Assessment of Preterm Infants Using the Bayley-III Scales in Korea
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective To assess the well-being of preterm newborns using the Bayley-III scales in a Korean-based population, and to evaluate the perinatal risk factors influencing developmental outcome.Methods Using the Bayley-III scales, we assessed 120 preterm infants who were referred for evaluation of neurodevelopmental performance. We subdivided them into an extremely preterm group (n=18) and a very/moderate to late preterm group (n=102). Bayley-III mean scores and the rate of infants showing a delay were compared for both groups. The relationship between perinatal risk factors and Bayley-III scores was analyzed. The risk factors were considered as very low birth weight, history of neonatal medical problems, and abnormal radiologic findings in brain magnetic resonance images (MRIs).Results Although no significant differences in mean scores were observed between the extremely preterm group and the very/moderate to late preterm group, the rate of babies showing developmental delay in motor composite scores was significantly higher in the extremely preterm group. The proportions of preterm infants with cognitive, language, and motor delays were 38.3%, 26.7%, and 35.0%, respectively. Very low birth weight was a significant risk factor for low cognitive, language, and motor composite scores. Also, abnormal radiologic findings on brain MRI were significant indicators of lower motor composite scores.Conclusion Cognitive development was the most frequently delayed domain in preterm infants and motor development was more frequently delayed in the extremely preterm group. The very low birth weight and abnormal radiologic findings in brain MRI were predictive factors for neurodevelopmental outcome.
Abstract
Objective To assess the well-being of preterm newborns using the Bayley-III scales in a Korean-based population, and to evaluate the perinatal risk factors influencing developmental outcome.Methods Using the Bayley-III scales, we assessed 120 preterm infants who were referred for evaluation of neurodevelopmental performance. We subdivided them into an extremely preterm group (n=18) and a very/moderate to late preterm group (n=102). Bayley-III mean scores and the rate of infants showing a delay were compared for both groups. The relationship between perinatal risk factors and Bayley-III scores was analyzed. The risk factors were considered as very low birth weight, history of neonatal medical problems, and abnormal radiologic findings in brain magnetic resonance images (MRIs).Results Although no significant differences in mean scores were observed between the extremely preterm group and the very/moderate to late preterm group, the rate of babies showing developmental delay in motor composite scores was significantly higher in the extremely preterm group. The proportions of preterm infants with cognitive, language, and motor delays were 38.3%, 26.7%, and 35.0%, respectively. Very low birth weight was a significant risk factor for low cognitive, language, and motor composite scores. Also, abnormal radiologic findings on brain MRI were significant indicators of lower motor composite scores.Conclusion Cognitive development was the most frequently delayed domain in preterm infants and motor development was more frequently delayed in the extremely preterm group. The very low birth weight and abnormal radiologic findings in brain MRI were predictive factors for neurodevelopmental outcome.
참고문헌 (21)
- Stephens BE, "Neurodevelopmental outcome of the premature infant", Pediatr Clin North Am, 56, pp.631~646 (2009)
- Evensen KA, "Predictive value of early motor evaluation in preterm very low birth weight and term small for gestational age children", Early Hum Dev, 85, pp.511~518 (2009)
- Aylward GP, "Cognitive and neuropsychological outcomes:more than IQ scores", Ment Retard Dev Disabil Res Rev, 8, pp.234~240 (2002)
- Bayley N, "Bayley scales of infant and toddler development" (2006), Harcourt Assessment
- Vohr BR, "Are outcomes of extremely preterm infants improving? Impact of Bayley assessment on outcomes", J Pediatr, 161, pp.222~228 (2012)
- Anderson PJ, "Underestimation of developmental delay by the new Bayley-III Scale", Arch Pediatr Adolesc Med, 164, pp.352~356 (2010)
- Moore T, "Relationship between test scores using the second and third editions of the Bayley Scales in extremely preterm children", J Pediatr, 160, pp.553~558 (2012)
- Bhutta AT, "Cognitive and behavioral outcomes of school-aged children who were born preterm: a meta-analysis", JAMA, 288, pp.728~737 (2002)
- Stolt S, "The early lexical development and its predictive value to language skills at 2 years in very-low-birth-weight children", J Commun Disord, 42, pp.107~123 (2009)
- Sun J, "A comparison of executive function in very preterm and term infants at 8months corrected age", Early Hum Dev, 85, pp.225~230 (2009)
- Mansson J, "Children born extremely preterm show significant lower cognitive, language and motor function levels compared with children born at term, as measured by the Bayley-III at 2.5years", Acta Paediatr, 103, pp.504~511 (2014)
- L Orton J, "Challenges of neurodevelopmental follow-up for extremely preterm infants at two years", Early Hum Dev, 91, pp.689~694 (2015)
- Greene MM, "Evaluating preterm infants with the Bayley-III: patterns and correlates of development", Res Dev Disabil, 33, pp.1948~1956 (2012)
- Wu YT, "Brief report: Taiwanese infants’ mental and motor development: 6-24 months", J Pediatr Psychol, 33, pp.102~108 (2008)
- Steenis LJ, "Performance of Dutch children on the Bayley III: a comparison study of US and Dutch norms", PLoS One, 10, pp.e0132871~ (2015)
- Kim HJ, "A study of the correlation between BSID-III and KICDT for children with developmental delay", J Phys Ther Sci, 27, pp.269~271 (2015)
- 우미경, "고위험 신생아에서 Bayley 발달 검사 결과에 영향을 미치는 신경발달 예후인자에 대한 연구", Korean Journal of Pediatrics, 52(11), pp.1221~1227 (2009), 대한소아과학회
- Iype M, "The newborn with seizures: a follow-up study", Indian Pediatr, 45, pp.749~752 (2008)
- van de Bor M, "Value of cranial ultrasound and magnetic resonance imaging in predicting neurodevelopmental outcome in preterm infants", Pediatrics, 90(2 Pt 1), pp.196~199 (1992)
- Lee HJ, "Developmental assessment of preterm infants at two years of age with periventricular leukomalacia", J Korean Soc Neonatol, 9, pp.167~175 (2002)
- Patra K, "Grades I-II intraventricular hemorrhage in extremely low birth weight infants: effects on neurodevelopment", J Pediatr, 149, pp.169~173 (2006)