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Neurodevelopmental Outcomes of Very Low Birth Weight Infants at 18-24 Months, Corrected Gestational Age in a Tertiary
Samuel P Oommen1, Sridhar Santhanam2, Hima John2
1Developmental Pediatrics Unit, Christian Medical College, Vellore, Tamil Nadu, India.
Insights
Poor post-natal growth impacts neurodevelopment in very low birth weight (VLBW) infants. This study found 10.31% of VLBW survivors had poor outcomes, with growth being a key factor.
Area of Science:
- Neonatology
- Developmental Pediatrics
- Public Health
Background:
- Very low birth weight (VLBW) infants face significant risks for adverse neurodevelopmental outcomes.
- Understanding regional variations in outcomes and risk factors is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of poor neurodevelopmental outcomes in VLBW survivors in South India.
- To identify risk factors associated with these outcomes.
Main Methods:
- A cohort of 643 VLBW survivors was identified.
- Neurodevelopmental outcomes were assessed in 422 infants up to 24 months of age.
- Multivariate analysis was used to identify independent risk factors.
Main Results:
- 10.31% of assessed VLBW infants (359 children) exhibited poor neurodevelopmental outcomes.
- Poor post-natal growth was significantly associated with poor neurodevelopmental outcomes (p=0.045).
- Cerebral palsy, visual, and hearing impairments were noted in 1.67%, 0.28%, and 0.28% of infants, respectively.
Conclusions:
- A substantial proportion of VLBW infants in this South Indian cohort experienced poor neurodevelopmental outcomes.
- Poor post-natal growth emerged as a critical determinant of developmental outcomes, independent of neonatal complications.
- These findings highlight the need for focused growth monitoring and support for VLBW infants.
Objective:
To determine the prevalence and risk factors for poor neurodevelopmental outcome in a cohort of very low birth weight (VLBW) infants.
Subjects And Methods:
Four hundred and twenty-two infants of a total of 643 VLBW survivors from a teaching hospital in South India were followed up to assess their neurodevelopmental outcomes.
Results:
Among the 422 children who completed the assessment, results of 359 children whose assessments were done between 18 and 24 months were analysed. Thirty-seven children (10.31%) had poor neurodevelopmental outcome, six children [1.67%] had cerebral palsy, one child had visual impairment and another had hearing impairment. Poor post-natal growth was independently associated with poor neurodevelopmental outcomes in the multivariate analysis (p = 0.045). Neonatal complications were not associated with the developmental outcome.
Conclusion:
Despite lower rates of neonatal complications compared with Western cohorts, significant proportion of VLBW infants had poor neurodevelopmental outcomes. Poor post-natal growth was an important determinant of the developmental outcome.
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