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Department
of Women and Child Health, Karolinska Institute, Stockholm, Sweden
Correspondence to: Dr Katz-Salamon, Department of Women and Child Health, Elevhemmet, H1O2, Karolinska Hospital, S-171 76 Stockholm, Sweden email: mks{at}child.ks.se
Accepted 17 December
1999
BACKGROUND
The
increased incidence of neurological deviations in preterm infants with
chronic lung disease (CLD) has been linked to severe brain haemorrhage
(intraventricular haemorrhage (IVH)) and periventricular leucomalacia
(PVL) rather than to CLD per se.
AIMTo evaluate
whether CLD without concomitant brain lesions constitutes a risk factor
for adverse developmental outcome.
METHODForty three
very low birthweight infants with CLD, but without IVH or PVL, and 43 very low birthweight infants without CLD, IVH, or PVL were evaluated at
5 and 10 months of corrected age using the movement assessment of
infants (MAI) scale. The Griffiths' developmental test was carried out
at 10 months of age.
RESULTSThe overall
motor assessments (MAI) in infants with CLD and controls were not
significantly different. However, differences were observed in the
execution of volitional movements (MAI), the total sum, hand and eye
coordination, and perception and intelligence (measured by the
performance scale of the Griffiths' test).
CONCLUSIONSCLD has a
deleterious effect on the control of hand and eye coordination and on
perception and intelligence. These results thus re-emphasise the
necessity for careful neurodevelopmental follow up of infants with CLD
whether or not they suffered IVH or PVL.
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