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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neurodevelopmental outcome of bronchopulmonary dysplasia
Peter J Anderson1, Lex W Doyle
1The Murdoch Childrens Research Institute, Melbourne, Australia.
Insights
Children born very preterm face cognitive and behavioral issues. Bronchopulmonary dysplasia (BPD) worsens these problems, leading to global neurodevelopmental impairments.
Area of Science:
- Pediatrics
- Neurodevelopmental Disorders
- Neonatology
Background:
- Children born very preterm are at high risk for long-term cognitive, educational, and behavioral impairments.
- Bronchopulmonary dysplasia (BPD) is a significant risk factor that exacerbates these neurodevelopmental challenges in preterm infants.
Purpose of the Study:
- To review the existing literature on the neuropsychological outcomes of children with bronchopulmonary dysplasia (BPD).
- To characterize the specific cognitive, educational, and behavioral deficits associated with BPD in preterm children.
Main Methods:
- Literature review of neuropsychological studies focusing on children with BPD.
- Synthesis of findings regarding cognitive function, academic achievement, and behavior.
Main Results:
- Children with BPD exhibit a pattern of global neurodevelopmental impairment, not specific deficits.
- Commonly observed issues include low average IQ, academic difficulties, speech and language delays, visual-motor integration problems, and behavioral issues.
- Emerging evidence suggests attention problems, memory and learning deficits, and executive dysfunction in this population.
Conclusions:
- Bronchopulmonary dysplasia (BPD) is associated with widespread, global neuropsychological impairments in children born very preterm.
- These findings highlight the need for early identification and intervention strategies to support the neurodevelopmental trajectory of infants with BPD.
Abstract:
Children born very preterm are vulnerable for long-term cognitive, educational, and behavioral impairments; bronchopulmonary dysplasia (BPD) is an additional risk factor which exacerbates these problems. As a population, children with BPD exhibit low average IQ, academic difficulties, delayed speech and language development, visual-motor integration impairments, and behavior problems. Neuropsychological studies are sparse, but there is some evidence that children with BPD also display attention problems, memory and learning deficits, and executive dysfunction. BPD does not appear to be associated with a specific neuropsychological impairment but rather a global impairment.
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