Neurodevelopmental Outcomes of Premature Infants at a Tertiary Care Center in Pakistan

Khan, Mumtaz; Maheshwari, Prem Kumar; Shamim, Huma; Saleem, Ali Faisal; Ahmed, Shakeel; Ali, Safdar; Ibrahim, Shahnaz

doi:10.1016/j.pediatrneurol.2012.05.010

Cited by 13 publications

(15 citation statements)

References 21 publications

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“…6 The developmental delay was higher in very preterm (53.6%) and VLBW (59.3%) group which was similar to studies of Chaudhari et al and Khan et al and was statistically significant. 13,14 In our study, the motor DQ was 74.8± 14.11, mental DQ was 75.72±11.27 and mean DQ 75.28±12.29. Developmental quotients observed in our study was lower than most of the other studies.…”

supporting

confidence: 45%

“…Developmental quotients observed in our study was lower than most of the other studies. 9,14 Mukhyopadhyay study also had similar quotients. 15 It may have been due to various reasons, ours being the tertiary referral center, inclusion of only NICU admitted preterm infants, tendency to loss to follow up of healthier babies in our center and scarcity of proper neurorehabilitation.…”

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confidence: 52%

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Growth and neurodevelopmental outcome of high risk premature neonates at 1 year in a tertiary level NICU of central India

Sudhir

Ghanghoriya

Barman

et al. 2017

Int J Contemp Pediatr

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Background: To study the outcome of growth and development till one year of age of very preterm neonates and moderate to late preterm admitted and discharged from a tertiary level NICU in central India.Methods: 120 preterm babies admitted and discharged from NICU were enrolled consecutively. Out of them 82 were followed up for a period of 1 year. Physical parameter like weight, length and head circumference were recorded on admission and at 1, 3, 6 and 12 months of corrected gestational age. Developmental assessment was done at 12 months of corrected gestational age by DASII (developmental assessment scale for Indian infants).Results: Among the 82 enrolled subjects 28 were very preterm (28-<32 weeks) and 54 were moderate to late preterm (32-<37 weeks). Overall growth (all the anthropometric parameters) was higher in the moderate to late preterm group. In very preterm babies weight gain was better from 6-12 months of postnatal age and was statistically significant (p<0.005). Length gain was higher in very premature babies group but not statistically significant and head growth was significantly higher in very preterm babies from 1 month to 1 year compared to moderate to late preterm babies (p<0.05). Neurodevelopmental delay was seen in 28% (n=23) of the study group at 1 year, 65.2% (n=15) were very preterm babies. Associated risk factors were RDS, hypoglycemia, NEC and sepsis. Developmental quotient was lower in very preterm (66.45) compared to moderate preterm babies (79.86).Conclusions: Prematurity and its associated complications are linked to adverse physical and neurodevelopmental outcomes. Improved perinatal care, early assessment of development by appropriate tools and early intervention is a must to improve the outcome of these babies.

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confidence: 45%

mentioning

confidence: 52%

Growth and neurodevelopmental outcome of high risk premature neonates at 1 year in a tertiary level NICU of central India

Sudhir

Ghanghoriya

Barman

et al. 2017

Int J Contemp Pediatr

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“…BSID needs to be performed by trained experts and requires longer time. Although DDST has lower specificity compared with BSID, several studies reported its validity for screening neurodevelopmental dysfunction . Hsu et al .…”

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confidence: 99%

Early aggressive nutrition enhances language development in very low‐birthweight infants

Shim

Ahn

Cho

et al. 2014

Pediatrics International

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“…During the past few decades, advancements in the perinatal and neonatal intensive care (the use of antenatal corticosteroid therapy, surfactant therapy, and improved ventilatory techniques) have led to a significant survival of premature infants with gestational age less than 32 weeks [4]. The percentage of newborns with gestational age less than 32 weeks (extremely preterm and very preterm ones) is 1-2% in developed countries [1].…”

Section: Introductionmentioning

confidence: 99%

Neurodevelopmental Care of Preterm Babies and Its Key Elements

Sarapuk

Pavlyshyn

Lacina

et al. 2017

IJMMR

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Neurodevelopmental Outcomes of Premature Infants at a Tertiary Care Center in Pakistan

Cited by 13 publications

References 21 publications

Growth and neurodevelopmental outcome of high risk premature neonates at 1 year in a tertiary level NICU of central India

Growth and neurodevelopmental outcome of high risk premature neonates at 1 year in a tertiary level NICU of central India

Early aggressive nutrition enhances language development in very low‐birthweight infants

Neurodevelopmental Care of Preterm Babies and Its Key Elements

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