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Prospective study of New Zealand very low birthweight infants: Outcome at 7-8 years
Objective: 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. Survi...
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| Published in: | Journal of paediatrics and child health 1997-02, Vol.33 (1), p.47-51 |
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| Main Authors: | , , , |
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| cites | cdi_FETCH-LOGICAL-c4667-4574049980c742a0c00d9b7d39728821d3deda873691a028c5b87ec0587d761f3 |
| container_end_page | 51 |
| container_issue | 1 |
| container_start_page | 47 |
| container_title | Journal of paediatrics and child health |
| container_volume | 33 |
| creator | DARLOW, BA HORWOOD, LJ MOGRIDGE, N CLEMETT, RS |
| description | Objective:
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 |
| doi_str_mv | 10.1111/j.1440-1754.1997.tb00990.x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78876080</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>78876080</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4667-4574049980c742a0c00d9b7d39728821d3deda873691a028c5b87ec0587d761f3</originalsourceid><addsrcrecordid>eNqVkF1v0zAUhiMEGmPwE5AshLhLOE4cf0ziYlQwQFNXKAhpN5ZjO8wlbYrtrM2_x1Wj3iJ8Y0vneX1ePVn2CkOB03m7KjAhkGNWkwILwYrYAAgBxf5Rdn4aPU5vqEhOOIan2bMQVgBQ1jU_y84EUAGEnGfLhe_D1uroHiwKcTAj6ls0tzt0Z1WnNgY9WD-irt-hxvl4v7Pu131EbtOqTQyX6HaIul9bpCJiOUejVT48z560qgv2xXRfZD8-fvg--5Tf3F5_nl3d5JpQynJSMwJECA6akVKBBjCiYaYSrOS8xKYy1ijOKiqwgpLruuHMaqg5M4zitrrI3hz_3fr-z2BDlGsXtO1SbdsPQTLOGQUO_wRTEYqTsgReHkGdrARvW7n1bq38KDHIg3q5kge_8uBXHtTLSb3cp_DLacvQrK05RSfXaf56mqugVdd6tdEunLCyFqKiNGHvjtjOdXb8jwLyy2JGWMrnx7wL0e5PeeV_S8oqVsuf82t5t_xaLpbvv8l59Rf_1K2v</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>57461175</pqid></control><display><type>article</type><title>Prospective study of New Zealand very low birthweight infants: Outcome at 7-8 years</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley-Blackwell Read & Publish Collection</source><creator>DARLOW, BA ; HORWOOD, LJ ; MOGRIDGE, N ; CLEMETT, RS</creator><creatorcontrib>DARLOW, BA ; HORWOOD, LJ ; MOGRIDGE, N ; CLEMETT, RS</creatorcontrib><description>Objective:
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.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/j.1440-1754.1997.tb00990.x</identifier><identifier>PMID: 9069044</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blindness - etiology ; cerebral palsy ; Child ; Cohort Studies ; Disabled Persons ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Follow-Up Studies ; Hearing Loss, Sensorineural - etiology ; Humans ; Infant, Newborn ; Infant, Premature ; Infant, Very Low Birth Weight ; Intelligence ; Intensive care medicine ; Medical sciences ; New Zealand ; New Zealand - epidemiology ; Outcomes ; Prospective Studies ; Retinopathy of Prematurity - complications ; sensorineural disability ; Sudden Infant Death ; sudden infant death syndrome ; Survival Rate ; Very low birth weight babies ; very low birthweight infants ; Wechsler Scales</subject><ispartof>Journal of paediatrics and child health, 1997-02, Vol.33 (1), p.47-51</ispartof><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4667-4574049980c742a0c00d9b7d39728821d3deda873691a028c5b87ec0587d761f3</citedby><cites>FETCH-LOGICAL-c4667-4574049980c742a0c00d9b7d39728821d3deda873691a028c5b87ec0587d761f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,31000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2599366$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9069044$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DARLOW, BA</creatorcontrib><creatorcontrib>HORWOOD, LJ</creatorcontrib><creatorcontrib>MOGRIDGE, N</creatorcontrib><creatorcontrib>CLEMETT, RS</creatorcontrib><title>Prospective study of New Zealand very low birthweight infants: Outcome at 7-8 years</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>Objective:
