2.50
Hdl Handle:
http://hdl.handle.net/2436/16713
Title:
Neurobehavioral assessment predicts differential outcome between VLBW and ELBW preterm infants.
Authors:
Constantinou, Janet C.; Adamson-Macedo, Elvidina N.; Mirmiran, Majid; Ariagno, Ronald L.; Fleisher, Barry E.
Abstract:
OBJECTIVE: To evaluate the impact of birth weight on development of very low birth weight (VLBW) infants using the Neurobehavioral Assessment of the Preterm Infant (NAPI) before hospital discharge, and to show the relation to follow-up outcomes at 12, 18 and 30 months of age. STUDY DESIGN: In total, 113 preterm infants were assessed with the NAPI at 36 weeks postmenstrual age. Later, neurodevelopment was examined using the Bayley Infant Neurodevelopmental Screener (BINS) at 12 months and the Bayley Scales of Infant Development, at 18 and 30 months. The cohort was divided into two groups, based on birth weight, extremely low birth weight (ELBW) (<1000 g) and VLBW (1000 to 1500 g). RESULTS: ELBW infants showed significantly lower NAPI scores compared with VLBW infants at 36 weeks. The predischarge NAPI scores correlated with the 12, 18 and 30 months scores when the ELBW infants continue to have lower performance than the VLBW infants. In all, 14 infants developed cerebral palsy. These infants had significantly lower NAPI, BINS and Bayley scores compared with all other preterm infants. CONCLUSION: NAPI before discharge provides clinically meaningful information related to later neurodevelopmental outcome.
Citation:
Journal of Perinatology, 25(12): 788-93
Publisher:
Nature Publishing Group
Issue Date:
2005
URI:
http://hdl.handle.net/2436/16713
DOI:
10.1038/sj.jp.7211403
PubMed ID:
16292337
Additional Links:
http://www.nature.com/jp/journal/v25/n12/abs/7211403a.html
Type:
Article
Language:
en
Description:
Metadata only. Full text available at links above.
ISSN:
0743-8346
Appears in Collections:
Centre for Health and Social Care Improvement

Full metadata record

DC FieldValue Language
dc.contributor.authorConstantinou, Janet C.-
dc.contributor.authorAdamson-Macedo, Elvidina N.-
dc.contributor.authorMirmiran, Majid-
dc.contributor.authorAriagno, Ronald L.-
dc.contributor.authorFleisher, Barry E.-
dc.date.accessioned2008-01-23T15:26:38Z-
dc.date.available2008-01-23T15:26:38Z-
dc.date.issued2005-
dc.identifier.citationJournal of Perinatology, 25(12): 788-93en
dc.identifier.issn0743-8346-
dc.identifier.pmid16292337-
dc.identifier.doi10.1038/sj.jp.7211403-
dc.identifier.urihttp://hdl.handle.net/2436/16713-
dc.descriptionMetadata only. Full text available at links above.en
dc.description.abstractOBJECTIVE: To evaluate the impact of birth weight on development of very low birth weight (VLBW) infants using the Neurobehavioral Assessment of the Preterm Infant (NAPI) before hospital discharge, and to show the relation to follow-up outcomes at 12, 18 and 30 months of age. STUDY DESIGN: In total, 113 preterm infants were assessed with the NAPI at 36 weeks postmenstrual age. Later, neurodevelopment was examined using the Bayley Infant Neurodevelopmental Screener (BINS) at 12 months and the Bayley Scales of Infant Development, at 18 and 30 months. The cohort was divided into two groups, based on birth weight, extremely low birth weight (ELBW) (<1000 g) and VLBW (1000 to 1500 g). RESULTS: ELBW infants showed significantly lower NAPI scores compared with VLBW infants at 36 weeks. The predischarge NAPI scores correlated with the 12, 18 and 30 months scores when the ELBW infants continue to have lower performance than the VLBW infants. In all, 14 infants developed cerebral palsy. These infants had significantly lower NAPI, BINS and Bayley scores compared with all other preterm infants. CONCLUSION: NAPI before discharge provides clinically meaningful information related to later neurodevelopmental outcome.en
dc.language.isoenen
dc.publisherNature Publishing Groupen
dc.relation.urlhttp://www.nature.com/jp/journal/v25/n12/abs/7211403a.htmlen
dc.subject.meshBirth Weighten
dc.subject.meshBrain Damage, Chronicen
dc.subject.meshCerebral Palsyen
dc.subject.meshCohort Studiesen
dc.subject.meshDevelopmental Disabilitiesen
dc.subject.meshFemaleen
dc.subject.meshFollow-Up Studiesen
dc.subject.meshGestational Ageen
dc.subject.meshHumansen
dc.subject.meshInfanten
dc.subject.meshInfant Behavioren
dc.subject.meshInfant, Newbornen
dc.subject.meshInfant, Premature, Diseasesen
dc.subject.meshInfant, Very Low Birth Weighten
dc.subject.meshMaleen
dc.subject.meshNeurologic Examinationen
dc.subject.meshPsychomotor Disordersen
dc.subject.meshReproducibility of Resultsen
dc.subject.meshRisken
dc.titleNeurobehavioral assessment predicts differential outcome between VLBW and ELBW preterm infants.en
dc.typeArticleen

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