Developmental Outcomes of Extremely Preterm Infants with a Need for Child Protective Services Supervision

Elisabeth C. McGowan, Abbot R. Laptook, Jean Lowe, Myriam Peralta-Carcelen, Dhuly Chowdhury, Rosemary D. Higgins, Susan R. Hintz, Betty R. Vohr, Richard A. Polin, R. Laptook Abbott, Keszler Martin Keszler, M. Hensman Angelita, Barbara Alksninis, Kristin M. Basso, Robert Burke, Melinda Caskey, Katharine Johnson, Mary Lenore Keszler, Andrea M. Knoll, Theresa M. LeachEmilee Little, Elisa Vieira, Victoria E. Watson, Suzy Ventura, Michele C. Walsh, Avroy A. Fanaroff, Anna Marie Hibbs, Deanne E. Wilson-Costello, Nancy S. Newman, Allison H. Payne, Bonnie S. Siner, Monika Bhola, Gulgun Yalcinkaya, Harriet G. Friedman, William E. Truog, Eugenia K. Pallotto, Howard W. Kilbride, Cheri Gauldin, Anne Holmes, Kathy Johnson, Allison Knutson, Kurt Schibler, Edward F. Donovan, Cathy Grisby, Kate Bridges, Barbara Alexander, Estelle E. Fischer, Holly L. Mincey, Jody Hessling, Teresa L. Gratton, Lenora Jackson, Kristin Kirker, Greg Muthig, Jean J. Steichen, Stacey Tepe, Kimberly Yolton, Ronald N. Goldberg, C. Michael Cotten, Ricki F. Goldstein, Patricia L. Ashley, William F. Malcolm, Kathy J. Auten, Kimberley A. Fisher, Sandra Grimes, Kathryn E. Gustafson, Melody B. Lohmeyer, Joanne Finkle, Matthew M. Laughon, Carl L. Bose, Janice Bernhardt, Gennie Bose, Cindy Clark, Linda Manor, Diane Warner, Janice Wereszczak, David P. Carlton, Barbara J. Stoll, Ira Adams-Chapman, Ellen C. Hale, Yvonne Loggins, Stephanie Wilson Archer, Gregory M. Sokol, Brenda B. Poindexter, Anna M. Dusick, Lu Ann Papile, Susan Gunn, Faithe Hamer, Dianne E. Herron, Abbey C. Hines, Carolyn Lytle, Heike M. Minnich, Lucy Smiley, Leslie Dawn Wilson, Pablo J. Sanchez, Leif D. Nelin, Sudarshan R. Jadcherla, Patricia Luzader, Christine A. Fortney, Gail E. Besner, Nehal A. Parikh, Abhik Das, Dennis Wallace, Marie G. Gantz, W. Kenneth Poole, Jamie E. Newman, Jeanette O'Donnell Auman, Margaret M. Crawford, Carolyn M. Petrie Huitema, Kristin M. Zaterka-Baxter, Krisa P. Van Meurs, David K. Stevenson, M. Bethany Ball, Alexis S. Davis, Andrew W. Palmquist, Melinda S. Proud, Barbara Bentley, Elizabeth Bruno, Maria Elena DeAnda, Anne M. DeBattista, Beth Earhart, Lynne C. Huffman, Jean G. Kohn, Casey Krueger, Hali E. Weiss, Ivan D. Frantz, John M. Fiascone, Brenda L. MacKinnon, Anne Furey, Ellen Nylen, Waldemar A. Carlo, Namasivayam Ambalavanan, Monica V. Collins, Shirley S. Cosby, Fred J. Biasini, Kristen C. Johnston, Kathleen G. Nelson, Cryshelle S. Patterson, Vivien A. Phillips, Sally Whitley, Uday Devaskar, Meena Garg, Isabell B. Purdy, Teresa Chanlaw, Rachel Geller, Neil N. Finer, Yvonne E. Vaucher, David Kaegi, Maynard R. Rasmussen, Kathy Arnell, Clarence Demetrio, Martha G. Fuller, Wade Rich, Edward F. Bell, Tarah T. Colaizy, Michael J. Acarregui, Dan L. Ellsbury, John A. Widness, Karen J. Johnson, Donia B. Campbell, Diane L. Eastman, Jacky R. Walker, Jane E. Brumbaugh, Shahnaz Duara, Charles R. Bauer, Ruth Everett-Thomas, Sylvia Fajardo-Hiriart, Arielle Rigaud, Maria Calejo, Silvia M. Frade Eguaras, Michelle Harwood Berkowits, Andrea Garcia, Helina Pierre, Alexandra Stoerger, Kristi L. Watterberg, Jean R. Lowe, Janell F. Fuller, Robin K. Ohls, Conra Backstrom Lacy, Andrea F. Duncan, Rebecca Montman, Barbara Schmidt, Haresh Kirpalani, Sara B. DeMauro, Aasma S. Chaudhary, Soraya Abbasi, Toni Mancini, Dara M. Cucinotta, Judy C. Bernbaum, Marsha Gerdes, Hallam Hurt, Carl T. D'Angio, Dale L. Phelps, Ronnie Guillet, Satyan Lakshminrusimha, Julie Babish Johnson, Linda J. Reubens, Cassandra A. Horihan, Diane Hust, Rosemary L. Jensen, Emily Kushner, Joan Merzbach, Gary J. Myers, Mary Rowan, Holly I.M. Wadkins, Melissa Bowman, Julianne Hunn, Stephanie Guilford, Deanna Maffett, Farooq Osman, Diane Prinzing, Anne Marie Reynolds, Michael G. Sacilowski, Ashley Williams, Karen Wynn, Kelley Yost, William Zorn, Lauren Zwetsch, Kathleen A. Kennedy, Jon E. Tyson, Georgia E. McDavid, Nora I. Alaniz, Julie Arldt-McAlister, Katrina Burson, Patricia W. Evans, Carmen Garcia, Charles Green, Beverly Foley Harris, Margarita Jiminez, Janice John, Patrick M. Jones, Layne M. Lillie, Anna E. Lis, Karen Martin, Sara C. Martin, Brenda H. Morris, M. Layne Poundstone, Peggy Robichaux, Shawna Rodgers, Saba Siddiki, Maegan C. Simmons, Daniel Sperry, Patti L. Pierce Tate, Sharon L. Wright, Myra H. Wyckoff, Luc P. Brion, Roy J. Heyne, Walid A. Salhab, Charles R. Rosenfeld, Diana M. Vasil, Lijun Chen, Alicia Guzman, Gaynelle Hensley, Melissa H. Leps, Nancy A. Miller, Janet S. Morgan, Sally S. Adams, Catherine Twell Boatman, Elizabeth T. Heyne, Linda A. Madden, Lizette E. Torres, Roger G. Faix, Bradley A. Yoder, Karen A. Osborne, Cynthia Spencer, Kimberlee Weaver-Lewis, Shawna Baker, Karie Bird, Jill Burnett, Michael Steffen, Jennifer J. Jensen, Sarah Winter, Karen Zanetti, T. Michael O'Shea, Robert G. Dillard, Lisa K. Washburn, Barbara G. Jackson, Nancy Peters, Korinne Chiu, Deborah Evans Allred, Donald J. Goldstein, Raquel Halfond, Carroll Peterson, Ellen L. Waldrep, Cherrie D. Welch, Melissa Whalen Morris, Gail Wiley Hounshell, Seetha Shankaran, Athina Pappas, John Barks, Rebecca Bara, Laura A. Goldston, Girija Natarajan, Mary Christensen, Stephanie A. Wiggins, Diane White, Richard A. Ehrenkranz, Harris Jacobs, Christine G. Butler, Patricia Cervone, Sheila Greisman, Monica Konstantino, Jo Ann Poulsen, Janet Taft, Joanne Williams, Elaine Romano

