%0 Journal Article %1 Weisglas-Kuperus1993 %A Weisglas-Kuperus, N. %A Baerts, W. %A Sauer, P. J. %D 1993 %J Acta Paediatr %K Cerebral Palsy; Child, Preschool; Developmental Disabilities; Echoencephalography; Female; Humans; Infant; Infant, Low Birth Weight; Newborn; Intelligence Tests; Longitudinal Studies; Male; Mental Retardation; Neurologic Examination %N 5 %P 449--453 %T Early assessment and neurodevelopmental outcome in very low-birth-weight infants: implications for pediatric practice. %V 82 %X To determine which assessments are useful, at what age, in order to identify handicaps in very low-birth-weight infants, neonatal cerebral ultrasound findings, neurological examinations and the mental scale of the Bayley Infant Scales of Development at 1 and 2 years of age were examined in relation to neurodevelopmental outcome at 3.6 years of age in a cohort of 79 high-risk very low-birth-weight infants. At 3.6 years of age, a minor handicap was found in 9 (11\%) and a major handicap in 4 (5\%) children. Cerebral palsy was found in 9 (11\%) children at 3.6 years of age and could only be diagnosed reliably at 2 years of age. For short-term follow-up, as feedback to the neonatologist, the positive predictive value of intraparenchymal damage, as detected by neonatal cerebral ultrasound, was greater than the positive predictive value of a definitely abnormal neurological examination at 1 year of age. Visual handicaps (n = 4, 5\%) and severe hearing deficits (n = 1, 1\%) were all detected in the first year of life. A mental handicap was found in 7 (9\%) children. It was impossible to predict mental handicaps for the individual child. Only 35\% of the children with a mental delay at 2 years of age had a mental handicap at 3.6 years of age, whereas 35\% had a normal cognitive outcome. Pediatricians therefore should be cautious in the interpretation of developmental test results in infancy. Long-term follow-up is essential for the child and its parents.

@article{Weisglas-Kuperus1993, abstract = {To determine which assessments are useful, at what age, in order to identify handicaps in very low-birth-weight infants, neonatal cerebral ultrasound findings, neurological examinations and the mental scale of the Bayley Infant Scales of Development at 1 and 2 years of age were examined in relation to neurodevelopmental outcome at 3.6 years of age in a cohort of 79 high-risk very low-birth-weight infants. At 3.6 years of age, a minor handicap was found in 9 (11\%) and a major handicap in 4 (5\%) children. Cerebral palsy was found in 9 (11\%) children at 3.6 years of age and could only be diagnosed reliably at 2 years of age. For short-term follow-up, as feedback to the neonatologist, the positive predictive value of intraparenchymal damage, as detected by neonatal cerebral ultrasound, was greater than the positive predictive value of a definitely abnormal neurological examination at 1 year of age. Visual handicaps (n = 4, 5\%) and severe hearing deficits (n = 1, 1\%) were all detected in the first year of life. A mental handicap was found in 7 (9\%) children. It was impossible to predict mental handicaps for the individual child. Only 35\% of the children with a mental delay at 2 years of age had a mental handicap at 3.6 years of age, whereas 35\% had a normal cognitive outcome. Pediatricians therefore should be cautious in the interpretation of developmental test results in infancy. Long-term follow-up is essential for the child and its parents.}, added-at = {2014-07-19T21:54:28.000+0200}, author = {Weisglas-Kuperus, N. and Baerts, W. and Sauer, P. J.}, biburl = {https://www.bibsonomy.org/bibtex/2162e8e8eefa1694cd3413367bd10f69d/ar0berts}, groups = {public}, interhash = {56ed783f5889c205e6013eea1b2380cd}, intrahash = {162e8e8eefa1694cd3413367bd10f69d}, journal = {Acta Paediatr}, keywords = {Cerebral Palsy; Child, Preschool; Developmental Disabilities; Echoencephalography; Female; Humans; Infant; Infant, Low Birth Weight; Newborn; Intelligence Tests; Longitudinal Studies; Male; Mental Retardation; Neurologic Examination}, month = May, number = 5, pages = {449--453}, pmid = {7686061}, timestamp = {2014-07-19T21:54:28.000+0200}, title = {Early assessment and neurodevelopmental outcome in very low-birth-weight infants: implications for pediatric practice.}, username = {ar0berts}, volume = 82, year = 1993 }