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EspañolDatos del Documento
| Título: Late Preterm Infants and Neurodevelopmental Outcomes at Kindergarten | |
| Enlace: https://doi.org/10.1542/peds.2014-4043 | |
| Autores: Woythaler, Melissa A.; McCormick, Marie C.; Mao, Wen-Yang; Smith, Vincent C.; | |
| Tipo de documento: Articulo de revista | |
| Idioma: Inglés | |
| Resumen: BACKGROUND AND OBJECTIVE: Late preterm infants (LPIs) (gestation 34 weeks and 0 days to 36 weeks and 6 days) compared with full-term infants (FTIs) are at increased risk for mortality and short- and long-term morbidity. The objective of this study was to assess the neurodevelopmental outcomes in a longitudinal cohort study of LPIs from infancy to school age and determine predictive values of earlier developmental testing compared with school-age testing. METHODS: We used general estimating equations to calculate the odds of school readiness in a nationally representative cohort of 4900 full-term and 950 late preterm infants. We generated positive and negative predictive values of the ability of the 24-month Mental Developmental Index (MDI) scores of the Bayley Short Form, Research Edition, to predict Total School Readiness Score (TSRS) at kindergarten age. RESULTS: In multivariable analysis, late preterm infants had higher odds of worse TSRSs (adjusted odds ratio 1.52 [95% confidence interval 1.06–2.18], P = .0215). The positive predictive value of a child having an MDI of ,70 at 24 months and a TSRS ,5% at kindergarten was 10.4%. The negative predictive value of having an MDI of .70 at 24 months and a TSRS .5% was 96.8%. Most infants improved score ranking over the study interval. CONCLUSIONS: LPIs continue to be delayed at kindergarten compared with FTIs. The predictive validity of having a TSRS in the bottom 5% given a MDI ,70 at 24 months was poor. A child who tested within the normal range (.85) at 24 months had an excellent chance of testing in the normal range at kindergarten |
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| Descriptores: late preterm; neurodevelopmental; kindergarten; prematuro tardío; | |
| Soporte: --No definido-- | |
| Ilustraciones: Sí | |
| Tipo documento: Revista | |
| Nombre revista: Pediatrics | |
| ISSN: 1098-4275 | |
| Periodicidad: Monthly | |
| Volumen: 136 | |
| Número: 3 | |
| Páginas: 424-431 | |
| Año: 2015 |
Afiliada a WAIMHWorld Association
for Infant Mental Health
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