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate neurodevelopmental outcomes of preterm infants with need for Child Protective Services (CPS) supervision at hospital discharge compared with those discharged without CPS supervision. Study design: For infants born at <27 weeks of gestation between 2006 and 2013, prospectively collected maternal and neonatal characteristics and 18- to 26-month corrected age follow-up data were analyzed. Bayley-III cognitive and language scores of infants with discharge CPS supervision were compared with infants without CPS supervision using regression analysis while adjusting for potentially confounding variables, including entering CPS after discharge from the hospital. Results: Of the 4517 preterm infants discharged between 2006 and 2013, 255 (5.6%) were discharged with a need for CPS supervision. Mothers of infants with CPS supervision were significantly more likely to be younger, single, and gravida ≥3; to have less than a high school education; and to have a singleton pregnancy and less likely to have received prenatal care or antenatal steroids. Despite similar birth weight and medical morbidities, the CPS group had longer hospital stays compared with the non-CPS group. In adjusted analysis, cognitive scores were points lower (B = −1.94; 95% CI, −3.88 to −0.08; P = .04) in the CPS at discharge group compared with the non-CPS group. In children who entered CPS supervision after hospital discharge (an additional 106 infants), cognitive scores were 4 points lower (β = −4.76; 95% CI, −7.47 to −2.05; P < .001) and language scores were 5 points lower (β = −4.93; 95% CI, −8.00 to −1.86; P = .002). Conclusion: Extremely preterm infants discharged from the hospital with CPS supervision or entering CPS postdischarge are at increased risk for cognitive delay at 2 years of age. Opportunities exist to intervene and potentially improve outcomes in this vulnerable group of children.

