Developmental outcome of very preterm babies using an assessment tool deliverable by health visitors |
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| Authors: | P Amess T Young H Burley Y Khan |
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| Institution: | 1. Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy;2. NICU, Department of Neonatology, L Mangiagalli Clinic, Fondazione IRCCS Policlinico, Mangiagalli e Regina Elena, University of Milan, Via Commenda 12, 20122 Milano, Italy;1. Department of Pediatrics and Adolescent Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan;2. Department of Psychosocial Medicine, National Center for Child Health and Development, Tokyo, Japan;1. School of Health, Care and Welfare, Mälardalen University, Box 883, SE 721 23 Västerås, Sweden;2. School of Health, Care and Welfare, Mälardalen University, Drottninggatan 16A, SE 632 20, Eskilstuna, Sweden;3. Centre for Clinical Research Sörmland, Uppsala University, Kungsgatan 41, SE 631 48, Eskilstuna, Sweden;1. Department of Pediatrics, Case Western Reserve University and Rainbow Babies & Children''s Hospital, University Hospitals Case Medical Center, Cleveland, OH, United States;2. Department of Education, Cleveland State University, Cleveland, OH, United States;3. Departments of Psychology and of Special Education & Clinical Sciences, University of Oregon, Eugene, OR, United States;4. Developmental Cognitive Neuroscience Laboratory, University of Nebraska-Lincoln, Lincoln, NE, United States;5. Educational Consultant, Gates Mills, OH, United States |
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| Abstract: | AimTo assess the developmental outcome of very preterm infants using a developmental screening tool deliverable by health visitors.MethodsThe study cohort consisted of preterm infants born at <32 weeks gestation or <1500 g. Infants were assessed at 12 and 24 months corrected age using the Schedule of Growing Skills developmental screening test. Scores for skill areas were converted to developmental levels in months and graded as normal or mild, moderate or severe delay.ResultsOf 101 infants assessed at 12 months, 12 (12%) had severe developmental delay (developmental level <6months) in one or more skill areas. At 24 months, severe developmental delay (developmental level <12 months) was found in 8 (9.1%) infants. Only 3 infants had severe global delay. However, approximately a third of infants showed mild or moderate delay in hearing and language, social or cognitive skill areas by 24 months.ConclusionDevelopmental assessment undertaken by health visitors may be used to measure outcome in preterm infants. Severe developmental delay was at a level consistent with other follow-up studies of very preterm infants. Severe delay was identified by the 12-month check and was mainly in areas of motor function and language. High levels of mild to moderate developmental delay were identified at the 24-month assessment. |
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