Neurological and developmental disabilities in ELBW and VLBW: follow-up at 2 years of age

Journal of Perinatology : Official Journal of the California Perinatal Association
B Stoinska, J Gadzinowski

Abstract

To establish the prevalence of neurodevelopmental disabilities among premature infants born in western Poland. From 1999 to 2003, 640 extremely low birth weight (ELBW) and 777 very low birth weight (VLBW) infants were admitted to the tertiary care center in Poland. Discharged home were 302 and 671 of them, respectively. At 2 years corrected age, 165 ELBW and 285 VLBW children were diagnosed with neurosensory abnormality including cerebral palsy (CP) and evaluated with Bayley Scales of Infant Development II. Mental developmental index (MDI) score <70 was recorded in 104 children (23.1%). There were 75 (16.7%) cases of CP, 8 (1.7%) deafness/hearing loss, 22 (4.8%) blindness and 14 (3.1%) of epilepsy. Patients with abnormal neurosensory status had significantly lower MDI compared with those with normal development (83.8±9 vs 54.7±10). Severe intraventricular haemorrhage, periventricular leucomalacia, ventricular dilatation and hydrocephalus were the most important risk factors for neurologic abnormality. Severe disability is more common among ELBW compared with VLBW infants and remains a major challenge for health-care providers.

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Citations

Sep 16, 2011·The Journal of Investigative Dermatology·Xinaida T LimaAlexandra B Kimball
Dec 4, 2012·Journal of Paediatrics and Child Health·Asfarina ZanudinLeith Poulsen
Sep 9, 2015·Frontiers in Psychology·Paola SalvatoriElena Trombini
Dec 18, 2013·Journal of Child Neurology·Chun PanJames W Hardin
May 17, 2017·Jornal de pediatria·Rubia do N FuentefriaRenato S Procianoy
Mar 28, 2013·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Charlene DeuberMary Terhaar
Jan 21, 2020·Pediatrics International : Official Journal of the Japan Pediatric Society·Taketoshi YoshidaFukiko Ichida
Mar 27, 2012·Maternal and Child Health Journal·Joanne SalasJen Jen Chang
Mar 12, 2019·American Journal of Obstetrics and Gynecology·Haruo UsudaMatthew W Kemp
Jul 22, 2021·The Journal of International Medical Research·Sujata P SardaCsaba Siffel
Jul 15, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Tahereh BahmaniSalman Daliri
Aug 30, 2021·Journal of Pediatric Nursing·Jenifer Palomo-OsunaEva María Padilla-Muñoz

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