Follow-up outcomes at 1 and 2 years of infants born less than 32 weeks after newborn individualized developmental care and assessment program.
OBJECTIVE: This was a randomized, controlled trial to investigate the effect of Newborn Individualized Developmental Care and Assessment Program on growth, cognitive, psychomotor, and neuromotor development at 1 and 2 years in infants born at <32 weeks' gestational age. METHODS: Infants were randoml...
| Published in: | Pediatrics Vol. 123; no. 4; pp. 1081 - 1088 |
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| Main Authors: | , , , , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
American Academy of Pediatrics
Apr2009
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105495090&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105495090 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Apr2009 vid: 123 iid: 4 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 105495090 2010242524 10.1542/peds.2008-1950 NLM19336365 105495090 ppf: 1081 ppct: 7 formats: tig: atl: Follow-up outcomes at 1 and 2 years of infants born less than 32 weeks after newborn individualized developmental care and assessment program. aug: au: Maguire CM Walther FJ van Zwieten PHT Le Cessie S Wit JM Veen S affil: Department of Pediatrics, Leiden University Medical Center, 2300 RC, Leiden, Netherlands sug: subj: Age Specific Care In Infancy and Childhood Infant Development Infant, Premature Neonatal Assessment Body Weights and Measures Chi Square Test Child, Preschool Clinical Assessment Tools Cognition Control Group Data Analysis Software Funding Source Gestational Age Growth Infant Infant, Newborn Intervention Trials Mann-Whitney U Test Netherlands Neurologic Examination Prospective Studies Psychomotor Performance Random Assignment Scales T-Tests Human Child, Preschool: 2-5 years Infant: 1-23 months Infant, Newborn: birth-1 month ab: OBJECTIVE: This was a randomized, controlled trial to investigate the effect of Newborn Individualized Developmental Care and Assessment Program on growth, cognitive, psychomotor, and neuromotor development at 1 and 2 years in infants born at <32 weeks' gestational age. METHODS: Infants were randomly assigned within 48 hours of birth to the newborn individualized developmental care and assessment program group (intervention) or basic developmental care group (control group [ie, incubator covers and nests]). At 1 and 2 years' corrected age, growth was measured and standardized neurologic examinations were administered. Mental and psychomotor development was assessed by using the Dutch version of the Bayley Scales of Infant Development II. Neurologic outcome, Psychomotor Developmental Index, and Mental Developmental Index scores were combined a total outcome measure. RESULTS: One hundred sixty-eight infants were recruited (intervention: 84; control: 84). Four infants (newborn intervention: 3; control: 1) were excluded because they were admitted less than or died within the first 5 days, leaving a total of 164 infants who met inclusion criteria. In-hospital mortality was 8 of 81 in the intervention group and 3 of 83 in the control group. At 1 year of age 148 children (intervention: 70; control: 78) and at 2 years of age 146 children (intervention: 68; control: 78) were assessed. There was no significant difference in growth at 1 and 2 years of age. There was no significant difference found in neurologic outcomes or mental and psychomotor development at 1 and 2 years of age. When neurologic outcome, Mental Developmental Index and Psychomotor Developmental Index scores were combined, there still remained no significant difference. CONCLUSIONS: Newborn individualized developmental care and assessment program developmental care showed no effect on growth or neurologic, mental, or psychomotor development at 1 and 2 years of age in infants born at <32 weeks. Duration of the intervention was not associated with neurologic and developmental outcome. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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