Using cluster analysis to provide new insights into development of very low birthweight (VLBW) premature infants

Gail S Ross1, L M Foran1, Baptiste Barbot2

  • 1Newborn Medicine, Weill-Cornell Medical College, Box 106, 525 East 68 Street, New York, NY 10021, USA.

Early Human Development
|December 10, 2015
PubMed

Insights

This study identified four developmental profiles in very low birthweight (VLBW) infants, linking factors like socioeconomic status and medical conditions to these outcomes. This helps predict future development and guide early intervention for VLBW children.

Area of Science:

  • Neonatal development
  • Pediatric neurology
  • Developmental psychology

Background:

  • Existing follow-up studies for very low birthweight (VLBW) premature infants often focus on single developmental outcomes.
  • There is a need to assess comprehensive developmental profiles in this vulnerable population.

Purpose of the Study:

  • To identify distinct developmental profiles in VLBW infants using cognitive and language assessments.
  • To investigate associations between these profiles and demographic, perinatal, and behavioral factors.

Main Methods:

  • Retrospective chart review of 117 VLBW infants assessed at 18 months corrected age.
  • Utilized Bayley Scales-III (Cognitive, Expressive Language, Receptive Language) and Child Behavior Checklist (CBCL 1 ½-5).
  • Cluster analysis grouped infants based on cognitive and language scores; demographic, perinatal, and behavioral data were analyzed for associations.

Main Results:

  • Four developmental profiles were identified: Consistently High, Consistently Average, Average with Delayed Expressive Language, and Consistently Low.
  • Socioeconomic status, bronchopulmonary dysplasia, severe intraventricular hemorrhage (Grades III-IV), and behavioral problem scores (including ADHD) were significantly associated with these profiles.

Conclusions:

  • Cluster analysis effectively defined distinct developmental outcome groups in VLBW children.
  • This approach aids in identifying factors influencing developmental outcomes and may predict later development.
  • The findings can inform early intervention strategies for specific at-risk groups of VLBW infants.
Abstract

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