- 作者：Lauren A.C. Boyd ; Michael E. Msall ; T. Michael O'Shea ; Elizabeth N. Allred ; Gail Hounshell ; Alan Leviton
- 关键词：ELGAN ; Extremely Low Gestational Age Newborn ; ER ; Emotional Regulation ; O/E ; Orientation Engagement ; NO/Q ; non-optimal or questionable ; BSID-II ; Bayley Scales Infant Development-II ; BRS ; Behavior Rating Scale ; MDI ; Mental Development Index ; PDI ; Psychomotor Development Index ; GMFCS ; Gross Motor Function Classification System ; IVH ; intraventricular hemorrhage
- 刊名：Early Human Development
- 出版年：December, 2013
- 年：2013
- 卷：89
- 期：12
- 页码：925-930
- 全文大小：288 K
Background
Premature infants are less socially and emotionally competent at school age than infants born at term.Aims
To evaluate the correlates of social and emotional delays at 2 years of age among prematurely born children.
Study design
This is a prospective cohort study.
Subjects
904 children born at < 28 weeks gestation during 2002-2004 and enrolled in the ELGAN study who survived until age 2 years and returned for a developmental assessment.
Outcome measures
The Bayley Behavior Rating Scale (BRS), a neurological examination, and the Bayley Scales of Infant Development II (BSID-II).
Results
Fully 31% of children had a non-optimal (14%) or questionable (17%) (NO/Q) BRS score for Emotional Regulation (ER), and 27% had a non-optimal (13%) or questionable (14%) score for Orientation/Engagement (O/E). Children with NO/Q scores on ER and O/E were more likely than others to have MDI and PDI scores < 70 and be unable to walk. Antecedents of NO/Q OE scores included multi-fetal pregnancy, while antecedents of NO/Q scores for both ER and O/E included indicators of socioeconomic disadvantage, and male sex.
Conclusions
Over 25% of children born extremely premature exhibit socio-emotional delays during developmental assessment at age 2 years. Antecedents of these delays include sociodemographic characteristics, as well as those common antecedents of other impairments commonly observed among extremely preterm infants.