Weight, length, and head circumference at 36 weeks are not predictive of later cognitive impairment in very preterm infants.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
24
04
2020
accepted:
26
09
2020
revised:
15
09
2020
pubmed:
11
10
2020
medline:
1
9
2021
entrez:
10
10
2020
Statut:
ppublish
Résumé
To assess diagnostic accuracy of 36-week anthropometric weight, length, and head circumference <10th and <3rd percentiles to predict preterm infant cognitive impairment. Cohort study of 898 preterm <30-week very-low-birth weight (<1500 g) infants. Anthropometric measures' accuracy to predict cognitive impairment (Bayley-III Cognitive Composite score) <80, 21-months corrected age (CA) and Wechsler Preschool and Primary Scale of Intelligence Quotient (intellectual outcomes) <70, 36-months CA, were determined using receiver operating characteristic (ROC) curves. Thirty-six-week weight, length or head circumference <10th or <3rd percentile did not predict cognitive impairment; areas under ROC curves were <0.6. Sensitivities and specificities for 10th and 3rd percentile cut points were all poor, with most not exceeding 70%, whether the Fenton 2013 or INTERGROWTH 2015 growth charts were used. Brain injury and low maternal education were better predictors of cognitive impairment. Preterm infant 36-week anthropometric measurements are not accurate predictors of cognitive impairment.
Identifiants
pubmed: 33037316
doi: 10.1038/s41372-020-00855-0
pii: 10.1038/s41372-020-00855-0
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
606-614Références
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