Outpatient Follow-up Status and Neurodevelopmental Outcomes of Extremely Low Birth Weight Infants.
10.5385/jksn.2012.19.1.17
- Author:
Suyeong KIM
1
;
In Gu SONG
;
Kyu lee KIM
;
Yoon Joo KIM
;
Seung Han SHIN
;
Seung Hyun LEE
;
Jae Myung LEE
;
Juyoung LEE
;
Jin A SOHN
;
Hyun Ju LEE
;
Jin A LEE
;
Chang Won CHOI
;
Ee Kyung KIM
;
Han Suk KIM
;
Byeong Il KIM
;
Jung Hwan CHOI
Author Information
1. Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea. kimek@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Outcome assessment;
Growth & development;
Infant;
Extremely low birth weight
- MeSH:
Birth Weight;
Blindness;
Cerebral Palsy;
Deafness;
Follow-Up Studies;
Hemorrhage;
Humans;
Hydrocephalus;
Infant;
Infant, Low Birth Weight;
Infant, Newborn;
Intensive Care, Neonatal;
Leukomalacia, Periventricular;
Outpatients;
Pregnancy;
Retrospective Studies;
Risk Factors;
Survivors;
Weights and Measures
- From:Journal of the Korean Society of Neonatology
2012;19(1):17-25
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the follow-up status and neurodevelopmental outcomes of extremely low birth weight (ELBW) survivors at 18 months' corrected age (CA). METHOD: We performed a retrospective study of 130 ELBW infants admitted to neonatal intensive care unit of Seoul National University Children's Hospital between January 2005 and May 2009. The follow-up status and neurodevelopmental outcomes were evaluated until the CA of 18 months. The assessment of outcomes included cerebral palsy, cognitive developmental delay, blindness, deafness and catch-up growth. Clinical data were collected to identify the factors influencing neurodevelopmental disability. RESULTS: Of the 130 survivors at discharge, 122 (93.8%) participated in the follow-up at 18 months' CA. Study characteristics included a mean birth weight of 783 g and a mean gestation of 27 weeks. One hundred and eleven infants (85.4%) were evaluated for cerebral palsy (CP) and 11 (9.9%) were identified with CP. Eighty five infants (74.6%) were assessed with the Bayley Scales of Infant Development-III (BSID-III) at 8 months' CA and 2 (2.4%) had a cognitive scale <70. Fifty four infants (41.9%) were assessed with BSID-III at 18 months' CA and 2 (3.7%) had a cognitive scale <70. There were 2 (1.2%) cases of blindness and the case of deafness was not present in this study. The failure of catch-up growth was seen in 40 (32.8%) infants. Severe intraventricular hemorrhage, periventricular leukomalacia, hydrocephalus and shunt insertion were the most important risk factors for neurologic abnormality. CONCLUSION: In our institution, neurodevelopmental outcomes of ELBW survivors were comparable to recent reports from the USA. ELBW infants need to be monitored on multidisciplinary follow-up programs and more efforts should be made to improve the follow-up.
