Follow-up of pre-term infants: is correction of the developmental quotient for prematurity helpful?

Miller, Geoffrey; Dubowitz, Lilly; Palmer, Penelope

doi:10.1016/0378-3782(84)90094-x

Cited by 68 publications

(46 citation statements)

References 17 publications

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“…On the other hand, overdiagnosis of a developmental delay leads to unnecessary re f e rrals to therapeutic interventions, which in turn , creates unwarranted anxiety for the parents 19,21 . We observed that there was an overlap of chro n ological and corrected age mean scores confidence i n t e rvals at thirteen month of age (Fig 1), showing that, from this age onwards, correction for the deg ree of prematurity is no longer necessary.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the use of c h ronological age would underestimate the developmental pro g ress and there would be a higher rate of preterm infants reported as suspect, or functioning at a very low-average level, when they are in fact n o rmal, leading to undesirable parental anxiety and o v e r-re f e rral for stimulation pro g r a m s 9 , 1 6 , 1 7 , 1 9 -2 1 . In o rder to avoid unnecessary worries and to counterbalance the disadvantages of under and overe s t i m ation, some authors have suggested using both ages for developmental assessment 19,21 . During the last three decades, several standardized assessment tools, such as, Bayley Motor Scale of Infant Development 1 2 , 1 7 , 2 1 , Peabody Developmental Motor Scale 7 , 1 3 , 1 4 , Griffiths Motor Development Scal e s 8 , 1 9 , Gesell and Denver Developmental Scales 1 5 h a v e been used worldwide to assess at-risk pre t e rm infant g ross, fine motor, cognitive, social/emotional development for neurological disabilities.…”

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confidence: 99%

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Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

Restiffe

Gherpelli

2006

Arq. Neuro-Psiquiatr.

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-Objective: To evaluate the need of chronological age correction according to the degree of p re m a t u r i t y, when assessing gross motor development in pre t e rm infants, during the first year of life. Method: C o h o rt, observational and prospective study. Alberta Infant Motor Scale (AIMS) was used to evaluate 43 pre t e rm infants with low risk for motor neurological sequelae, during the first year of corre c t e d age. Mean scores were analyzed according to chronological and corrected ages. Children with motor neurological sequelae were excluded during follow-up. Results: G ross motor mean scores in pre t e rm infants tended to be higher when corrected age was used compared with those obtained when using chro n o l o gical age, during the first twelve months. At thirteen months of corrected age, an overlapping of confidence intervals between corrected and chronological ages was observed, suggesting that from that period onwards correction for the degree of prematurity is no longer necessary. Conclusion: Corrected age should be used for gross motor assessment in preterm infants during the first year of life.KEY WORDS: premature infant, low birth-weight infant, gestational age, motor activity.Comparação das idades cronológica e corrigida na avaliação motora grosseira de lactentes pré-termo com baixo risco no primeiro ano de vida RESUMO -Objetivo: Verificar a necessidade de corrigir a idade cronológica de acordo com o grau de prematuridade, na avaliação do desenvolvimento motor gro s s e i ro em recém-nascidos pré-termo, durante o p r i m e i ro ano de vida. Método: Estudo coorte, observacional e prospectivo. A Escala Motora Infantil de A l b e rta (AIMS) foi usada para avaliar 43 recém-nascidos pré-termos com baixo risco para lesão neuro l ó-gica motora durante o primeiro ano de vida. A média dos escores foi analisada segundo as idades corr i g idas e cronológicas. As crianças com seqüela motora neurológica foram excluídas durante o seguimento. Resultados: A média dos escores do desenvolvimento motor gro s s e i ro quando foi utilizada a idade corr i g ida tendeu a ser maior do que aqueles obtidos quando se utilizou a idade cronológica, durante os primeiro s 12 meses. Aos 13 meses de idade corrigida, foi observada sobreposição dos intervalos de confiança das médias dos escores entre as idades corrigidas e cronológicas, sugerindo que a partir deste período, a correção pelo índice de prematuridade não é mais necessária ao avaliar o desenvolvimento motor grosseiro de lactentes pré-term o . C o n c l u sã o: A idade corrigida deve ser usada na avaliação do desenvolvimento motor de recém-nascidos pré-termos durante o primeiro ano de vida. PALAVRAS-CHAVE: lactente pré-termo, lactente de baixo-peso, idade gestacional, atividade motora.Several pre and perinatal complications seen in p re t e rm infants are well known risk factors for the development of future neurological disabilities. The incidence of major disabilities is inversely related to b i rth weight and gestational age ranging from 20% to 40%, ...

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

Restiffe

Gherpelli

2006

Arq. Neuro-Psiquiatr.

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“…However, with a correction of the conceptual age, both preterm groups had a strong tendency towards normalization found in the results of their psychological tests. The value of using a corrected age has been questioned [6,15,17]. Perhaps a correction in some aspects balances preterm and term infants, but in others disguises behavioral problems diagnosed later as minor behavioral psychomotor deviations (PMD) [6,23].…”

Section: Discussionmentioning

confidence: 99%

Low risk vaginally born preterm infants: A four year psychological and neurodevelopmental follow-up study

Holmqvist¹,

Regefalk²,

Svenningsen³

1987

Journal of Perinatal Medicine

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“…Age of the child during HRQoL assessment was added as a covariate, because developmental differences in preschool children can be large. Since the parents were instructed to compare the quality of their child's life with that of peers of the same age, age was not corrected for weeks of gestation (Miller et al 1984, den-Ouden et al 1991. The motor functioning, social functioning, and communication scales were excluded from these canonical correlation analyses, because they were not relevant for children younger than 1.5 years of age (25% of our sample).…”

Section: Discussionmentioning

confidence: 99%

Quality of life in preschool children born preterm

Theunissen

Veen

Fekkes

et al. 2001

Develop Med Child Neuro

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The relationship of preterm birth to health‐related quality of life (HRQoL) was examined for children aged 1 to 4 years. Three gestational age groups with a NICU history were selected, <32 weeks (n=65), 32 to 36 weeks (n=41), ≥37 weeks (n=54), and a reference group from the open population (n=50). The main instrument was the TNO‐AZL Preschool Quality Of Life (TAPQOL) questionnaire, which was completed by the parents. In addition, other outcome measures obtained from parents or neonatologists were investigated. Children born <32 weeks had significantly lower HRQoL than the reference group in the scales for lungs, stomach, eating disorders, motor functioning, communication, and anxiety. Parental feelings towards the child were related to the child's HRQoL. We found differences between the neonatologists' and parents' perceptions of the children's situation, which can have clinical consequences (e.g. different opinions about what needed treatment). Neonatal intensive care after birth has HRQoL implications for all children, particularly in children born at <32 weeks of gestation.

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Follow-up of pre-term infants: is correction of the developmental quotient for prematurity helpful?

Cited by 68 publications

References 17 publications

Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

Low risk vaginally born preterm infants: A four year psychological and neurodevelopmental follow-up study

Quality of life in preschool children born preterm

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