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.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blindness - etiology</subject><subject>cerebral palsy</subject><subject>Child</subject><subject>Cohort Studies</subject><subject>Disabled Persons</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Follow-Up Studies</subject><subject>Hearing Loss, Sensorineural - etiology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Very Low Birth Weight</subject><subject>Intelligence</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>New Zealand</subject><subject>New Zealand - epidemiology</subject><subject>Outcomes</subject><subject>Prospective Studies</subject><subject>Retinopathy of Prematurity - complications</subject><subject>sensorineural disability</subject><subject>Sudden Infant Death</subject><subject>sudden infant death syndrome</subject><subject>Survival Rate</subject><subject>Very low birth weight babies</subject><subject>very low birthweight infants</subject><subject>Wechsler Scales</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqVkF1v0zAUhiMEGmPwE5AshLhLOE4cf0ziYlQwQFNXKAhpN5ZjO8wlbYrtrM2_x1Wj3iJ8Y0vneX1ePVn2CkOB03m7KjAhkGNWkwILwYrYAAgBxf5Rdn4aPU5vqEhOOIan2bMQVgBQ1jU_y84EUAGEnGfLhe_D1uroHiwKcTAj6ls0tzt0Z1WnNgY9WD-irt-hxvl4v7Pu131EbtOqTQyX6HaIul9bpCJiOUejVT48z560qgv2xXRfZD8-fvg--5Tf3F5_nl3d5JpQynJSMwJECA6akVKBBjCiYaYSrOS8xKYy1ijOKiqwgpLruuHMaqg5M4zitrrI3hz_3fr-z2BDlGsXtO1SbdsPQTLOGQUO_wRTEYqTsgReHkGdrARvW7n1bq38KDHIg3q5kge_8uBXHtTLSb3cp_DLacvQrK05RSfXaf56mqugVdd6tdEunLCyFqKiNGHvjtjOdXb8jwLyy2JGWMrnx7wL0e5PeeV_S8oqVsuf82t5t_xaLpbvv8l59Rf_1K2v</recordid><startdate>199702</startdate><enddate>199702</enddate><creator>DARLOW, BA</creator><creator>HORWOOD, LJ</creator><creator>MOGRIDGE, N</creator><creator>CLEMETT, RS</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>199702</creationdate><title>Prospective study of New Zealand very low birthweight infants: Outcome at 7-8 years</title><author>DARLOW, BA ; HORWOOD, LJ ; MOGRIDGE, N ; CLEMETT, RS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4667-4574049980c742a0c00d9b7d39728821d3deda873691a028c5b87ec0587d761f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blindness - etiology</topic><topic>cerebral palsy</topic><topic>Child</topic><topic>Cohort Studies</topic><topic>Disabled Persons</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Follow-Up Studies</topic><topic>Hearing Loss, Sensorineural - etiology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infant, Very Low Birth Weight</topic><topic>Intelligence</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>New Zealand</topic><topic>New Zealand - epidemiology</topic><topic>Outcomes</topic><topic>Prospective Studies</topic><topic>Retinopathy of Prematurity - complications</topic><topic>sensorineural disability</topic><topic>Sudden Infant Death</topic><topic>sudden infant death syndrome</topic><topic>Survival Rate</topic><topic>Very low birth weight babies</topic><topic>very low birthweight infants</topic><topic>Wechsler Scales</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DARLOW, BA</creatorcontrib><creatorcontrib>HORWOOD, LJ</creatorcontrib><creatorcontrib>MOGRIDGE, N</creatorcontrib><creatorcontrib>CLEMETT, RS</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DARLOW, BA</au><au>HORWOOD, LJ</au><au>MOGRIDGE, N</au><au>CLEMETT, RS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective study of New Zealand very low birthweight infants: Outcome at 7-8 years</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>1997-02</date><risdate>1997</risdate><volume>33</volume><issue>1</issue><spage>47</spage><epage>51</epage><pages>47-51</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>Objective:
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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9069044</pmid><doi>10.1111/j.1440-1754.1997.tb00990.x</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1034-4810 |
| ispartof | Journal of paediatrics and child health, 1997-02, Vol.33 (1), p.47-51 |
| issn | 1034-4810 1440-1754 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley-Blackwell Read & Publish Collection |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blindness - etiology cerebral palsy Child Cohort Studies Disabled Persons Emergency and intensive care: neonates and children. Prematurity. Sudden death Follow-Up Studies Hearing Loss, Sensorineural - etiology Humans Infant, Newborn Infant, Premature Infant, Very Low Birth Weight Intelligence Intensive care medicine Medical sciences New Zealand New Zealand - epidemiology Outcomes Prospective Studies Retinopathy of Prematurity - complications sensorineural disability Sudden Infant Death sudden infant death syndrome Survival Rate Very low birth weight babies very low birthweight infants Wechsler Scales |
| title | Prospective study of New Zealand very low birthweight infants: Outcome at 7-8 years |
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