%0 Journal Article %1 Kitchen1987b %A Kitchen, W. H. %A Ford, G. W. %A Rickards, A. L. %A Lissenden, J. V. %A Ryan, M. M. %D 1987 %J J Pediatr %K Blindness; Cerebral Palsy; Child, Preschool; Developmental Disabilities; Hearing Loss, Sensorineural; Humans; Infant; Infant, Low Birth Weight; Newborn; Psychological Tests %N 2 %P 283--288 %T Children of birth weight less than 1000 g: changing outcome between ages 2 and 5 years. %V 110 %X Of 55 consecutive long-term survivors of birth weight 500 to 999 g, complete psychologic and pediatric data were available for 54 children at 2 years corrected age and for 50 at age at least 5 1/2 years. At the latter age, 60\% (30 of 50) were not impaired, 10\% (five of 50) had severe sensorineural or intellectual impairments, 10\% (five of 50) had mild to moderately impairment, and 20\% (10 of 50) had minor neurobehavioural abnormalities. Sensorineural deafness in one child and bilateral blindness in one remained stable over time, but of six children with spastic cerebral palsy at 2 years, only three retained this diagnosis at 5 1/2 years. The mean Mental Developmental Index (MDI) on the Bayley Scales at 2 years was 91.1, significantly below the test mean; by 5 1/2 years the mean full scale of the Wechsler Preschool and Primary Scales of Intelligence (WPPSI) was 101.8. The MDI correlated highly with the full-scale WPPSI (r = 0.7), but for individual children it was not always an accurate predictor of 5-year ability. Between 2 and 5 1/2 years there was a substantial reordering within four categories of impairment: findings in 27 children were improved, four were judged to become more severely impaired over time, and 19 did not change. We conclude that our 2-year assessment often underrated the potential of the children as expressed at 5 1/2 years, and that 2 years is too early for reliable classification of children of birth weight 500 to 999 g.

@article{Kitchen1987b, abstract = {Of 55 consecutive long-term survivors of birth weight 500 to 999 g, complete psychologic and pediatric data were available for 54 children at 2 years corrected age and for 50 at age at least 5 1/2 years. At the latter age, 60\% (30 of 50) were not impaired, 10\% (five of 50) had severe sensorineural or intellectual impairments, 10\% (five of 50) had mild to moderately impairment, and 20\% (10 of 50) had minor neurobehavioural abnormalities. Sensorineural deafness in one child and bilateral blindness in one remained stable over time, but of six children with spastic cerebral palsy at 2 years, only three retained this diagnosis at 5 1/2 years. The mean Mental Developmental Index (MDI) on the Bayley Scales at 2 years was 91.1, significantly below the test mean; by 5 1/2 years the mean full scale of the Wechsler Preschool and Primary Scales of Intelligence (WPPSI) was 101.8. The MDI correlated highly with the full-scale WPPSI (r = 0.7), but for individual children it was not always an accurate predictor of 5-year ability. Between 2 and 5 1/2 years there was a substantial reordering within four categories of impairment: findings in 27 children were improved, four were judged to become more severely impaired over time, and 19 did not change. We conclude that our 2-year assessment often underrated the potential of the children as expressed at 5 1/2 years, and that 2 years is too early for reliable classification of children of birth weight 500 to 999 g.}, added-at = {2014-07-19T20:38:08.000+0200}, author = {Kitchen, W. H. and Ford, G. W. and Rickards, A. L. and Lissenden, J. V. and Ryan, M. M.}, biburl = {https://www.bibsonomy.org/bibtex/293b22a835c9d6c8f540cf6aecdd6b5bf/ar0berts}, groups = {public}, interhash = {9f16e2f9264c895c8e1ebf20866f4993}, intrahash = {93b22a835c9d6c8f540cf6aecdd6b5bf}, journal = {J Pediatr}, keywords = {Blindness; Cerebral Palsy; Child, Preschool; Developmental Disabilities; Hearing Loss, Sensorineural; Humans; Infant; Infant, Low Birth Weight; Newborn; Psychological Tests}, month = Feb, number = 2, pages = {283--288}, pmid = {2433422}, timestamp = {2014-07-19T20:38:08.000+0200}, title = {Children of birth weight less than 1000 g: changing outcome between ages 2 and 5 years.}, username = {ar0berts}, volume = 110, year = 1987 }