Department of Neonatology, Brighton and Sussex University Hospitals Trust, Brighton BN2 5BE, UK.
Eur J Paediatr Neurol. 2010 May;14(3):219-23. doi: 10.1016/j.ejpn.2009.06.005. Epub 2009 Jul 16.
To assess the developmental outcome of very preterm infants using a developmental screening tool deliverable by health visitors.
The study cohort consisted of preterm infants born at <32 weeks gestation or <1500g. Infants were assessed at 12 and 24 months corrected age using the Schedule of Growing Skills developmental screening test. Scores for skill areas were converted to developmental levels in months and graded as normal or mild, moderate or severe delay.
Of 101 infants assessed at 12 months, 12 (12%) had severe developmental delay (developmental level <6months) in one or more skill areas. At 24 months, severe developmental delay (developmental level <12 months) was found in 8 (9.1%) infants. Only 3 infants had severe global delay. However, approximately a third of infants showed mild or moderate delay in hearing and language, social or cognitive skill areas by 24 months.
Developmental assessment undertaken by health visitors may be used to measure outcome in preterm infants. Severe developmental delay was at a level consistent with other follow-up studies of very preterm infants. Severe delay was identified by the 12-month check and was mainly in areas of motor function and language. High levels of mild to moderate developmental delay were identified at the 24-month assessment.
使用可由健康访视员提供的发育筛查工具来评估极早产儿的发育结果。
研究队列由胎龄<32 周或体重<1500g 的早产儿组成。使用发育筛查测试《成长技能时间表》在 12 个月和 24 个月校正年龄时对婴儿进行评估。技能领域的分数转换为以月为单位的发育水平，并评定为正常或轻度、中度或重度延迟。
在 12 个月接受评估的 101 名婴儿中，12 名（12%）在一个或多个技能领域存在严重发育迟缓（发育水平<6 个月）。在 24 个月时，8 名（9.1%）婴儿存在严重发育迟缓（发育水平<12 个月）。只有 3 名婴儿存在严重的全面发育迟缓。然而，大约三分之一的婴儿在 24 个月时在听力和语言、社会或认知技能领域存在轻度或中度延迟。
健康访视员进行的发育评估可用于测量早产儿的结局。严重发育迟缓的水平与其他极早产儿的随访研究一致。严重迟缓在 12 个月检查时被识别，主要是在运动功能和语言领域。在 24 个月评估时，发现了较高水平的轻度至中度发育迟缓。
