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assessing health and development after 2 years

2004 Cohort and 2000-2004 Cohort

Status

Completed

Results

2004 Cohort

Extremely low birth weight infants (401-1000g) born during 2004 and who survived discharge were tracked and evaluated between 18 and 24 months corrected age at participating Network centers. Thirty-one centers actively participated in this year's project. One thousand three hundred and ten infants survived and were eligible for follow-up. Of those infants, 773 received health and neurodevelopmental status evaluations. Thirty percent of these evaluated infants were severely growth retarded (< 3rd percentile body size) and 16% had microcephaly (< 3rd percentile head size). Thirty-five percent of the infants were rehospitalized and 27% required rehospitalization for a surgical procedure. Overall, 31.1% had severe disability defined as having one of the following: bilateral blindness (.8%), hearing impairment requiring amplification (1.3%), inability to walk with support (4.8%), cerebral palsy (8%), or Bayley mental development index score < 70 (24.7%).

2000-2004 Cohort

Extremely low birth weight infants (401-1000 g) born between 2000-2004 who survived discharge home are being tracked and evaluated between 18 and 24 months corrected age at participating Network Centers. Thirty-four centers actively participated. Data completed for the 2004 Cohort year was combined with data for the completed 2000, 2001, 2002 and 2003 cohorts and analyzed as a five year cohort. Four thousand seven hundred and fifty one infants survived and were eligible for follow-up. Of those infants, 3563 received health and neurodevelopmental status evaluations. Thirty two percent of these evaluated infants were severely growth retarded (< 3rd percentile body size) and 13% had microcephaly (< 3rd percentile head size). Forty two percent of the infants were rehospitalized and 29% required rehospitalization for a surgical procedure. Overall, 34% had severe disability defined as having one of the following: bilateral blindness (1%), hearing impairment requiring amplification (2%), inability to walk with support (4.2%), cerebral palsy (7.6%), or Bayley mental development index score < 70 (24%).

In addition we are also using a parental interview and questionnaire. This will attempt to correlate parental perception of infant's status with the information gained from medical evaluation.

Publications and Presentations

None

Disclosure

No information to disclose


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