Original languageEnglish (US)
JournalJournal of Pediatrics
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Extremely Premature Infants
Premature Infants
Child Protective Services
Language
Mothers
Pregnancy
Confounding Factors (Epidemiology)
Prenatal Care
Birth Weight

Keywords

  • behavior
  • cognitive and language outcome
  • foster care
  • growth
  • preterm

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

McGowan, E. C., Laptook, A. R., Lowe, J., Peralta-Carcelen, M., Chowdhury, D., Higgins, R. D., ... Romano, E. (Accepted/In press). Developmental Outcomes of Extremely Preterm Infants with a Need for Child Protective Services Supervision. Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2019.07.063

Developmental Outcomes of Extremely Preterm Infants with a Need for Child Protective Services Supervision. / McGowan, Elisabeth C.; Laptook, Abbot R.; Lowe, Jean; Peralta-Carcelen, Myriam; Chowdhury, Dhuly; Higgins, Rosemary D.; Hintz, Susan R.; Vohr, Betty R.; Polin, Richard A.; Abbott, R. Laptook; Martin Keszler, Keszler; Angelita, M. Hensman; Alksninis, Barbara; Basso, Kristin M.; Burke, Robert; Caskey, Melinda; Johnson, Katharine; Keszler, Mary Lenore; Knoll, Andrea M.; Leach, Theresa M.; Little, Emilee; Vieira, Elisa; Watson, Victoria E.; Ventura, Suzy; Walsh, Michele C.; Fanaroff, Avroy A.; Hibbs, Anna Marie; Wilson-Costello, Deanne E.; Newman, Nancy S.; Payne, Allison H.; Siner, Bonnie S.; Bhola, Monika; Yalcinkaya, Gulgun; Friedman, Harriet G.; Truog, William E.; Pallotto, Eugenia K.; Kilbride, Howard W.; Gauldin, Cheri; Holmes, Anne; Johnson, Kathy; Knutson, Allison; Schibler, Kurt; Donovan, Edward F.; Grisby, Cathy; Bridges, Kate; Alexander, Barbara; Fischer, Estelle E.; Mincey, Holly L.; Hessling, Jody; Gratton, Teresa L.; Jackson, Lenora; Kirker, Kristin; Muthig, Greg; Steichen, Jean J.; Tepe, Stacey; Yolton, Kimberly; Goldberg, Ronald N.; Cotten, C. Michael; Goldstein, Ricki F.; Ashley, Patricia L.; Malcolm, William F.; Auten, Kathy J.; Fisher, Kimberley A.; Grimes, Sandra; Gustafson, Kathryn E.; Lohmeyer, Melody B.; Finkle, Joanne; Laughon, Matthew M.; Bose, Carl L.; Bernhardt, Janice; Bose, Gennie; Clark, Cindy; Manor, Linda; Warner, Diane; Wereszczak, Janice; Carlton, David P.; Stoll, Barbara J.; Adams-Chapman, Ira; Hale, Ellen C.; Loggins, Yvonne; Archer, Stephanie Wilson; Sokol, Gregory M.; Poindexter, Brenda B.; Dusick, Anna M.; Papile, Lu Ann; Gunn, Susan; Hamer, Faithe; Herron, Dianne E.; Hines, Abbey C.; Lytle, Carolyn; Minnich, Heike M.; Smiley, Lucy; Wilson, Leslie Dawn; Sanchez, Pablo J.; Nelin, Leif D.; Jadcherla, Sudarshan R.; Luzader, Patricia; Fortney, Christine A.; Besner, Gail E.; Parikh, Nehal A.; Das, Abhik; Wallace, Dennis; Gantz, Marie G.; Poole, W. Kenneth; Newman, Jamie E.; O'Donnell Auman, Jeanette; Crawford, Margaret M.; Petrie Huitema, Carolyn M.; Zaterka-Baxter, Kristin M.; Van Meurs, Krisa P.; Stevenson, David K.; Ball, M. Bethany; Davis, Alexis S.; Palmquist, Andrew W.; Proud, Melinda S.; Bentley, Barbara; Bruno, Elizabeth; DeAnda, Maria Elena; DeBattista, Anne M.; Earhart, Beth; Huffman, Lynne C.; Kohn, Jean G.; Krueger, Casey; Weiss, Hali E.; Frantz, Ivan D.; Fiascone, John M.; MacKinnon, Brenda L.; Furey, Anne; Nylen, Ellen; Carlo, Waldemar