Prospective study of New Zealand very low birthweight infants: Outcome at 7–8 years |
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Authors: | BA DARLOW LJ HORWOOD N MOGRIDGE RS CLEMETT |
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Affiliation: | Departments of Paediatrics, Christchurch School of Medicine, Christchurch Hospital, Christchurch, New Zealand;Ophthalmology, Christchurch School of Medicine, Christchurch Hospital, Christchurch, New Zealand;The Christchurch Health and Development Study, Christchurch School of Medicine, Christchurch Hospital, Christchurch, New Zealand |
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Abstract: | To determine the survival and sensorineural outcome at 7–8 years in very low birthweight (VLBW) infants born in New Zealand in 1986. Methodology: In 1986 all VLBW New Zealand infants admitted to neonatal units were enrolled in a prospective study of acute retinopathy of prematurity. Surviving infants were traced and were assessed at a home visit. Parents were asked a comprehensive questionnaire, and children underwent a visual assessment including photorefraction and were tested with the Revised Wechsler Intelligence Scale for Children (WISC-R). Results: Four hundred and thirteen VLBW infants were admitted to neonatal units in 1986, 338 (81.8%) surviving to discharge. 12 children died after discharge, 17 were traced to overseas, seven declined to participate and four were untraced, leaving 298 (96% survivors resident in New Zealand) who were assessed at a mean age of 7.6 (± 0.4 years. 15 children (5.0%) had severe disability, 14 (4.7%) moderate disability, and 46 (15.4%) mild disability. Blindness (vision worse than 6/60) occurred in eight children (2.7%), deafness requiring aids in four (1.3%), any form of cerebral palsy in 17 (5.7%), and an IQ score on the WISC-R>1 SD below the mean in 62 (20.8%). There was no significant difference in outcome for children with birthweight <1000 g and 1000–1499 g. Conclusions: Long-term (7–8 year) survival and disability rates in this national cohort of VLBW infants is comparable with that reported from other populations. Although a majority of children have no disability a sizeable proportion do perform poorly on the WISC-R. This may relate in part to problems such as a short attention span and poor visual-motor integration. |
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Keywords: | cerebral palsy sensorineural disability sudden infant death syndrome very low birthweight infants |
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