Health-Related Quality of Life in 5-Year-Old Very Low Birth Weight Infants

Rautava, Liisi; Häkkinen, Unto; Korvenranta, Emmi; Andersson, Sture; Gissler, Mika; Hallman, Mikko; Korvenranta, Heikki; Leipälä, Jaana; Linna, Miika; Peltola, Mikko; Tammela, Outi; Lehtonen, Liisa

doi:10.1016/j.jpeds.2009.03.061

Cited by 33 publications

(40 citation statements)

References 27 publications

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“…Dos 38 artigos,35 foram publicados no idioma inglês e três em português [53][54][55] . Vinte e um estudos avaliaram as crianças nascidas pré-termo na fase pré-escolar [18][19][20][21][26][27][28][29][31][32][33]36,41,42,[44][45][46]48,51,55 , e 17 artigos, na fase escolar [23][24][25]30,34,35,[37][38][39][40]43 Os indicadores de desenvolvimento avaliados nos estudos foram classificados, na presente revisão, em globais e específicos. O indicador global refere-se à avaliação em conjunto de mais de uma área do desenvolvimento, resultando, por conseguinte, em uma abordagem mais abrangente do desenvolvimento infantil.…”

Section: Métodounclassified

“…Observa-se na Tabela 1 que, no total dos 38 estudos, o indicador de desenvolvimento mais prevalente foi a cognição [18][19][20][21][22]27,30,[33][34][35][36][37][38][39]43,46,47,49,[51][52][53] , seguido do desenvolvimento motor 19,20,[22][23][24][25][26][27][28][31][32][33]35,37,39,40,42,45,54 e do desenvolvimento neurossensorial 20,23,24,27,28,31,32,46,47,51,52,…”

Section: Características Dos Estudosunclassified

“…O indicador de desenvolvimento mais prevalente entre os estudos na fase pré-escolar foi o desenvolvimento motor 19,20,22,[25][26][27][28][31][32][33]42,45 , enquanto na fase escolar foi a cognição 30,34,35,[37][38][39]43,47,49,52,53 .…”

Section: Características Dos Estudosunclassified

Section: Qualidade De Vidaunclassified

“…A presença de malformação congênita foi o único fator de risco identificado com relação a menores índices de qualidade de vida 45 . Por outro lado, a maior idade gestacional, maior peso ao nascer e gestação múltipla mostraram-se como fatores de proteção da qualidade de vida futura dessas crianças 45 . Os estudos que analisaram a predição do desenvolvimento motor de crianças PTE na fase pré-escolar obtiveram como preditores variáveis biológicas pré-natais e neonatais, variáveis de desenvolvimento na primeira infância e variáveis sociais.…”

Section: Qualidade De Vidaunclassified

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Developmental outcomes and quality of life in children born preterm at preschool- and school-age

Vieira¹,

Linhares²

2011

J Pediatr (Rio J)

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Objective: To review literature published in the last 5 years on the effects of premature birth on the development and quality of life of preschool-and school-age children.Source: Systematic review of empirical studies published in the last 5 years and indexed on PubMed, MEDLINE, LILACS, SciELO and PsycINFO. Keywords were chosen that relate prematurity to developmental and quality of life outcomes. Summary of the findings:In the studies chosen, four global indicators of development were identified (neurological, neurodevelopment, executive functions and quality of life), in addition to seven specific indicators of development (cognition, motor function, behavior, language, academic performance, attention and memory). The most prevalent indicators were cognition and motor function. Premature children had worse performance in all developmental indicators than children born full term. Additionally, the younger the gestational age, the worse the performance in developmental indicator assessments. The studies identified both risk factors (lower birth weight, intraventricular hemorrhage and low maternal educational level) and protective factors (larger head circumference, breastfeeding and higher family income) for development of children born preterm. Conclusion ResumoObjetivo: Revisar a literatura publicada nos últimos 5 anos sobre o efeito do nascimento prematuro no desenvolvimento e qualidade de vida de crianças nas fases pré-escolar e escolar. Fonte dos dados:Revisão sistemática de estudos empíricos dos últimos 5 anos indexados nas bases de dados PubMed, MEDLINE, LILACS, SciELO e PsycINFO. Utilizaram-se palavras-chave que associaram a prematuridade aos desfechos de desenvolvimento e qualidade de vida. Síntese dos dados:Nos estudos, foram identificados quatro indicadores globais do desenvolvimento (neurológico, neurodesenvolvimento, funções executivas e qualidade de vida) e sete indicadores específicos do desenvolvimento (cognição, motor, comportamento, linguagem, desempenho escolar, atenção e memória). Os indicadores mais prevalentes foram cognição e motor. Os prematuros apresentaram pior desempenho em todos os indicadores de desenvolvimento quando comparados às crianças nascidas a termo. Além disso, quanto menor a idade gestacional, pior o desempenho nas avaliações dos indicadores de desenvolvimento. Verificou-se a presença de fatores de risco (menor peso ao nascer, hemorragia intraventricular e baixo nível educacional da mãe) e fatores de proteção (maior perímetro cefálico, aleitamento materno e maior renda familiar) do desenvolvimento de crianças nascidas pré-termo. Conclusão:Crianças nascidas com prematuridade extrema (≤ 30 semanas de idade gestacional) são vulneráveis para apresentar problemas no desenvolvimento e na qualidade de vida.J Pediatr (Rio J). 2011;87(4):281-291: Desenvolvimento infantil, qualidade de vida, prematuro.

