Of 154 consecutive survivors of birthweight 500 to 1500 gm, 139 (90.3\%) were seen at 5 years of age, corrected for prematurity, and 137 (89\%) were able to be fully assessed by both the psychologist and pediatrician. All but two children had had serial cranial ultrasonography with a linear array real-time scanner in the neonatal period. At 5 years, of 39 children with cerebral ultrasound abnormalities detected during their primary hospitalization, seven (17.9\%) had cerebral palsy, but 32 (82.1\%) did not. A further three children with cerebral palsy at 5 years had had no cerebral abnormalities on ultrasound. Of the cerebral abnormalities diagnosed by ultrasound, ventricular dilation, with or without cerebroventricular hemorrhage, had the highest positive predictive value (40\%) for cerebral palsy at 5 years. In the 127 children free from cerebral palsy at 5 years, two (1.6\%) had severe intellectual impairment, both of whom had had normal cerebral ultrasonography. Although neonatal cranial ultrasonography with a linear array was somewhat predictive of cerebral palsy at 5 years, the majority of infants with abnormal scans had no severe sensorineural impairments at 5 years.
%0 Journal Article
%1 Kitchen1990
%A Kitchen, W. H.
%A Ford, G. W.
%A Rickards, A. L.
%A Doyle, L. W.
%A Kelly, E.
%A Murton, L. J.
%D 1990
%J Am J Perinatol
%K Cerebral Hemorrhage; Palsy; Ventricles; Child; Dilatation, Pathologic; Follow-Up Studies; Humans; Infant, Low Birth Weight; Newborn; Mental Retardation; Prognosis; Ultrasonography
%N 1
%P 60--65
%T Five-year outcome of infants of birthweight 500 to 1500 grams: relationship with neonatal ultrasound data.
%V 7
%X Of 154 consecutive survivors of birthweight 500 to 1500 gm, 139 (90.3\%) were seen at 5 years of age, corrected for prematurity, and 137 (89\%) were able to be fully assessed by both the psychologist and pediatrician. All but two children had had serial cranial ultrasonography with a linear array real-time scanner in the neonatal period. At 5 years, of 39 children with cerebral ultrasound abnormalities detected during their primary hospitalization, seven (17.9\%) had cerebral palsy, but 32 (82.1\%) did not. A further three children with cerebral palsy at 5 years had had no cerebral abnormalities on ultrasound. Of the cerebral abnormalities diagnosed by ultrasound, ventricular dilation, with or without cerebroventricular hemorrhage, had the highest positive predictive value (40\%) for cerebral palsy at 5 years. In the 127 children free from cerebral palsy at 5 years, two (1.6\%) had severe intellectual impairment, both of whom had had normal cerebral ultrasonography. Although neonatal cranial ultrasonography with a linear array was somewhat predictive of cerebral palsy at 5 years, the majority of infants with abnormal scans had no severe sensorineural impairments at 5 years.
@article{Kitchen1990,
abstract = {Of 154 consecutive survivors of birthweight 500 to 1500 gm, 139 (90.3\%) were seen at 5 years of age, corrected for prematurity, and 137 (89\%) were able to be fully assessed by both the psychologist and pediatrician. All but two children had had serial cranial ultrasonography with a linear array real-time scanner in the neonatal period. At 5 years, of 39 children with cerebral ultrasound abnormalities detected during their primary hospitalization, seven (17.9\%) had cerebral palsy, but 32 (82.1\%) did not. A further three children with cerebral palsy at 5 years had had no cerebral abnormalities on ultrasound. Of the cerebral abnormalities diagnosed by ultrasound, ventricular dilation, with or without cerebroventricular hemorrhage, had the highest positive predictive value (40\%) for cerebral palsy at 5 years. In the 127 children free from cerebral palsy at 5 years, two (1.6\%) had severe intellectual impairment, both of whom had had normal cerebral ultrasonography. Although neonatal cranial ultrasonography with a linear array was somewhat predictive of cerebral palsy at 5 years, the majority of infants with abnormal scans had no severe sensorineural impairments at 5 years.},
added-at = {2014-07-19T20:38:08.000+0200},
author = {Kitchen, W. H. and Ford, G. W. and Rickards, A. L. and Doyle, L. W. and Kelly, E. and Murton, L. J.},
biburl = {https://www.bibsonomy.org/bibtex/203fadc0206eaa4d1a59809f3a179a48c/ar0berts},
groups = {public},
interhash = {26b58732a63dd88a0a5e29860166d8aa},
intrahash = {03fadc0206eaa4d1a59809f3a179a48c},
journal = {Am J Perinatol},
keywords = {Cerebral Hemorrhage; Palsy; Ventricles; Child; Dilatation, Pathologic; Follow-Up Studies; Humans; Infant, Low Birth Weight; Newborn; Mental Retardation; Prognosis; Ultrasonography},
month = Jan,
number = 1,
pages = {60--65},
pmid = {2403795},
timestamp = {2014-07-19T20:38:08.000+0200},
title = {Five-year outcome of infants of birthweight 500 to 1500 grams: relationship with neonatal ultrasound data.},
username = {ar0berts},
volume = 7,
year = 1990
}