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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Atypical social development in neonatal intensive care unit survivors at 12 months

Yasumasa Yamada1, Futoshi Yoshida, Hayato Hemmi

  • 1Department of Neonatology, Central Hospital, Aichi Human Service Center, Kasugai, Aichi, Japan. yamasan@aichi-colony.jp

Pediatrics International : Official Journal of the Japan Pediatric Society
|March 25, 2011
PubMed

Insights

Neonatal intensive care unit (NICU) survivors show developmental differences in social communication compared to typically developing children. Further follow-up is recommended for assessing social skills and neurological development in these infants.

Area of Science:

  • Neonatal development
  • Pediatric social communication
  • Developmental pediatrics

Background:

  • Advances in neonatal intensive care have increased survival rates for infants in neonatal intensive care units (NICUs).
  • The social development of NICU survivors remains an under-explored area.
  • NICU survivors represent a growing population requiring continued developmental monitoring.

Purpose of the Study:

  • To investigate the social development of NICU survivors.
  • To compare the social development of NICU survivors with a control group of typically developing children.
  • To identify potential early indicators of social communication differences in NICU survivors.

Main Methods:

  • Utilized the Modified Checklist for Autism in Toddlers (M-CHAT) questionnaire.
  • Parents of NICU survivors (n=117) and controls (n=112) completed the M-CHAT at 12 months corrected age.
  • M-CHAT results were analyzed to compare screening pass/fail rates and specific item failures between groups.

Main Results:

  • A significantly higher percentage of NICU survivors (90%) failed the M-CHAT screen compared to controls (63%).
  • NICU survivors frequently failed items related to sensory sensitivities (noise) and attention-seeking behaviors.
  • Low birth weight and respiratory support needs were associated with increased M-CHAT failures.

Conclusions:

  • NICU survivors exhibit distinct social communication developmental patterns.
  • Early identification and follow-up are crucial for NICU survivors.
  • Assessment of social skills and neurological development is recommended for this population.
Abstract

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