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Section: Métodounclassified

Section: Características Dos Estudosunclassified

Section: Qualidade De Vidaunclassified

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Developmental outcomes and quality of life in children born preterm at preschool- and school-age

Vieira¹,

Linhares²

2011

J Pediatr (Rio J)

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Hospital Costs and Quality of Life During 4 Years After Very Preterm Birth

Korvenranta

Linna²,

Rautava³

et al. 2010

Arch Pediatr Adolesc Med

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To evaluate the effect of gestational age and prematurity-related morbidities on hospital costs and cost per quality-adjusted life-year (QALY) during the first 4 years of life.Design: Population-based study using national register data and parental questionnaires. Setting: Finland. Participants: All 2064 very preterm children (gestational age Ͻ32 weeks or birth weight Ͻ1501 g) and all 200 609 full-term control individuals (mean [SD] gestational age, 37 [0] to 41 [6] weeks) born from January 1, 2000, through December 31, 2003. Main Exposure: Prematurity. Main Outcome Measures: Costs of hospital care and cost per QALY at 4 years of age according to gestational age and prematurity-related morbidities. Results: By 4 years of age, the cost per QALY for fullterm controls (in 2008 currency) was €1181 (US$1736). In very preterm children, the average cost per QALY was €19 245 ($28 290), ranging from €11 824 to €54 324 ($17 381 to $79 856) and increasing with decreasing gestational age. The cost per QALY was €14 368 ($21 121)for those without any of the studied morbidities and €36 110 ($53 082) for those with 2 or more morbidities. The costs of the initial hospital stay comprised 79.5% of the total 4-year hospital costs in very preterm children. Conclusions:We conclude that the cost per QALY in this patient group is at an acceptable level by 4 years of age. Because the initial hospital care episode accounted for most of the costs, the cost per QALY will decrease with each additional follow-up year.

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5-Year Morbidity Among Very Preterm Infants in Relation to Level of Hospital Care

Rautava

Eskelinen²,

Häkkinen³

et al. 2013

JAMA Pediatr

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All surviving 5-year-old children born very preterm (gestational age Ͻ32 weeks or birth weight Յ1500 g) born in level II or level III hospitals (n=2168) and full-term (gestational age, 37-42 weeks) children (n = 238 857) born from January 1, 2000, through December 31, 2004. Main Outcome Measures: Diagnoses issued after the first discharge home and overrepresented in very preterm compared with full-term children. Diagnoses were analyzed between very preterm children (1) born and treated in level III hospitals (group III), (2) born in level III and transferred to lower-level hospitals (group III/II), and (3) born and treated in level II hospitals (group II). Results: Group III/II children had an increased incidence of retinal disorders (odds ratio, 2.43 [95% CI, 1.66-3.56]) and asthma (1.41 [1.09-1.81]) but fewer viral infections (0.75 [0.59-0.95]) compared with group III infants. The risks for epilepsy (odds ratio, 2.71 [95% CI, 1.29-5.70]) and hyperkinetic disorders (2.19 [1.13-4.25]) were higher among group II than among group III children. No statistically significant differences between the groups for the 14 other diagnoses were found. Conclusions: The increased incidence of retinopathy and asthma among infants transferred from level III to lowerlevel hospitals calls for analysis of the differences in treatment practices between hospital levels.

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Health-Related Quality of Life in 5-Year-Old Very Low Birth Weight Infants

Cited by 33 publications

References 27 publications

Developmental outcomes and quality of life in children born preterm at preschool- and school-age

Developmental outcomes and quality of life in children born preterm at preschool- and school-age

Hospital Costs and Quality of Life During 4 Years After Very Preterm Birth

5-Year Morbidity Among Very Preterm Infants in Relation to Level of Hospital Care

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