Hand Function at 18-22 Months Is Associated with School-Age Manual Dexterity and Motor Performance in Children Born Extremely Preterm

Duncan, Andrea F.; Bann, Carla; Maitre, Nathalie L.; Peralta‐Carcelen, Myriam; Hintz, Susan R.

doi:10.1016/j.jpeds.2020.05.048

Cited by 7 publications

(6 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only 1 study explored behavioral outcomes up to 3 years after WMI, and 3 explored speech and language outcomes. 21 , 33 , 38 , 49 Lean 2019 and Sarkar 2018 both reported a higher crude risk of language impairment after WMI. Lean 2019 reported a higher crude risk after IVH grade 3 to 4 or posthemorrhagic hydrocephalus or cPVL OR 2.53, which did not persist on adjusting for confounders.…”

Section: Resultsmentioning

confidence: 98%

Preterm Brain Injury and Neurodevelopmental Outcomes: A Meta-analysis

et al. 2022

View full text Add to dashboard Cite

CONTEXT: Preterm brain injuries are common; neurodevelopmental outcomes following contemporary neonatal care are continually evolving. OBJECTIVE: To systematically review and meta-analyze neurodevelopmental outcomes among preterm infants after intraventricular hemorrhage (IVH) and white matter injury (WMI). DATA SOURCES: Published and gray literature were searched across 10 databases between 2000 and 2021. STUDY SELECTION: Observational studies reporting 3-year neurodevelopmental outcomes for preterm infants with IVH or WMI compared with preterm infants without injury. DATA EXTRACTION: Study characteristics, population characteristics, and outcome data were extracted. RESULTS: Thirty eight studies were included. There was an increased adjusted risk of moderate-severe neurodevelopmental impairment after IVH grade 1 to 2 (adjusted odds ratio 1.35 [95% confidence interval 1.05–1.75]) and IVH grade 3 to 4 (adjusted odds ratio 4.26 [3.25–5.59]). Children with IVH grade 1 to 2 had higher risks of cerebral palsy (odds ratio [OR] 1.76 [1.39–2.24]), cognitive (OR 1.79 [1.09–2.95]), hearing (OR 1.83 [1.03–3.24]), and visual impairment (OR 1.77 [1.08–2.9]). Children with IVH grade 3 to 4 had markedly higher risks of cerebral palsy (OR 4.98 [4.13–6.00]), motor (OR 2.7 [1.52–4.8]), cognitive (OR 2.3 [1.67–3.15]), hearing (OR 2.44 [1.42–4.2]), and visual impairment (OR 5.42 [2.77–10.58]). Children with WMI had much higher risks of cerebral palsy (OR 14.91 [7.3–30.46]), motor (OR 5.3 [3–9.36]), and cognitive impairment (OR 3.48 [2.18–5.53]). LIMITATIONS: Heterogeneity of outcome data. CONCLUSIONS: Mild IVH, severe IVH, and WMI are associated with adverse neurodevelopmental outcomes. Utilization of core outcome sets and availability of open-access study data would improve our understanding of the nuances of these outcomes.

show abstract

Section: Resultsmentioning

confidence: 98%

Preterm Brain Injury and Neurodevelopmental Outcomes: A Meta-analysis

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Second, in GEE analysis that included a set of the most discriminating readiness measures from each of the five domains as predictors of group membership, motor ability discriminated the groups independently of other measures of readiness. These results underscore motor skills as a critical domain in assessment of readiness [4,10,63,64], and suggest that, at least for females, some socioemotional aspects of school readiness may be affected independently of their cognitive competencies.…”

Section: Discussionmentioning

confidence: 73%

School Readiness in 4-Year-Old Very Preterm Children

et al. 2022

Self Cite

View full text Add to dashboard Cite

The aims of this study were to identify the aspects of school readiness that best distinguish very preterm (VPT) preschoolers from full-term (FT) controls, determine the extent to which readiness problems in the VPT group reflected global cognitive weaknesses or more specific deficits, and identify distinct profiles of readiness problems. Fifty-three VPT (gestational age ≤ 30 weeks) 4-year-olds were compared to 38 FT (gestational age ≥ 37 weeks) controls on measures of global cognitive ability, executive function, motor skills, early literacy and numeracy, and psychosocial functioning. Latent class analysis (LCA) was also conducted to identify individual readiness profiles. The VPT group had the most pronounced difficulties on tests of spatial and nonverbal cognitive abilities, executive function, motor skills, phonological processing, and numeracy. The VPT group also had sex-related difficulties in processing speed, social functioning, and emotion regulation. These differences were evident in analyses of both continuous scores and rates of deficits. The VPT group’s difficulties in motor skills, and VPT females’ difficulties in social functioning and emotion regulation, were evident even when controlling for global cognitive ability. LCA suggested four profiles of readiness, with the majority of the VPT group assigned to profiles characterized by relative weaknesses in either cognitive abilities or psychosocial functioning or by more global readiness problems. The findings support the need to evaluate multiple aspects of school readiness in VPT preschoolers and inform efforts to design more targeted early educational interventions.

show abstract

“…Whether this can this be accomplished during mostly non-standardized telehealth visits should be explored in the future. Additionally, specific assessments for, e.g., hand function deficits which are associated with school-age motor performance [15], cannot be performed in a telemedicine setting, hence, it seems that while telehealth offers new solutions, it really cannot replace the need for an actual patient encounter to provide the best care to high-risk premature infants.…”

Section: Discussionmentioning

confidence: 99%

“…Lastly, we attempted to obtain data from the Canadian neonatal network, which comprises a total of 10 provinces, by participating in sites by sharing a link to this survey with Canadian neonatal network coordinators [16,17], but we received responses from only five sites. A recent Canadian study by Albaghli et al [15] showed that care in Canada became more consistent after the formation of the Canadian Neonatal Follow-up Network (CNFUN) in 2010, with >90% of sites now providing Bayley-III at 18 months assessment. Although the data were specific to the pre-pandemic era, it will be interesting to see more extensive reporting from CNFUN on the impact and adaptations of their clinics due to the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Coronavirus Pandemic on High-Risk Infant Follow-Up (HRIF) Programs: A Survey of Academic Programs

et al. 2021

View full text Add to dashboard Cite

Objective: The impact of the COVID-19 pandemic on the functioning and services of academic high-risk infant follow-up (HRIF) clinics throughout North America. Study Design: Prospective 25-question questionnaire survey through REDCAP links that was sent over 10 weeks, to 105 US and 10 Canadian programs. Finally, 59 of 105 US programs and 5 of 10 Canadian responses were analyzed using SAS version 9.4. Results: In the US, 67% of programs reported closures between 1–5 months, whereas in Canada 80% of programs closed for 1–3 months. In the US 86% of programs provided telemedicine visits and only 42.5% provided multidisciplinary HRIF telemedicine visits. We enumerated innovative approaches specifically for the conduct of Telemedicine visits, the need for the standardization of various tests and services in a telemedicine setting, and to emphasize the urgent need for more government funding to improve follow-up and developmental services to this fragile group of newborns.

show abstract

Hand Function at 18-22 Months Is Associated with School-Age Manual Dexterity and Motor Performance in Children Born Extremely Preterm

Cited by 7 publications

References 37 publications

Preterm Brain Injury and Neurodevelopmental Outcomes: A Meta-analysis

Preterm Brain Injury and Neurodevelopmental Outcomes: A Meta-analysis

School Readiness in 4-Year-Old Very Preterm Children

Impact of the Coronavirus Pandemic on High-Risk Infant Follow-Up (HRIF) Programs: A Survey of Academic Programs

Contact Info

Product

Resources

About