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The high-risk infant

M C Allen1

  • 1Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Pediatric Clinics of North America
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

Infants with biologic or environmental risk factors face higher developmental disability risks. Identifying and monitoring high-risk infants ensures timely intervention and resource allocation for better outcomes.

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Area of Science:

  • Neonatal care
  • Developmental pediatrics
  • Public health

Background:

  • Many infants are born with risk factors for developmental disability.
  • Specific factors like brain injury and abnormal exams indicate higher risk.
  • Multiple risk factors compound the risk of disability.

Purpose of the Study:

  • To identify infants at high risk for developmental disability.
  • To guide resource allocation for developmental follow-up and early intervention.
  • To establish a system for tracking high-risk infants.

Main Methods:

  • Review of biologic and environmental risk factors in infants.
  • Assessment of risk levels associated with specific factors and their combinations.
  • Analysis of the need for targeted developmental screening and monitoring.

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Main Results:

  • Certain risk factors (e.g., intraparenchymal hemorrhage, periventricular cysts) significantly increase disability risk.
  • Infants with multiple risk factors have a substantially greater risk.
  • Selective comprehensive follow-up for highest-risk infants is resource-efficient.

Conclusions:

  • Pediatric follow-up and developmental screening are crucial for high-risk infants.
  • Prioritizing the highest-risk infants optimizes limited resources for early intervention.
  • A robust tracking system facilitates early identification and referral for developmental delays.