A SIX-YEAR FOLLOW-UP OF <1000 g BIRTH-WEIGHT PREMATURES

Autor: Z. Katz, E Rom, M Lancet, Mogilner Bm, C Mogilner
Rok vydání: 1989
Předmět:
Zdroj: Pediatric Research. 26:513-513
ISSN: 1530-0447
0031-3998
DOI: 10.1203/00006450-198911000-00081
Popis: Between January 1980 and December 1985 a number of 28,975 live-born were delivered at Kaplan Hospital. The group of the very very low birth-weight infants (VVLBW) 501 to 1000g included 157. Fifty-four of them were discharged home. A survival of 10.4% (7/67) between 501-750g and 52.2% (47/90) between 751 and 1000g. During the first year after discharge 3 infants died. The mean weight of the consecutive 51 VVLBW infants enrolled in this study was 883g with a mean gestational age of 26.7 weeks. The developmental quotient (DQ) was determined according to Gesell's charts between 24 to 72 months of age. The outcome of the population was evaluated according to a “functional handicap” score, based on combined DQ, degree of cerebral palsy and sensorineural impairment. Functional handicaps were found in 21% of the survivors [11% moderate to severe, 10% mild). Our results correlated with the better survival prognosis for the 751 to 1000g group without significant rate of morbidity, among the survivors. The mean DQ of 90 and low rate of functional handicap among the survivors seems to justify the intensive care approach for this very high-risk population.
Databáze: OpenAIRE