No change in neurodevelopment at 11 years after extremely preterm birth
| Autor: | Joan K Morris, Dieter Wolke, Jennifer Larsen, Neil Marlow, Marialivia Bernardi, Emmi Suonpera, Samantha Johnson, Rebecca Lancaster, Jayne Trickett, Yanyan Ni, John R. Hurst, Amanda Fahy |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty RJ Developmental Disabilities Gestational Age Severity of Illness Index National cohort Child Development Epidemiology Humans Medicine Reference population Longitudinal Studies Prospective Studies Neonatology Child Academic Success Intelligence quotient business.industry Extremely preterm Infant Newborn Infant Obstetrics and Gynecology General Medicine England Neurodevelopmental Disorders Child Preschool Infant Extremely Premature Pediatrics Perinatology and Child Health Cohort Premature Birth Gestation Female RG business |
| Zdroj: | Archives of Disease in Childhood - Fetal and Neonatal Edition. 106:418-424 |
| ISSN: | 1468-2052 1359-2998 |
| DOI: | 10.1136/archdischild-2020-320650 |
| Popis: | ObjectiveTo determine whether improvements in school age outcomes had occurred between two cohorts of births at 22–25 weeks of gestation to women residents in England in 1995 and 2006.DesignLongitudinal national cohort studies.SettingSchool-based or home-based assessments at 11 years of age.ParticipantsEPICure2 cohort of births at 22–26 weeks of gestation in England during 2006: a sample of 200 of 1031 survivors were evaluated; outcomes for 112 children born at 22–25 weeks of gestation were compared with those of 176 born in England during 1995 from the EPICure cohort. Classroom controls for each group acted as a reference population.Main outcome measuresStandardised measures of cognition and academic attainment were combined with parent report of other impairments to estimate overall neurodevelopmental status.ResultsAt 11 years in EPICure2, 18% had severe and 20% moderate impairments. Comparing births at 22–25 weeks in EPICure2 (n=112), 26% had severe and 21% moderate impairment compared with 18% and 32%, respectively, in EPICure. After adjustment, the OR of moderate or severe neurodevelopmental impairment in 2006 compared with 1995 was 0.76 (95% CI 0.45 to 1.31, p=0.32). IQ scores were similar in 1995 (mean 82.7, SD 18.4) and 2006 (81.4, SD 19.2), adjusted difference in mean z-scores 0.2 SD (95% CI −0.2 to 0.6), as were attainment test scores. The use of multiple imputation did not alter these findings.ConclusionImprovements in care and survival between 1995 and 2006 are not paralleled by improved cognitive or educational outcomes or a reduced rate of neurodevelopmental impairment. |
| Databáze: | OpenAIRE |
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