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Transition to Adulthood for Extremely Preterm Survivors.
Lauren Pigdon1,2, Rheanna M Mainzer3, Alice C Burnett1,2,4,5
1Victorian Infant Brain Studies.
Pediatrics
|December 21, 2023
Summary
Survivors born extremely preterm (EP) or extremely low birth weight (ELBW) show similar adult transitions to term-born peers, with notable differences in income, independence, and reduced risk-taking behaviors.
Area of Science:
- Neonatalogy
- Developmental Pediatrics
- Public Health
Background:
- The post-surfactant era has improved outcomes for extremely preterm (EP) and extremely low birth weight (ELBW) infants.
- Understanding their long-term transition to adulthood is crucial for comprehensive care and support.
Purpose of the Study:
- To compare the transition into adulthood of survivors born EP/ELBW with term-born controls.
- To identify specific areas of divergence or similarity in adult outcomes.
Main Methods:
- A prospective longitudinal cohort study design was employed.
- EP/ELBW survivors and matched term-born controls from Victoria, Australia (1991-1992) were followed to age 25.
- Outcomes assessed included education, employment, financial status, relationships, health, and risk-taking behaviors.
Main Results:
- 165 EP/ELBW survivors and 127 controls provided data.
- Most adult outcomes were similar between groups after adjusting for social risk and multiple births.
- EP/ELBW survivors were more likely to rely on government income and live at home longer, but exhibited less smoking, binge drinking, and illicit drug use.
Conclusions:
- Adult transition for EP/ELBW survivors in the post-surfactant era is largely comparable to term-born individuals.
- Key differences include financial independence, living arrangements, and significantly reduced risk-taking behaviors in the EP/ELBW group.
- These findings highlight the need for targeted support while acknowledging the resilience of this population.
