Predictors of long-term neurodevelopmental outcomes of children born extremely preterm

Alicia J Spittle1, Deanne K Thompson2, Joy E Olsen3

  • 1Department of Physiotherapy, University of Melbourne, Parkville, Australia; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Australia; Department of Physiotherapy and Newborn Services, The Royal Women's Hospital, Parkville, Australia.

Seminars in Perinatology
|August 30, 2021
PubMed

Insights

Children born extremely preterm face significant neurodevelopmental challenges. Early identification of risk factors in newborns is crucial for timely intervention and improved long-term outcomes.

Area of Science:

  • Neonatal Medicine
  • Developmental Pediatrics
  • Neuroscience

Background:

  • Children born extremely preterm (gestation <28 weeks) exhibit higher risks for neurodevelopmental issues compared to full-term infants.
  • These challenges can manifest as cognitive, motor, and behavioral difficulties, impacting academic and health outcomes.
  • Predicting these long-term outcomes is complex, necessitating a comprehensive approach.

Purpose of the Study:

  • To review predictors of neurodevelopmental outcomes in extremely preterm infants.
  • To highlight the importance of early assessment and intervention strategies.

Main Methods:

  • Review of established predictors in the newborn period.
  • Inclusion of perinatal factors, neuroimaging, neurobehavioral assessments, and socio-environmental influences.
  • Synthesis of current evidence on risk assessment.

Main Results:

  • Identified key predictors including perinatal complications, specific neuroimaging markers, and early neurobehavioral patterns.
  • Emphasized the role of social and environmental factors in shaping outcomes.
  • Highlighted the variability in neurodevelopmental trajectories.

Conclusions:

  • Multi-disciplinary team assessment is vital for accurate risk stratification.
  • Early identification of at-risk infants facilitates timely referral for targeted interventions.
  • Personalized risk assessment improves management of extremely preterm infants.

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