Gestational Age at Birth and Risk of Developmental Delay: The Upstate KIDS Study.
Objective The aim of this study is to model the association between gestational age at birth and early child development through 3 years of age. Study Design Development of 5,868 children in Upstate KIDS (New York State; 2008–2014) was assessed at 7 time points using the Ages and Stages Questionna...
| Publicado en: | American Journal of Perinatology Vol. 38; no. 10; pp. 1088 - 1096 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Thieme Medical Publishing Inc.
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151717762&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151717762 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07351631 GQK jtl: American Journal of Perinatology issn: 07351631 maglogo: N pubinfo: dt: 2021 vid: 38 iid: 10 pid: 2811 pub: Thieme Medical Publishing Inc. place: New York, New York artinfo: ui: 151717762 151717762 151717762 10.1055/s-0040-1702937 151717762 ppf: 1088 ppct: 8 formats: tig: atl: Gestational Age at Birth and Risk of Developmental Delay: The Upstate KIDS Study. aug: au: Hochstedler, Kimberly A. Bell, Griffith Park, Hyojun Ghassabian, Akhgar Bell, Erin M. Sundaram, Rajeshwari Grantz, Katherine L. Yeung, Edwina H. affil: Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan sug: subj: Gestational Age Childbirth Infant Development Disorders Risk Factors Child Development Disorders Risk Factors Risk Assessment Human New York Record Review Models, Statistical Comparative Studies Odds Ratio Confidence Intervals Descriptive Statistics Early Childhood Intervention Questionnaires Infant Child, Preschool Childbirth, Premature Socioeconomic Factors Smoking Infant: 1-23 months Child, Preschool: 2-5 years ab: Objective The aim of this study is to model the association between gestational age at birth and early child development through 3 years of age. Study Design Development of 5,868 children in Upstate KIDS (New York State; 2008–2014) was assessed at 7 time points using the Ages and Stages Questionnaire (ASQ). The ASQ was implemented using gestational age corrected dates of birth at 4, 8, 12, 18, 24, 30, and 36 months. Whether children were eligible for developmental services from the Early Intervention Program was determined through linkage. Gestational age was based on vital records. Statistical models adjusted for covariates including sociodemographic factors, maternal smoking, and plurality. Results Compared with gestational age of 39 weeks, adjusted odds ratios (aOR) and 95% confidence intervals of failing the ASQ for children delivered at <32, 32–34, 35–36, 37, 38, and 40 weeks of gestational age were 5.32 (3.42–8.28), 2.43 (1.60–3.69), 1.38 (1.00–1.90), 1.37 (0.98–1.90), 1.29 (0.99–1.67), 0.73 (0.55–0.96), and 0.51 (0.32–0.82). Similar risks of being eligible for Early Intervention Program services were observed (aOR: 4.19, 2.10, 1.29, 1.20, 1.01, 1.00 [ref], 0.92, and 0.78 respectively for <32, 32–34, 37, 38, 39 [ref], 40, and 41 weeks). Conclusion Gestational age was inversely associated with developmental delays for all gestational ages. Evidence from our study is potentially informative for low-risk deliveries at 39 weeks, but it is notable that deliveries at 40 weeks exhibited further lower risk. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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