Utility of the 21-month neurodevelopmental outcome for predicting neurodevelopmental impairment at 36 months for preterm infants <29 weeks gestation

被引：0
作者：
Doucette, Stefani M. [1 ,2 ,3 ]
Tang, Selphee [2 ,3 ,4 ]
Kehler, Heather [2 ,3 ]
Creighton, Dianne [1 ]
Lodha, Abhay [1 ,2 ,3 ,5 ]
机构：
[1] Univ Calgary, Foothills Med Ctr, Dept Pediat, Div Neonatol, Calgary, AB, Canada
[2] Alberta Hlth Serv, Calgary, AB, Canada
[3] Univ Calgary, Alberta Childrens Hosp, Dept Pediat, Neonatal Follow Up Clin, Calgary, AB, Canada
[4] Univ Calgary, Foothills Med Ctr, Dept Obstet & Gynecol, Calgary, AB, Canada
[5] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada
来源：
JOURNAL OF PERINATOLOGY | 2023年 / 43卷 / 11期
关键词：
CEREBRAL-PALSY; CHILDREN; BAYLEY; BIRTH; VALIDITY; CARE; HIP; AGE;
D O I：
10.1038/s41372-023-01777-3
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
OBJECTIVE: To determine the sensitivity and specificity of the 21-month neurodevelopmental outcome for predicting the presence of neurodevelopmental impairment at 36 months corrected age in a population of preterm infants under 29 weeks gestation.STUDY DESIGN: This is a retrospective observational cohort study. Preterm infants born under 29 weeks gestation who were followed up at both 18-21 months and 36 months corrected age with outcome data available were enrolled.RESULTS: Overall, 713 preterm infants <29 weeks gestation and were included in the final analysis. The specificity of the 21-month assessment for predicting neurodevelopmental impairment at 36 months corrected age was 66% (95% confidence interval[CI] 62-71%) with a positive predictive value of 61% (95% CI 56-66%).CONCLUSION: In preterm neonates born <29 weeks gestation, the 18-21 months corrected neurodevelopmental outcome had low specificity and positive predictive value for predicting the presence of neurodevelopmental impairment at 36 months corrected age.
引用
收藏
页码：1406 / 1412
页数：7
相关论文
共 36 条
  • [31] Synnes Anne R, 2006, Paediatr Child Health, V11, P271
  • [32] Sensitivity, Specificity, and Predictive Values: Foundations, Pliabilities, and Pitfalls in Research and Practice
    Trevethan, Robert
    [J]. FRONTIERS IN PUBLIC HEALTH, 2017, 5
  • [33] Trends in Mortality and Morbidity in Infants Under 500 Grams Observations from Our Neonatal Intensive Care Unit (NICU)
    Varga, Peter
    Berecz, Botond
    Pete, Barbara
    Kollar, Timea
    Magyar, Zsofia
    Jeager, Judit
    Gorbe, Eva Romicsne
    Rigo, Janos
    Joo, Gabor Jozsef
    Gasparics, Akos
    [J]. MEDICAL SCIENCE MONITOR, 2018, 24 : 4474 - 4480
  • [34] Wechsler D., WPPSI-III: Technical and interpretative manual
  • [35] WEISGLASKUPERUS N, 1993, PEDIATRICS, V92, P658
  • [36] Rates and Stability of Mental Health Disorders in Children Born Very Preterm at 7 and 13 Years
    Yates, Rosemary
    Treyvaud, Karli
    Doyle, Lex W.
    Ure, Alexandra
    Cheong, Jeanie L. Y.
    Lee, Katherine J.
    Inder, Terrie E.
    Spencer-Smith, Megan
    Anderson, Peter J.
    [J]. PEDIATRICS, 2020, 145 (05)
1234