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Wolverhampton Intellectual Repository and E-Theses > School of Health & Wellbeing > Centre for Health and Social Care Improvement > Neurobehavioral assessment predicts differential outcome between VLBW and ELBW preterm infants.

Please use this identifier to cite or link to this item: http://hdl.handle.net/2436/16713
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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.
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
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.
Type: Article
Language: en
Description: Metadata only. Full text available at links above.
MeSH: Birth Weight
Brain Damage, Chronic
Cerebral Palsy
Cohort Studies
Developmental Disabilities
Female
Follow-Up Studies
Gestational Age
Humans
Infant
Infant Behavior
Infant, Newborn
Infant, Premature, Diseases
Infant, Very Low Birth Weight
Male
Neurologic Examination
Psychomotor Disorders
Reproducibility of Results
Risk
ISSN: 0743-8346
Appears in Collections: Centre for Health and Social Care Improvement

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