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Neurodevelopmental status at 1 year predicts neuropsychiatric outcome at 14-15 years of age in very preterm infants

Roth, S; Wyatt, J; Baudin, J; Townsend, J; Rifkin, L; Rushe, T; Amiel-Tison, C; (2001) Neurodevelopmental status at 1 year predicts neuropsychiatric outcome at 14-15 years of age in very preterm infants. Early Human Development , 65 (2) pp. 81-89.

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Abstract

BACKGROUND: Neurodevelopmental and behavioural problems have been repeatedly reported in very preterm survivors, often showing themselves later in childhood as poor school performance. Early identification of problems would mean that appropriate remedial therapy can be implemented. We have previously shown that neurodevelopmental status at 1 year was predictive of outcome at 8 years in a cohort of preterm infants. The aim of this paper was to see if neurodevelopmental outcome in adolescence could be predicted by assessment by 1 year in the same cohort of preterm infants. STUDY DESIGN: Prospective cohort study. SUBJECTS: 150 adolescents, born before 33 weeks gestation. OUTCOME MEASURES: Neurological examination, developmental quotient, vision and hearing by 1 year. At 14-15 years, neurological examination, school performance questionnaire, Schonnell test of reading age, a premorbid adjustment score, Rutter behavioural score and for those born from 1981, cognitive tests (WISC-R). RESULTS: A highly significant relationship existed between neurological status by 1 year and the need for extra educational provision, overall neurodevelopmental status, cognitive function in those that had their IQs measured and premorbid adjustment score of prepsychotic symptoms in adolescence. However, status at 1 year was not predictive of adolescent reading age or behavioural score. CONCLUSIONS: Neurodevelopmental assessment at 1 year is predictive of school performance and outcome in the adolescent period

Type: Article
Title: Neurodevelopmental status at 1 year predicts neuropsychiatric outcome at 14-15 years of age in very preterm infants
Additional information: UI - 21521149 DA - 20011019 IS - 0378-3782 LA - eng PT - Journal Article CY - Ireland SB - IM
Keywords: adjustment, Adolescence, adolescent, adolescents, age, As, assessment, BORN, Brain injury, childhood, cognitive, Cognitive Function, COHORT, Cohort Studies, cohort study, design, DEVELOPMENTAL, Developmental outcome, extra, function, gestation, hearing, IDENTIFICATION, IM, infant, INFANTS, IQ, Ireland, LA, NEED, NEURODEVELOPMENTAL, Neurodevelopmental outcome, neurological, outcome, Outcome measures, PAPER, performance, PERIOD, poor, Premature infant, PRETERM, Preterm Infant, PRETERM INFANTS, Problems, PROSPECTIVE COHORT, Questionnaire, Reading, relationship, Result, SCHOOL, Study design, Survivors, SYMPTOM, SYMPTOMS, TESTS, THERAPIES, therapy, vision
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Inst for Women's Health
URI: http://discovery.ucl.ac.uk/id/eprint/27282
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