Have outcomes following extremely preterm birth improved over time?
Adolescent
Adult
Cerebral Palsy
/ epidemiology
Child
Child, Preschool
Global Health
Humans
Infant
Infant, Extremely Premature
Infant, Newborn
Infant, Premature, Diseases
/ epidemiology
Intensive Care, Neonatal
/ methods
Neurodevelopmental Disorders
/ epidemiology
Perinatal Care
/ methods
Treatment Outcome
Academic function
Cerebral palsy
Cognitive function
Extremely low birthweight
Extremely preterm
Motor impairment
Journal
Seminars in fetal & neonatal medicine
ISSN: 1878-0946
Titre abrégé: Semin Fetal Neonatal Med
Pays: Netherlands
ID NLM: 101240003
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
pubmed:
27
5
2020
medline:
12
6
2021
entrez:
27
5
2020
Statut:
ppublish
Résumé
Increased survival of infants born preterm, especially those born extremely preterm (<28 weeks' gestation), has meant that more are reaching later childhood and adulthood. As preterm birth is associated with a higher risk of neurodevelopmental deficits, the aim of this review was to determine whether or not the advances in perinatal care that led to improved survival have also had a positive impact on long-term neurodevelopment. Studies examining temporal changes in neurodevelopment are limited, and only from high-income countries. However, based on available published data, there is no definite trend of improved neurodevelopment at school age for neurosensory, cognitive, academic achievement, motor or executive function with time. Cerebral palsy rates, however, may be decreasing. More research is needed into the potential contributors for the trends observed, and also for other outcomes such as mental health and behavior.
Identifiants
pubmed: 32451304
pii: S1744-165X(20)30039-1
doi: 10.1016/j.siny.2020.101114
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
101114Informations de copyright
© 2020 Elsevier Ltd. All rights reserved.