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| Título: Executive Functioning in School-Aged Children Who Were Born Very Preterm or With Extremely Low Birth Weight in the 1990s | |
| Enlace: http://dx.doi.org/10.1542/peds.114.1.50 | |
| Autores: Anderson, Peter J.; Doyle, Lex W.; | |
| Tipo de documento: Articulo de revista | |
| Idioma: Inglés | |
| Resumen:OBJECTIVE: To determine the frequency, nature, and severity of executive dysfunction (EDF) at 8 years of age in extremely low birth weight (ELBW)/very preterm infants who were born in the 1990s, compared with normal birth weight (NBW) control subjects. METHODS: A geographically determined cohort study was conducted in Victoria, Australia. The ELBW/very preterm cohort comprised 298 consecutive survivors at 2 years of age who had gestational ages <28 completed weeks or birth weights <1000 g and were born during 1991-1992. The NBW cohort comprised 262 randomly selected children of birth weight >2499 g matched on date of birth, gender, ethnicity, and health insurance status. The participation rate was 92% (275 of 298) for the ELBW/very preterm cohort and 85% (223 of 262) for the NBW cohort. Cognitive and behavioral measures of executive functioning were administered. RESULTS: The ELBW/very preterm cohort exhibited significant EDF compared with their NBW peers in all areas assessed. The cognitive assessment revealed global impairment rather than deficits in specific executive domains. The ELBW/very preterm children also displayed more behavioral problems indicative of EDF than the NBW children. Severe impairments were exhibited in only a small minority of ELBW/very preterm children. No statistical conclusions were altered after adjustment for sociodemographic variables or when children with substantial neurosensory impairment were excluded. CONCLUSIONS: School-aged children who were born in the 1990s and were very preterm or had ELBW are at greater risk for developing EDF and require ongoing neuropsychological review throughout middle childhood. | |
| Descriptores: executive function; executive dysfunction; extremely low birth weight; very preterm; prematurity; funciones ejecutivas; disfunción ejecutiva; bajo peso al nacer; prematuro; | |
| Soporte: Digital | |
| Ilustraciones: Sí | |
| Tipo documento: Revista | |
| Nombre revista: Pediatrics | |
| ISSN: 1098-4275 | |
| Periodicidad: Monthly | |
| Volumen: 114 | |
| Número: 1 | |
| Páginas: 50-57 | |
| Año: 2004 |
Afiliada a WAIMHWorld Association
for Infant Mental Health
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