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a Christchurch Health
and Development Study, Christchurch School of
Medicine, PO Box 4345, Christchurch, New Zealand, b Depatment of Paediatrics,
Christchurch School of Medicine,
Correspondence to: Dr John Horwood. Email: Jhorwood{at}chmeds.ac.nz
Accepted 11 December
1997
AIMS
To examine
cognitive, behavioural, and educational outcomes in middle childhood
among a birth cohort of very low birthweight children.
METHODSTwo hundred
and ninety eight survivors from a national birth cohort of 413 New
Zealand very low birthweight (VLBW) children born in 1986 were assessed
at 7 to 8 years of age on measures of behaviour, cognitive ability,
school performance and the need for special education. These outcomes
were compared with the same measures in a general population sample of
over 1000 children studied at a similar age.
RESULTSThe
VLBW children had significantly higher rates of problems and poorer
levels of functioning across all outcome measures than the general
child sample. These differences persisted even after control for
variability in social, family, and other characteristics of the two
samples and for the degree of sensorineural disability. There was
evidence of a gradient of risk with birthweight, with extremely low
birthweight children having generally higher rates of problems and
difficulties than other VLBW children after covariate control.
CONCLUSIONSThe
findings are consistent with a growing body of research evidence which
suggests that premature and VLBW infants are at increased risk of
longer term morbidity and functional impairment in middle childhood.
This article has been cited by other articles:
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M S Indredavik, T Vik, S Heyerdahl, S Kulseng, P Fayers, and A-M Brubakk Psychiatric symptoms and disorders in adolescents with low birth weight Arch. Dis. Child. Fetal Neonatal Ed., September 1, 2004; 89(5): F445 - F450. [Abstract] [Full Text] [PDF]
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K A I Evensen, T Vik, J Helbostad, M S Indredavik, S Kulseng, and A-M Brubakk Motor skills in adolescents with low birth weight Arch. Dis. Child. Fetal Neonatal Ed., September 1, 2004; 89(5): F451 - F455. [Abstract] [Full Text] [PDF]
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 F O'Brien, S Roth, A Stewart, L Rifkin, T Rushe, and J Wyatt The neurodevelopmental progress of infants less than 33 weeks into adolescence Arch. Dis. Child., March 1, 2004; 89(3): 207 - 211. [Abstract] [Full Text] [PDF]
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E. K. Larsson, A. C. Rydberg, and G. E. Holmstrom A Population-Based Study of the Refractive Outcome in 10-Year-Old Preterm and Full-Term Children Arch Ophthalmol, October 1, 2003; 121(10): 1430 - 1436. [Abstract] [Full Text] [PDF]
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A Johnson, U Bowler, P Yudkin, C Hockley, U Wariyar, F Gardner, and L Mutch Health and school performance of teenagers born before 29 weeks gestation Arch. Dis. Child. Fetal Neonatal Ed., May 1, 2003; 88(3): F190 - F198. [Abstract] [Full Text] [PDF]
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P O D Pharoah, C J Stevenson, and C R West General Certificate of Secondary Education performance in very low birthweight infants Arch. Dis. Child., April 1, 2003; 88(4): 295 - 298. [Abstract] [Full Text] [PDF]
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A E Cust, B A Darlow, and D A Donoghue Outcomes for high risk New Zealand newborn infants in 1998-1999: a population based, national study Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2003; 88(1): F15 - 22. [Abstract] [Full Text] [PDF]
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B A Darlow, A E Cust, and D A Donoghue Improved outcomes for very low birthweight infants: evidence from New Zealand national population based data Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2003; 88(1): F23 - 28. [Abstract] [Full Text] [PDF]
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I Elgen, K Sommerfelt, and T Markestad Population based, controlled study of behavioural problems and psychiatric disorders in low birthweight children at 11 years of age Arch. Dis. Child. Fetal Neonatal Ed., September 1, 2002; 87(2): F128 - 132. [Abstract] [Full Text] [PDF]
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C L J Huddy, A Johnson, and P L Hope Educational and behavioural problems in babies of 32-35 weeks gestation Arch. Dis. Child. Fetal Neonatal Ed., July 1, 2001; 85(1): F23 - 28. [Abstract] [Full Text] [PDF]
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M. Hack, H. G. Taylor, N. Klein, and N. Mercuri-Minich Functional Limitations and Special Health Care Needs of 10- to 14-Year-Old Children Weighing Less Than 750 Grams at Birth Pediatrics, September 1, 2000; 106(3): 554 - 560. [Abstract] [Full Text]
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 Other Articles Noted Evid. Based Nurs., October 1, 1999; 2(4): 105 - 112. [Full Text]
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 U. Felderhoff-Mueser, M. A. Rutherford, W. V. Squier, P. Cox, E. F. Maalouf, S. J. Counsell, G. M. Bydder, and A. D. Edwards Relationship between MR Imaging and Histopathologic Findings of the Brain in Extremely Sick Preterm Infants AJNR Am. J. Neuroradiol., August 1, 1999; 20(7): 1349 - 1357. [Abstract] [Full Text]
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