%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 }