| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
|
|
|
|
|||||||||||||
|
|
|||||||||||||||
ORIGINAL ARTICLE |
Department of Woman and Child Health, Karolinska Institute, Stockholm, Sweden
Correspondence to:
Correspondence to:
Dr Katz-Salamon, Department of Woman and Child Health, Elevhemmet H1 O2, Karolinska Hospital, S-171 76 Stockholm, Sweden;
miriam.katz-salamon{at}ks.se
Background: Preterm infants with chronic lung disease (CLD) had impaired cognitive development and poorer eye-hand coordination at 10 months of age.
Aims: To study whether this effect of CLD persisted until school age and whether the severity of CLD affected outcome.
Method: Cognition and visual-motor skills were examined (Wechsler preschool and primary scale of intelligence, and tests from the Nepsy scale) in 60 very preterm children, without intraventricular haemorrhage or periventricular leucomalacia, at 5.5 years of age. Thirty two children suffered from CLD and 28 were controls.
Results: The groups did not differ significantly in cognitive outcome. Children with CLD and controls attained a full scale intelligence quotient (IQ) of 94.4 and 99.1, a verbal IQ of 99.6 and 101.5, and a performance IQ of 90.9 and 96.7 respectively. Similarly, no difference was found in tests of eye-hand control. However, the children with the most severe form of CLD had significantly lower performance (84.8) and full scale(87.6) IQs and worse visual-motor performance than the controls. CLD grade III, together with the need for glasses or lenses, had a significant impact on the explained variance.
Conclusions: At school age, children born very preterm and who experienced severe CLD had deficits in cognition, visual-motor perception, and performance. The findings suggest a need to consider intervention programmes for such infants.
Keywords: preterm; chronic lung disease; cognition; eye-hand coordination
Abbreviations: CLD, chronic lung disease; ROP, retinopathy of prematurity; VLBW, very low birthweight; PVL, periventricular leucomalacia; WPPSI-R, Wechsler preschool and primary scale of intelligence-revised; IQ, intelligence quotient
This article has been cited by other articles:
|
|
 |
|
  W. A. Engle and and the Committee on Fetus and Newborn Surfactant-Replacement Therapy for Respiratory Distress in the Preterm and Term Neonate Pediatrics, February 1, 2008; 121(2): 419 - 432. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Gianni, O. Picciolini, C. Vegni, L. Gardon, M. Fumagalli, and F. Mosca Twelve-Month Neurofunctional Assessment and Cognitive Performance at 36 Months of Age in Extremely Low Birth Weight Infants Pediatrics, November 1, 2007; 120(5): 1012 - 1019. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Tommiska, K. Heinonen, L. Lehtonen, M. Renlund, T. Saarela, O. Tammela, M. Virtanen, and V. Fellman No Improvement in Outcome of Nationwide Extremely Low Birth Weight Infant Populations Between 1996-1997 and 1999-2000 Pediatrics, January 1, 2007; 119(1): 29 - 36. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. K. Washburn, P. A. Nixon, and T. M. O'Shea Follow-up of a Randomized, Placebo-Controlled Trial of Postnatal Dexamethasone: Blood Pressure and Anthropometric Measurements at School Age Pediatrics, October 1, 2006; 118(4): 1592 - 1599. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N S Wood, K Costeloe, A T Gibson, E M Hennessy, N Marlow, A R Wilkinson, and for the EPICure Study Group The EPICure study: associations and antecedents of neurological and developmental disability at 30 months of age following extremely preterm birth Arch. Dis. Child. Fetal Neonatal Ed., March 1, 2005; 90(2): F134 - F140. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
| ARCH DIS CHILD | FETAL NEONATAL ED | ED PRACTICE |