A.; Ambalavanan, Namasivayam; Collins, Monica V.; Cosby, Shirley S.; Biasini, Fred J.; Johnston, Kristen C.; Nelson, Kathleen G.; Patterson, Cryshelle S.; Phillips, Vivien A.; Whitley, Sally; Devaskar, Uday; Garg, Meena; Purdy, Isabell B.; Chanlaw, Teresa; Geller, Rachel; Finer, Neil N.; Vaucher, Yvonne E.; Kaegi, David; Rasmussen, Maynard R.; Arnell, Kathy; Demetrio, Clarence; Fuller, Martha G.; Rich, Wade; Bell, Edward F.; Colaizy, Tarah T.; Acarregui, Michael J.; Ellsbury, Dan L.; Widness, John A.; Johnson, Karen J.; Campbell, Donia B.; Eastman, Diane L.; Walker, Jacky R.; Brumbaugh, Jane E.; Duara, Shahnaz; Bauer, Charles R.; Everett-Thomas, Ruth; Fajardo-Hiriart, Sylvia; Rigaud, Arielle; Calejo, Maria; Frade Eguaras, Silvia M.; Berkowits, Michelle Harwood; Garcia, Andrea; Pierre, Helina; Stoerger, Alexandra; Watterberg, Kristi L.; Lowe, Jean R.; Fuller, Janell F.; Ohls, Robin K.; Lacy, Conra Backstrom; Duncan, Andrea F.; Montman, Rebecca; Schmidt, Barbara; Kirpalani, Haresh; DeMauro, Sara B.; Chaudhary, Aasma S.; Abbasi, Soraya; Mancini, Toni; Cucinotta, Dara M.; Bernbaum, Judy C.; Gerdes, Marsha; Hurt, Hallam; D'Angio, Carl T.; Phelps, Dale L.; Guillet, Ronnie; Lakshminrusimha, Satyan; Johnson, Julie Babish; Reubens, Linda J.; Horihan, Cassandra A.; Hust, Diane; Jensen, Rosemary L.; Kushner, Emily; Merzbach, Joan; Myers, Gary J.; Rowan, Mary; Wadkins, Holly I.M.; Bowman, Melissa; Hunn, Julianne; Guilford, Stephanie; Maffett, Deanna; Osman, Farooq; Prinzing, Diane; Reynolds, Anne Marie; Sacilowski, Michael G.; Williams, Ashley; Wynn, Karen; Yost, Kelley; Zorn, William; Zwetsch, Lauren; Kennedy, Kathleen A.; Tyson, Jon E.; McDavid, Georgia E.; Alaniz, Nora I.; Arldt-McAlister, Julie; Burson, Katrina; Evans, Patricia W.; Garcia, Carmen; Green, Charles; Harris, Beverly Foley; Jiminez, Margarita; John, Janice; Jones, Patrick M.; Lillie, Layne M.; Lis, Anna E.; Martin, Karen; Martin, Sara C.; Morris, Brenda H.; Poundstone, M. Layne; Robichaux, Peggy; Rodgers, Shawna; Siddiki, Saba; Simmons, Maegan C.; Sperry, Daniel; Pierce Tate, Patti L.; Wright, Sharon L.; Wyckoff, Myra H.; Brion, Luc P.; Heyne, Roy J.; Salhab, Walid A.; Rosenfeld, Charles R.; Vasil, Diana M.; Chen, Lijun; Guzman, Alicia; Hensley, Gaynelle; Leps, Melissa H.; Miller, Nancy A.; Morgan, Janet S.; Adams, Sally S.; Boatman, Catherine Twell; Heyne, Elizabeth T.; Madden, Linda A.; Torres, Lizette E.; Faix, Roger G.; Yoder, Bradley A.; Osborne, Karen A.; Spencer, Cynthia; Weaver-Lewis, Kimberlee; Baker, Shawna; Bird, Karie; Burnett, Jill; Steffen, Michael; Jensen, Jennifer J.; Winter, Sarah; Zanetti, Karen; O'Shea, T. Michael; Dillard, Robert G.; Washburn, Lisa K.; Jackson, Barbara G.; Peters, Nancy; Chiu, Korinne; Allred, Deborah Evans; Goldstein, Donald J.; Halfond, Raquel; Peterson, Carroll; Waldrep, Ellen L.; Welch, Cherrie D.; Morris, Melissa Whalen; Hounshell, Gail Wiley; Shankaran, Seetha; Pappas, Athina; Barks, John; Bara, Rebecca; Goldston, Laura A.; Natarajan, Girija; Christensen, Mary; Wiggins, Stephanie A.; White, Diane; Ehrenkranz, Richard A.; Jacobs, Harris; Butler, Christine G.; Cervone, Patricia; Greisman, Sheila; Konstantino, Monica; Poulsen, Jo Ann; Taft, Janet; Williams, Joanne; Romano, Elaine.

