Long-term perspective on premature infant outcome and contemporary intervention issues
Despite improvements in survival rates for low birthweight (LBW) infants, the prevalence among survivors of major neurodevelopmental impairment seems relatively stable. Cerebral palsy, the most common major impairment, can usually be ruled out by 18 months corrected age. Minor impairments such as le...
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Veröffentlicht in: | Seminars in perinatology 1997-06, Vol.21 (3), p.190-201 |
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description | Despite improvements in survival rates for low birthweight (LBW) infants, the prevalence among survivors of major neurodevelopmental impairment seems relatively stable. Cerebral palsy, the most common major impairment, can usually be ruled out by 18 months corrected age. Minor impairments such as learning disabilities cannot be ruled out until much later. The efficacy of interventional services in this population was addressed by a national randomized trial. The intervention produced large treatment effects for heavier LBW infants and moderate effects for lighter infants. Five years later, modest residual effects were found for heavier LBW infants, but not for the lighter, suggesting that 0 to 3 services alone are not sufficient to prevent scholastic disadvantage in this population. |
doi_str_mv | 10.1016/S0146-0005(97)80063-8 |
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Cerebral palsy, the most common major impairment, can usually be ruled out by 18 months corrected age. Minor impairments such as learning disabilities cannot be ruled out until much later. The efficacy of interventional services in this population was addressed by a national randomized trial. The intervention produced large treatment effects for heavier LBW infants and moderate effects for lighter infants. Five years later, modest residual effects were found for heavier LBW infants, but not for the lighter, suggesting that 0 to 3 services alone are not sufficient to prevent scholastic disadvantage in this population.</description><identifier>ISSN: 0146-0005</identifier><identifier>EISSN: 1558-075X</identifier><identifier>DOI: 10.1016/S0146-0005(97)80063-8</identifier><identifier>PMID: 9205975</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Central Nervous System Diseases - epidemiology ; Central Nervous System Diseases - therapy ; Follow-Up Studies ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature, Diseases - epidemiology ; Infant, Premature, Diseases - therapy ; Prevalence ; Randomized Controlled Trials as Topic ; Time Factors ; Treatment Outcome</subject><ispartof>Seminars in perinatology, 1997-06, Vol.21 (3), p.190-201</ispartof><rights>1997 W.B. 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Cerebral palsy, the most common major impairment, can usually be ruled out by 18 months corrected age. Minor impairments such as learning disabilities cannot be ruled out until much later. The efficacy of interventional services in this population was addressed by a national randomized trial. The intervention produced large treatment effects for heavier LBW infants and moderate effects for lighter infants. Five years later, modest residual effects were found for heavier LBW infants, but not for the lighter, suggesting that 0 to 3 services alone are not sufficient to prevent scholastic disadvantage in this population.</description><subject>Central Nervous System Diseases - epidemiology</subject><subject>Central Nervous System Diseases - therapy</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - epidemiology</subject><subject>Infant, Premature, Diseases - therapy</subject><subject>Prevalence</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0146-0005</issn><issn>1558-075X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtPwzAQhC0EKuXxEyrlhOAQWMdxEp8QqnhJlTjwEDfLcbbIqLGD7VTi3-PSiiunPczMzu5HyIzCJQVaXT0DLascAPi5qC8agIrlzR6ZUs6bHGr-vk-mf5ZDchTCJwArBYUJmYgCuKj5lLwtnP3II_o-G9CHAXU0a8yczQaPvYqjx8zYpbIxc2PUrsdM2S7TzkbsB-eV_056yq_RRpNiJoQRwwk5WKpVwNPdPCavd7cv84d88XT_OL9Z5JpVEHMmaqS6LWknKCJWAgsOyARt20ZhA0wUjapbxXh6qFRMlIovu6LSCkGpGtgxOdvuHbz7Sr1R9iZoXK2URTcGWQsQRck2Rr41au9C8LiUgzd9ul5SkBue8pen3MCSopa_PGWTcrNdwdj22P2ldgCTfr3VMX25Nuhl0Aatxs74xFJ2zvzT8ANjO4bK</recordid><startdate>19970601</startdate><enddate>19970601</enddate><creator>Bennett, Forrest C.</creator><creator>Scott, David T.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970601</creationdate><title>Long-term perspective on premature infant outcome and contemporary intervention issues</title><author>Bennett, Forrest C. ; Scott, David T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-397e1cb41d91eee69e250e391bb8ae803928a7ba350754a394a5fd26cae0aa703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Central Nervous System Diseases - epidemiology</topic><topic>Central Nervous System Diseases - therapy</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - epidemiology</topic><topic>Infant, Premature, Diseases - therapy</topic><topic>Prevalence</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bennett, Forrest C.</creatorcontrib><creatorcontrib>Scott, David T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bennett, Forrest C.</au><au>Scott, David T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term perspective on premature infant outcome and contemporary intervention issues</atitle><jtitle>Seminars in perinatology</jtitle><addtitle>Semin Perinatol</addtitle><date>1997-06-01</date><risdate>1997</risdate><volume>21</volume><issue>3</issue><spage>190</spage><epage>201</epage><pages>190-201</pages><issn>0146-0005</issn><eissn>1558-075X</eissn><abstract>Despite improvements in survival rates for low birthweight (LBW) infants, the prevalence among survivors of major neurodevelopmental impairment seems relatively stable. Cerebral palsy, the most common major impairment, can usually be ruled out by 18 months corrected age. Minor impairments such as learning disabilities cannot be ruled out until much later. The efficacy of interventional services in this population was addressed by a national randomized trial. The intervention produced large treatment effects for heavier LBW infants and moderate effects for lighter infants. Five years later, modest residual effects were found for heavier LBW infants, but not for the lighter, suggesting that 0 to 3 services alone are not sufficient to prevent scholastic disadvantage in this population.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>9205975</pmid><doi>10.1016/S0146-0005(97)80063-8</doi><tpages>12</tpages></addata></record> |
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source | MEDLINE; Elsevier ScienceDirect Journals |
subjects | Central Nervous System Diseases - epidemiology Central Nervous System Diseases - therapy Follow-Up Studies Humans Infant, Low Birth Weight Infant, Newborn Infant, Premature, Diseases - epidemiology Infant, Premature, Diseases - therapy Prevalence Randomized Controlled Trials as Topic Time Factors Treatment Outcome |
title | Long-term perspective on premature infant outcome and contemporary intervention issues |
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