During 1979 and 1980, 351 infants of birth weight 500 to 999 g were born in the State of Victoria: 89 (25.4\%) survived to the age of 2 years corrected for prematurity, and 83 were fully assessed by a multidisciplinary team; partial data were obtained on the remainder. At the age of 5 years, corrected for prematurity, 85/89 (96\%) were evaluated by a multidisciplinary team, although not all children could be fully evaluated by the psychologists. Reports were available for another three children; one child was untraced. Of the survivors able to be classified at 5 years, 59/82 (72\%) had no functional handicap. Functional handicaps was severe in 16 (19\%), moderate in four (5\%), and mild in three (4\%). Functional handicaps were present in 50\% (8/16) of outborn survivors compared with the 23\% (15/66) for the inborn survivors (P = 0.02). Cerebral palsy was diagnosed in eight children at 5 years and in 12 children at 2 years. The diagnosis was stable for the children not ambulant at 2 years; five of seven 2-year-old children with mild cerebral palsy had öutgrown" the diagnosis by 5 years, but ataxic cerebral palsy was not identified in one child until 5 years. Six children were blind; four had severe sensorineural or mixed deafness, one more than at 2 years. Of 82 children assessed according to identical criteria for functional handicap at both 2 and 5 years, 52 (63\%) remained in the same category at 5 years, three (4\%) were judged to be more severely handicapped, and 27 (33\%) were less severely handicapped. The 2-year evaluation of extremely low birth weight children often proved to be unduly pessimistic, for many showed improvement or recovery from functional handicaps and impairments by 5 years of age.
%0 Journal Article
%1 Kitchen1987a
%A Kitchen, W.
%A Ford, G.
%A Orgill, A.
%A Rickards, A.
%A Astbury, J.
%A Lissenden, J.
%A Bajuk, B.
%A Yu, V.
%A Drew, J.
%A Campbell, N.
%D 1987
%J J Pediatr
%K Australia; Blindness; Cerebral Palsy; Child, Preschool; Disabled Persons; Follow-Up Studies; Hearing Disorders; Loss, Sensorineural; Humans; Infant, Low Birth Weight; Newborn; Mental Retardation; Prognosis
%N 5
%P 761--766
%T Outcome in infants of birth weight 500 to 999 g: a continuing regional study of 5-year-old survivors.
%V 111
%X During 1979 and 1980, 351 infants of birth weight 500 to 999 g were born in the State of Victoria: 89 (25.4\%) survived to the age of 2 years corrected for prematurity, and 83 were fully assessed by a multidisciplinary team; partial data were obtained on the remainder. At the age of 5 years, corrected for prematurity, 85/89 (96\%) were evaluated by a multidisciplinary team, although not all children could be fully evaluated by the psychologists. Reports were available for another three children; one child was untraced. Of the survivors able to be classified at 5 years, 59/82 (72\%) had no functional handicap. Functional handicaps was severe in 16 (19\%), moderate in four (5\%), and mild in three (4\%). Functional handicaps were present in 50\% (8/16) of outborn survivors compared with the 23\% (15/66) for the inborn survivors (P = 0.02). Cerebral palsy was diagnosed in eight children at 5 years and in 12 children at 2 years. The diagnosis was stable for the children not ambulant at 2 years; five of seven 2-year-old children with mild cerebral palsy had öutgrown" the diagnosis by 5 years, but ataxic cerebral palsy was not identified in one child until 5 years. Six children were blind; four had severe sensorineural or mixed deafness, one more than at 2 years. Of 82 children assessed according to identical criteria for functional handicap at both 2 and 5 years, 52 (63\%) remained in the same category at 5 years, three (4\%) were judged to be more severely handicapped, and 27 (33\%) were less severely handicapped. The 2-year evaluation of extremely low birth weight children often proved to be unduly pessimistic, for many showed improvement or recovery from functional handicaps and impairments by 5 years of age.
@article{Kitchen1987a,
abstract = {During 1979 and 1980, 351 infants of birth weight 500 to 999 g were born in the State of Victoria: 89 (25.4\%) survived to the age of 2 years corrected for prematurity, and 83 were fully assessed by a multidisciplinary team; partial data were obtained on the remainder. At the age of 5 years, corrected for prematurity, 85/89 (96\%) were evaluated by a multidisciplinary team, although not all children could be fully evaluated by the psychologists. Reports were available for another three children; one child was untraced. Of the survivors able to be classified at 5 years, 59/82 (72\%) had no functional handicap. Functional handicaps was severe in 16 (19\%), moderate in four (5\%), and mild in three (4\%). Functional handicaps were present in 50\% (8/16) of outborn survivors compared with the 23\% (15/66) for the inborn survivors (P = 0.02). Cerebral palsy was diagnosed in eight children at 5 years and in 12 children at 2 years. The diagnosis was stable for the children not ambulant at 2 years; five of seven 2-year-old children with mild cerebral palsy had "outgrown" the diagnosis by 5 years, but ataxic cerebral palsy was not identified in one child until 5 years. Six children were blind; four had severe sensorineural or mixed deafness, one more than at 2 years. Of 82 children assessed according to identical criteria for functional handicap at both 2 and 5 years, 52 (63\%) remained in the same category at 5 years, three (4\%) were judged to be more severely handicapped, and 27 (33\%) were less severely handicapped. The 2-year evaluation of extremely low birth weight children often proved to be unduly pessimistic, for many showed improvement or recovery from functional handicaps and impairments by 5 years of age.},
added-at = {2014-07-19T20:38:05.000+0200},
author = {Kitchen, W. and Ford, G. and Orgill, A. and Rickards, A. and Astbury, J. and Lissenden, J. and Bajuk, B. and Yu, V. and Drew, J. and Campbell, N.},
biburl = {https://www.bibsonomy.org/bibtex/274e34bd8c99fc6a5090bdb88c457b518/ar0berts},
groups = {public},
interhash = {8b910db93fbafa50ef1a3a386d63c750},
intrahash = {74e34bd8c99fc6a5090bdb88c457b518},
journal = {J Pediatr},
keywords = {Australia; Blindness; Cerebral Palsy; Child, Preschool; Disabled Persons; Follow-Up Studies; Hearing Disorders; Loss, Sensorineural; Humans; Infant, Low Birth Weight; Newborn; Mental Retardation; Prognosis},
month = Nov,
number = 5,
pages = {761--766},
pmid = {2959764},
timestamp = {2014-07-19T20:38:05.000+0200},
title = {Outcome in infants of birth weight 500 to 999 g: a continuing regional study of 5-year-old survivors.},
username = {ar0berts},
volume = 111,
year = 1987
}