbséget az SGA-és nem SGA-csoport között [34]. Fontos befolyásoló tényezőnek bizonyult a nem szerepe, amely a fiúk hátrányát mutatta [27,28,35,36], illetve a család szocioökonómiai státusza is [29], ahol az anya magasabb iskolai végzettségét jelölik meg kedvezőbb feltételként [18,28,34].…”

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Az extrém kis születési súlyú koraszülöttek fejlődésének követése az óvodáskor végéig a perinatalis szövődmények tükrében

et al. 2018

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Introduction: Owing to the rapid progress of the medical science and technology, the chances of survival of the extremely low birth weight (<1000 g) preterm babies have dramatically improved. Nevertheless, the research findings on their long-term developmental outcome are inconsistent. Aim: Our study has attempted to contribute to the understanding of the developmental mechanisms in the extremely low birth weight preterm infants and to the prediction of the developmental outcomes taking into account of the risk factors of development. Method: 34 preterm children who were free of any major central nervous system injury were followed up from one to 5–6 years of age. The psychomotor development of the infants was assessed at 1 and 2 years of age and, at 5–6 years of age, intelligence tests were administered to the children. Perinatal and environmental factors were included in the data analysis. Results: The extremely low birth weight preterm children as a group displayed no developmental delay at any of the measurement points. The mean developmental quotients were 98.6 and 106.6 at ages 1 and 2 years, respectively. At 5–6 years of age, the mean verbal IQ was 101.4, while the mean performance IQ was 92.9. Behind the group means there was a wide range of individual variations. The most powerful contributors to the developmental outcomes were birth weight, bronchopulmonary dysplasia, intra-uterine growth retardation, gender, and maternal education. The girls had a significant advantage over the boys in language development. Verbal intelligence was hampered by intracranial hemorrhage, while intrauterine growth restriction had a similar effect on the performance IQ. Conclusions: Our results suggest that even the extremely preterm infants may have rather good chances of satisfactory mental development. However, the individual developmental prospects are influenced by a great number of domain-specific risk- and protective factors. Although at a group-level, infant psychomotor development is a significant predictor of later intelligence quotient, the rate of development may change at any age. The phenomenon of “moving risk” underscores the importance of the long-term follow-up of preterm infants. Orv Hetil. 2018; 159(41): 1672–1679.

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Extremely preterm infants small for gestational age are at risk for motor impairment at 3years corrected age

Cited by 24 publications

References 13 publications

Prediction of poor neurological development in patients with symptomatic congenital cytomegalovirus diseases after oral valganciclovir treatment

Prediction of poor neurological development in patients with symptomatic congenital cytomegalovirus diseases after oral valganciclovir treatment

Neurocomportamento De Bebês Nascidos Pré-Termo, Pequenos E Adequados Para a Idade Gestacional

Az extrém kis születési súlyú koraszülöttek fejlődésének követése az óvodáskor végéig a perinatalis szövődmények tükrében

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