Neurodevelopmental Outcome of Very Low Birth Weight Infants in the Northern District of Israel: A Cross-Sectional Study.

VLBW cerebral palsy neurodevelopmental outcome preterm

Journal

Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936

Informations de publication

Date de publication:
31 Jul 2023
Historique:
received: 21 06 2023
revised: 26 07 2023
accepted: 28 07 2023
medline: 26 8 2023
pubmed: 26 8 2023
entrez: 26 8 2023
Statut: epublish

Résumé

Currently, no local database in Israel collects neurodevelopmental outcomes of very low birth weight (VLBW) preterm infants. We investigated neurodevelopmental outcomes in one district of the largest healthcare organization in Israel. A cross-sectional study including all VLBW (<1500 g) preterm infants born between 1 January 2006 and 31 December 2016 who were followed in any of seven child development centers in Israel's Northern District. Data were retrospectively collected from the computerized medical record database. Out of 436 participants, 55.1% had normal developmental outcomes. A total of 8.9% had cerebral palsy (CP), 12.2% had a global developmental delay (GDD), and 33.4% had a language delay. Out of the extremely preterm infants ( We found a relatively high overall rate of CP in our local population and a significant difference in neurodevelopmental outcomes between Jews and non-Jews. This study emphasizes the need for an expanded and detailed national database collecting post-discharge outcomes, as well as an assessment of national healthcare resource allocation and inequalities in preterm infants' post-discharge care.

Sections du résumé

BACKGROUND BACKGROUND
Currently, no local database in Israel collects neurodevelopmental outcomes of very low birth weight (VLBW) preterm infants. We investigated neurodevelopmental outcomes in one district of the largest healthcare organization in Israel.
METHODS METHODS
A cross-sectional study including all VLBW (<1500 g) preterm infants born between 1 January 2006 and 31 December 2016 who were followed in any of seven child development centers in Israel's Northern District. Data were retrospectively collected from the computerized medical record database.
RESULTS RESULTS
Out of 436 participants, 55.1% had normal developmental outcomes. A total of 8.9% had cerebral palsy (CP), 12.2% had a global developmental delay (GDD), and 33.4% had a language delay. Out of the extremely preterm infants (
CONCLUSIONS CONCLUSIONS
We found a relatively high overall rate of CP in our local population and a significant difference in neurodevelopmental outcomes between Jews and non-Jews. This study emphasizes the need for an expanded and detailed national database collecting post-discharge outcomes, as well as an assessment of national healthcare resource allocation and inequalities in preterm infants' post-discharge care.

Identifiants

pubmed: 37628319
pii: children10081320
doi: 10.3390/children10081320
pmc: PMC10453082
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Michal Molad (M)

Neonatal Intensive Care Unit, Carmel Medical Center, Haifa 3436212, Israel.
Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3525433, Israel.

Ayala Gover (A)

Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3525433, Israel.
Neonatal Intensive Care Unit, Bnai Zion Medical Center, Haifa 31048, Israel.

Zaki Marai (Z)

Pediatrics Department, Carmel Medical Center, Haifa, 3436212, Israel.

Karen Lavie-Nevo (K)

Neonatal Intensive Care Unit, Carmel Medical Center, Haifa 3436212, Israel.
Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3525433, Israel.

Irina Kessel (I)

Neonatal Intensive Care Unit, Carmel Medical Center, Haifa 3436212, Israel.
Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3525433, Israel.

Lilach Shemer-Meiri (L)

Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3525433, Israel.
Pediatrics Department, Carmel Medical Center, Haifa, 3436212, Israel.

Marina Soloveichik (M)

Neonatal Intensive Care Unit, Carmel Medical Center, Haifa 3436212, Israel.
Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3525433, Israel.

Classifications MeSH