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Published on: April 19, 2017
Cognitive, Language, and Visuomotor Abilities of Very Low Birthweight Infants at Corrected Age of Two Years
Kanya Mukhopadhyay1, Prahbhjot Malhi2, Jogender Kumar2
1Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Correspondence to: Dr Kanya Mukhopadhyay, Professor, Neonatology, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India. kanyapgi@gmail.com.
Insights
Very low birthweight infants often experience language and visuomotor delays. Infants who are small for their gestational age face a higher risk of these developmental delays at two years corrected age.
Area of Science:
- Neonatal development
- Pediatric neurology
- Developmental pediatrics
Background:
- Very low birthweight (VLBW) infants are at increased risk for developmental delays.
- Early identification of language and visuomotor delays is crucial for timely intervention.
- Understanding predictors of these delays can inform targeted support strategies.
Purpose of the Study:
- To determine the prevalence of language and visuomotor delay in VLBW children at 2 years corrected age.
- To identify predictors associated with these developmental delays.
- To assess the relationship between birth characteristics and developmental outcomes.
Main Methods:
- Prospective observational study of 164 VLBW infants (birthweight ≤1250 g).
- Developmental assessment at 2 years corrected age using Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS).
- Calculation of Development Quotient (DQ) and analysis of predictors.
Main Results:
- 24% of VLBW children exhibited below-average Development Quotient (DQ) at 2 years corrected age.
- Infants born small for gestational age (SGA) showed a significantly higher risk of below-average DQ (P=0.036).
- Gestational age and socioeconomic status correlated positively with language development at 9 months and 2 years, respectively.
Conclusions:
- The prevalence of language and visuomotor delay is high in VLBW infants.
- Small for gestational age status is a significant predictor of increased risk for developmental delays in VLBW children.
- Early developmental screening and targeted interventions are essential for VLBW populations.
Objective:
To assess the prevalence and predictors of language and visuomotor delay in very low birthweight (≤1250 g) children at corrected age (CA) of 2 years.
Design:
Prospective observational.
Setting:
Neonatal follow-up clinic of a level III center.
Participants:
Children with birthweight £1250 g and discharged alive (n=164) from April 2012 to April 2013 were followed up till 2 years CA (n=126).
Methods:
Development, neurological status, and language/visuomotor cognitive skills were assessed by Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS). Development Quotient (DQ) was calculated.
Main Outcome:
Prevalence and predictors for the language and visuomotor delay.
Results:
At 2 years (n=123 CAT, 126 CLAMS), 30 (24%) children had below average DQ (<90) and 93 (74%) average and above average DQ (≥90) in full scale CAT/CLAMS test. Small for gestation infants (n=86) have higher risk of below average DQ (P=0.036). Gestational age and socioeconomic status have a positive correlation with language development at 9 months and 2 years, respectively.
Conclusions:
In VLBW (birth weight ≤1250 g) infants, the prevalence of language/visuomotor delay is high. Small for gestational age infants are at higher risk for language and visuomotor development delay at 2 years corrected age.
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