1 / 15

Premature Infant Outcomes

Premature Infant Outcomes. Linda Wallen, MD. Prevalence of Cerebral Palsy VLBW Infants - 1982-1994. Mortality Cerebral Palsy (% live births) (% survivors) 1982-1984 36.8 9.1 1984-1986 31.5 12.3 1986-1988 36.1 11.9 1988-1990 29.2 9.2 1990-1992 21.8 3.6 1992-1994 13.8 6.6.

wilhelmina
Télécharger la présentation

Premature Infant Outcomes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Premature Infant Outcomes Linda Wallen, MD

  2. Prevalence of Cerebral Palsy VLBW Infants - 1982-1994 Mortality Cerebral Palsy (% live births) (% survivors) 1982-1984 36.8 9.1 1984-1986 31.5 12.3 1986-1988 36.1 11.9 1988-1990 29.2 9.2 1990-1992 21.8 3.6 1992-1994 13.8 6.6 (O’Shea et al., 1998)

  3. Survival & Outcome of Infants Weighing <800 g 1979 to 1994 (O’Shea et al., Pediatrics 100: 982-986, 1997)

  4. Survival & Outcome of Infants, 401-1250 g 1994 to 1996 (Finer et al., Pediatrics 104: 428-434, 1999)

  5. Survival & Outcome of Infants, < 1250 g Doernbecher NCC, 1995 to 1998

  6. Bayley Scales at 30 Months for Infants Born at < 26 Weeks Gestation Individual Scores on Bayley Scales at 30 months by Gestational Age (EPIcure Group (UK) follow up Mar-Dec 1995. New England J Med 343:381, 2000)

  7. Adj. Risk for No Independent Walking Adj. Risk for No Independent Feeding Risk Factors for Cerebral Palsy in Infants < 1000 g at 18-22 Months From NICHD Network 1993-1994 Follow-Up. Pediatrics. 105:1221-22, 2000.

  8. Adjusted Risk Factors for MDI < 70 Adjusted Risk Factors for PDI < 70 Risk Factors for Severe Developmental Delay in Infants <1000 g at 18-22 Months From NICHD Network 1993-1994 Follow-Up. Pediatrics. 105:1220-21, 2000.

  9. 30 Month Outcome for Infants Born at < 26 Weeks Died (2%) No data (1%) Severe disability (25%) No disability (49%) Other disability (25%) (EPIcure Group (UK) follow up Mar-Dec 1995. New England J Med 343:381, 2000)

  10. NICHD Outcome of Infants 401-1000 g at Discharge From NICHD Network 1993-1994 Follow-Up. Pediatrics. 105:1221-22, 2000.

  11. NICHD Outcome of Infants 401-1000 g at 18 Months From NICHD Network 1993-1994 Follow-Up. Pediatrics. 105:1221-22, 2000.

  12. NICHD Outcome of Infants 401-1000 g at18 Months From NICHD Network 1993-1994 Follow-Up. Pediatrics. 105:1221-22, 2000.

  13. Growth Failure in the ELBW Infant • Growth at 1 yr of infants 501-800 g born 1989-1994 • Head circumference < 10% = 35% (45/219) • Weight < 10% = 58% (75/219) • Length < 10% = 33% (42/219) • Growth at 6-7 yr of infants < 750 g born 1982-86 • Head circumference < 3% = 35% (24/68) • Weight < 3% = 22% (15/68) • Height < 3% = 25% (17/68) • Growth at 6-7 yr of infants 750-1499 g born 1982-86 • Head circumference < 3% = 14% (9/65) • Weight < 3% = 11% (7/65) • Height < 3% = 5% (3/65)

  14. Outcomes of ELBW infants • Historical reasons for reliance on neurologic morbidities • Public misperception of prevalence of severe disability • Limitation of range of outcomes studied • Other health outcomes that are affected • Increased incidence of asthma • Increased visual perceptual & expressive language disabilities • Increased behavioral problems • Growth failure • Family and child perception of health and outcome • Psychological outcomes • Other factors which influence outcome = risk factors and post discharge environment, heavily influenced by maternal education, income level, smoking, poor maternal health (physical or mental)

More Related