Details

Autor(en) / Beteiligte

• Leversen, Katrine Tyborg
• Sommerfelt, Kristian
• Elgen, Irene Bircow
• Eide, Geir Egil
• Irgens, Lorentz M
• Júlíusson, Pétur B
• Markestad, Trond

Titel

Prediction of outcome at 5 years from assessments at 2 years among extremely preterm children: A Norwegian national cohort study

Ist Teil von

• Acta Paediatrica, 2012-03, Vol.101 (3), p.264-270

Ort / Verlag

Oxford, UK: Blackwell Publishing Ltd

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• Aim:  To examine the predictive value of early assessments on developmental outcome at 5 years in children born extremely preterm. Methods:  This is a prospective observational study of all infants born in Norway in 1999–2000 with gestational age (GA) <28 weeks or birth weight (BW) <1000 g. At 2 years of age, paediatricians assessed mental and motor development from milestones. At 5 years, parents completed questionnaires on development and professional support before cognitive function was assessed with Wechsler Preschool and Primary Scale of Intelligence‐Revised (WPPSI‐R) and motor function with the Movement Assessment Battery for children (ABC test). Results:  Twenty‐six of 373 (7%) children had cerebral palsy at 2 and 29 of 306 (9%) children at 5 years. Of children without major impairments, 51% (95% CI 35–67) of those with and 22% (95% CI 16–28) without mental delay at 2 years had IQ <85 at 5 years, and 36% (95% CI 20–53 with and 16% (95% CI 11–21) without motor delay at 2 years had an ABC score >95th percentile (poor function). Approximately half of those without major impairments but IQ <85 or ABC score >95th percentile had received support or follow‐up beyond routine primary care. Conclusion:  Previous assessments had limited value in predicting cognitive and motor function at 5 years in these extremely preterm children without major impairments.