Early neurodevelopment in very low birth weight infants with mild intraventricular hemorrhage or those without intraventricular hemorrhage.
10.3345/kjp.2012.55.11.414
- Author:
Il Rak CHOI
1
;
Jang Hoon LEE
;
Moon Sung PARK
;
Ji Yeon KIM
;
Kyu Hee PARK
;
Gun Ha KIM
;
So Hee EUN
Author Information
1. Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.
- Publication Type:Original Article
- Keywords:
Infant premature;
Intracranial hemorrhages;
Growth & development
- MeSH:
Birth Weight;
Bronchopulmonary Dysplasia;
Ductus Arteriosus, Patent;
Hemorrhage;
Hospitalization;
Humans;
Infant;
Infant, Newborn;
Infant, Very Low Birth Weight;
Intracranial Hemorrhages;
Logistic Models;
Male;
Prevalence;
Weights and Measures
- From:Korean Journal of Pediatrics
2012;55(11):414-419
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to assess early development in very low birth weight (VLBW) infants with mild intraventricular hemorrhage (IVH) or those without IVH and to identify the perinatal morbidities affecting early neurodevelopmental outcome. METHODS: Bayley Scales of Infant Development-II was used for assessing neurological development in 49 infants with a birth weight <1,500 g and with low grade IVH (< or =grade II) or those without IVH at a corrected age of 12 months. RESULTS: Among the 49 infants, 19 infants (38.8%) showed normal development and 14 (28.6%) showed abnormal mental and psychomotor development. Infants with abnormal mental development (n=14) were mostly male and had a longer hospitalization, a higher prevalence of patent ductus arteriosus (PDA) and bronchopulmonary dysplasia (BPD), and were under more frequent postnatal systemic steroid treatment compared with infants with normal mental development (n=35, P<0.05). Infants with abnormal psychomotor development (n=29) had a longer hospitalization and more associated PDA compared to infants with normal psychomotor development (n=20, P<0.05). Infants with abnormal mental and psychomotor development were mostly male and had a longer hospitalization and a higher prevalence of PDA and BPD compared to infants with normal mental and psychomotor development (n=19, P<0.05). Using multiple logistic regression analysis, a longer duration of hospitalization and male gender were found to be significant risk factors. CONCLUSION: Approximately 62% of VLBW infants with low grade IVH or those without IVH had impaired early development.
