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New pediatric in children research from University of Otago, Department of Paediatrics outlined
2009 MAY 26 - (NewsRx.com) -- Scientists discuss in 'Admissions of all gestations to a regional neonatal unit versus controls: 2-year outcome' new findings in life sciences. In this recently published article, scientists in Christchurch, New Zealand conducted a study "To assess neurodevelopmental outcome at 2 years for neonatal intensive care unit (NICU) admissions compared with controls, and to trial a parent-reporting scheme. All infants admitted to the NICU at Christchurch Women's Hospital over a 12-month period and whose parents were domiciled in a defined geographical region were eligible for study, together with every eighth term infant not admitted (to a total of 300)." "Parents completed a two-page questionnaire on their child's 2nd birthday. All infants <28 weeks gestation and a random 300 NICU admissions and 108 controls underwent a paediatric examination and Bayley II assessment at 2 years of age. A total of 387 NICU infants (86% eligible) and 306 controls were enrolled. At 2 years of age, 276 NICU infants (89% survivors) and 94 controls (87%) had some follow up. For infants of <33 weeks, 33-36 weeks, >or=37 weeks gestation and controls, the percentage >1 SD below the mean on the Bayley Mental Development Index scales were 33.3, 36.5, 44.6 and 24.1, respectively (p=0.03); on the Psychomotor Developmental Index scales were 30.0, 29.1, 41.1 and 19.5 (p=0.02) and the percentage with any cerebral palsy were 11.1, 2.8, 5.2 and 1.2. At 2 years of age, NICU graduates have more developmental problems than controls across a range of measures. In many cases, term NICU graduates have the least favourable outcome," wrote B.A. Darlow and colleagues, University of Otago, Department of Paediatrics. The researchers concluded: "There was only moderate agreement between parents' reporting of moderate or severe developmental disability by means of a questionnaire, compared with professionals (kappa statistic 0.38), with parents tending to underestimate problems." Darlow and colleagues published their study in the Journal of Paediatrics and Child Health (Admissions of all gestations to a regional neonatal unit versus controls: 2-year outcome. Journal of Paediatrics and Child Health, 2009;45(4):187-93). For more information, contact B.A. Darlow, University of Otago, Dept. of Paediatrics, Christchurch, New Zealand. Publisher contact information for the Journal of Paediatrics and Child Health is: Blackwell Publishing Inc., 350 Main St., Malden, MA 02148, USA. Keywords: New Zealand, Christchurch, Life Sciences, Pediatrics, Child Health. This article was prepared by Life Science Weekly editors from staff and other reports. Copyright 2009, Life Science Weekly via NewsRx.com.
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