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[Psychomotor development in late premature newborns at five years. Comparison with term newborns using the ASQ3®]

Félix Morales-Luengo1, Beatriz Salamanca-Zarzuela2, Belén Fernández Colomer3

  • 1Unidad de Neonatología, Hospital Universitario Río Hortega, Valladolid, España.

Anales De Pediatria
|August 18, 2020
PubMed

Insights

Late preterm infants (LP) show no significant difference in psychomotor development (PMD) risk at age 5 compared to term newborns (TNB). However, male gender and restricted uterine growth (RUG) were identified as risk factors for PMD impairment.

Area of Science:

  • Neonatal development
  • Pediatric neurology
  • Developmental pediatrics

Background:

  • Late preterm infants (LP) are at risk for delayed psychomotor development (PMD).
  • Subtle PMD changes may be missed without appropriate assessment tools.
  • The Ages & Stages Questionnaires 3 (ASQ3) is recommended for detecting PMD risk in LP.

Purpose of the Study:

  • To evaluate the risk of impaired PMD in LP at 5 years old.
  • To compare PMD risk between LP and term newborns (TNB) using the ASQ3.

Main Methods:

  • Collected data on LP and matched TNB born in 2010.
  • Administered the ASQ3 to families at 5 years, excluding those with other neurological risks.
  • Used ROC analysis to determine ASQ3 cut-off points for PMD risk.

Main Results:

  • No significant differences in overall or domain-specific ASQ3 scores between LP and TNB.
  • A similar risk of PMD impairment was observed in both groups (7 LP vs. 4 TNB).
  • Male gender and restricted uterine growth (RUG) were associated with increased PMD risk.

Conclusions:

  • The study found no significant difference in PMD impairment risk between LP and TNB at age 5.
  • ASQ3 scores were slightly lower in LP, but not statistically significant.
  • Male gender and RUG negatively influence the risk of PMD impairment.
Abstract

Keywords:
ASQ3Evaluación neurodesarrolloLate prematureMorbilidad perinatalNeurodesarrolloNeurodevelopmentNeurodevelopment assessmentPerinatal morbidityPretérmino tardío

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