Gestational Age, Health, and Educational Outcomes in Adolescents
| Autor: | Kate Rowe, Mary J. Berry, Tim Foster, Bridget Robson, Nevil Pierse, Oliver Robertson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Adolescent Child Welfare Gestational Age Special education Cohort Studies 03 medical and health sciences Child Development 0302 clinical medicine 030225 pediatrics Humans Medicine 030212 general & internal medicine Child Survival rate National data Retrospective Studies Full Term 030219 obstetrics & reproductive medicine business.industry Extremely preterm Infant Newborn Infant Obstetrics and Gynecology Gestational age Retrospective cohort study General Medicine Child development Hospitalization Survival Rate Child Preschool Education Special Pediatrics Perinatology and Child Health Cohort Educational Status Gestation Female business Infant Premature New Zealand Demography Cohort study |
| Zdroj: | Pediatrics. 142 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.2018-1016 |
| Popis: | BACKGROUND AND OBJECTIVES: As outcomes for extremely premature infants improve, up-to-date, large-scale studies are needed to provide accurate, contemporary information for clinicians, families, and policy makers. We used nationwide New Zealand data to explore the impact of gestational age on health and educational outcomes through to adolescence. METHODS: We performed a retrospective cohort study of all births in New Zealand appearing in 2 independent national data sets at 23 weeks' gestation or more. We report on 2 separate cohorts: cohort 1, born January 1, 2005 to December 31, 2015 (613 521 individuals), used to study survival and midterm health and educational outcomes; and cohort 2, born January 1, 1998 to December 31, 2000, and surviving to age 15 years (146 169 individuals), used to study high school educational outcomes. Outcomes described by gestational age include survival, hospitalization rates, national well-being assessment outcomes at age 4 years, rates of special education support needs in primary school, and national high school examination results. RESULTS: Ten-year survival increased with gestational age from 66% at 23 to 24 weeks to >99% at term. All outcomes measured were strongly related to gestational age. However, most extremely preterm children did not require special educational support and were able to sit for their national high school examinations. CONCLUSIONS: Within a publicly funded health system, high-quality survival is achievable for most infants born at periviable gestations. Outcomes show improvement with gestational ages to term. Outcomes at early-term gestation are poorer than for children born at full term. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|