Neonatal treatment philosophy in Dutch and German NICUs: health-related quality of life in adulthood of VP/VLBW infants

Breeman, Linda D.; Pal, S.M. van der; Verrips, G.H.W.; Baumann, Nicole; Bartmann, Peter; Wolke, Dieter

doi:10.1007/s11136-016-1410-7

Cited by 9 publications

(9 citation statements)

References 32 publications

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“…Like Breeman et al 2017 [ 23 ] who reported that lower health-related quality of life was related to cognitive impairment in adulthood, we found cognitive function at five years to be associated with physical health-related quality of life. Further, we found cognitive function at 14 years of age to be associated with the GAF Function subscale.…”

Section: Discussionsupporting

confidence: 75%

“…Furthermore, increasing length of respiratory support and hospital stay in the neonatal period as well as motor problems in adolescence were associated with psychiatric symptoms at 26 years of age [ 21 ]. We also found associations between poor motor function at 23 years of age and mental health problems and lower health-related quality of life at the same age [ 22 ], and others have reported an association between childhood cognitive function and adult health-related quality of life [ 23 ]. A review article highlights decreasing gestational age and lower sociodemographic status as major predictors of adult psychopathology [ 24 ], whereas others have found neither perinatal factors nor childhood cognitive function to predict psychiatric disorders in adulthood [ 25 ].…”

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confidence: 66%

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Outcomes and predictors of functioning, mental health, and health-related quality of life in adults born with very low birth weight: a prospective longitudinal cohort study

et al. 2022

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Background Very low birth weight (VLBW: ≤1500 g) is associated with multiple short and long-term complications. This study aimed to examine outcomes and predictors of functioning, mental health, and health-related quality of life in adults born with VLBW. Methods In this prospective longitudinal cohort study, 67 VLBW and 102 control participants were assessed using the Adult Self-Report of the Achenbach System of Empirically Based Assessment and Global Assessment of Functioning at 26 years, and the Hospital Anxiety and Depression Scale and Short Form-36 at 28 years of age. Associations between perinatal and childhood predictors and adult functioning were assessed using linear regression. Results Compared with controls, the VLBW group had lower mean raw scores on the Function and Symptom subscales of the Global Assessment of Functioning at 26 years, a higher sum score of symptoms of anxiety and depression due to more depressive symptoms, and poorer mental health-related quality of life at 28 years. The mean group differences ranged from 0.42 to 0.99 SD. Within the VLBW group, lower birth weight and gestational age, a higher number of days with respiratory support and poorer motor function at 14 years were associated with a higher sum score of symptoms of anxiety and depression at 28 years. Days with respiratory support and motor function at 14 years were also predictive of Global Assessment of Functioning scores at 26 years, and mental health-related quality of life at 28 years. Poorer motor and cognitive function at five years were associated with poorer physical health-related quality of life at 28 years. Parental socioeconomic status was related to mental and physical health-related quality of life. Conclusion In this study, VLBW adults reported poorer functioning and mental health-related quality of life, and more depressive symptoms than their term born peers. Days with respiratory support and adolescent motor function predicted most of the adult outcomes. This study explicates perinatal and developmental markers during childhood and adolescence which can be target points for interventions.

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Section: Discussionsupporting

confidence: 75%

supporting

confidence: 66%

Outcomes and predictors of functioning, mental health, and health-related quality of life in adults born with very low birth weight: a prospective longitudinal cohort study

et al. 2022

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“…As an example, CHIP measured health status and the health status of school-age children born EPT are generally good 8. Furthermore, there is an assumption that, depending on the country, cultural differences impact QoL 34. The lessening QoL in our population is comparable to a recent adult population study where only autonomous adults (without impairment) were respondent 35…”

Section: Discussionmentioning

confidence: 62%

Quality of life of extremely preterm school-age children without major handicap: a cross-sectional observational study

et al. 2018

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“… 35 36 If EP participants fail to achieve optimum levels of cognitive function once they have reached maturity, then this has implications for health and well-being in later adulthood and old age. 37 …”

Section: Discussionmentioning

confidence: 99%

Cognitive trajectories from infancy to early adulthood following birth before 26 weeks of gestation: a prospective, population-based cohort study

et al. 2017

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ObjectiveTo determine the trajectory of cognitive test scores from infancy to adulthood in individuals born extremely preterm compared with term-born individuals.DesignA prospective, population-based cohort study.Setting276 maternity units in the UK and Ireland.Patients315 surviving infants born less than 26 completed weeks of gestation recruited at birth in 1995 and 160 term-born classroom controls recruited at age 6.Main outcome measuresBayley Scales of Infant Development-Second Edition (age 2.5); Kaufman Assessment Battery for Children (ages 6/11); Wechsler Abbreviated Scale of Intelligence-Second Edition (age 19).ResultsThe mean cognitive scores of extremely preterm individuals over the period were on average 25.2 points below their term-born peers (95% CI −27.8 to −22.6) and remained significantly lower at every assessment. Cognitive trajectories in term-born boys and girls did not differ significantly, but the scores of extremely preterm boys were on average 8.8 points below those of extremely preterm girls (95% CI −13.6 to −4.0). Higher maternal education elevated scores in both groups by 3.2 points (95% CI 0.8 to 5.7). Within the extremely preterm group, moderate/severe neonatal brain injury (mean difference: −10.9, 95% CI −15.5 to −6.3) and gestational age less than 25 weeks (mean difference: −4.4, 95% CI −8.4 to −0.4) also had an adverse impact on cognitive function.ConclusionsThere is no evidence that impaired cognitive function in extremely preterm individuals materially recovers or deteriorates from infancy through to 19 years. Cognitive test scores in infancy and early childhood reflect early adult outcomes.

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Neonatal treatment philosophy in Dutch and German NICUs: health-related quality of life in adulthood of VP/VLBW infants

Cited by 9 publications

References 32 publications

Outcomes and predictors of functioning, mental health, and health-related quality of life in adults born with very low birth weight: a prospective longitudinal cohort study

Outcomes and predictors of functioning, mental health, and health-related quality of life in adults born with very low birth weight: a prospective longitudinal cohort study

Quality of life of extremely preterm school-age children without major handicap: a cross-sectional observational study

Cognitive trajectories from infancy to early adulthood following birth before 26 weeks of gestation: a prospective, population-based cohort study

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