In: Journal of Pediatrics, 01.01.2019.

Research output: Contribution to journalArticle

McGowan, EC, Laptook, AR, Lowe, J, Peralta-Carcelen, M, Chowdhury, D, Higgins, RD, Hintz, SR, Vohr, BR, Polin, RA, Abbott, RL, Martin Keszler, K, Angelita, MH, Alksninis, B, Basso, KM, Burke, R, Caskey, M, Johnson, K, Keszler, ML, Knoll, AM, Leach, TM, Little, E, Vieira, E, Watson, VE, Ventura, S, Walsh, MC, Fanaroff, AA, Hibbs, AM, Wilson-Costello, DE, Newman, NS, Payne, AH, Siner, BS, Bhola, M, Yalcinkaya, G, Friedman, HG, Truog, WE, Pallotto, EK, Kilbride, HW, Gauldin, C, Holmes, A, Johnson, K, Knutson, A, Schibler, K, Donovan, EF, Grisby, C, Bridges, K, Alexander, B, Fischer, EE, Mincey, HL, Hessling, J, Gratton, TL, Jackson, L, Kirker, K, Muthig, G, Steichen, JJ, Tepe, S, Yolton, K, Goldberg, RN, Cotten, CM, Goldstein, RF, Ashley, PL, Malcolm, WF, Auten, KJ, Fisher, KA, Grimes, S, Gustafson, KE, Lohmeyer, MB, Finkle, J, Laughon, MM, Bose, CL, Bernhardt, J, Bose, G, Clark, C, Manor, L, Warner, D, Wereszczak, J, Carlton, DP, Stoll, BJ, Adams-Chapman, I, Hale, EC, Loggins, Y, Archer, SW, Sokol, GM, Poindexter, BB, Dusick, AM, Papile, LA, Gunn, S, Hamer, F, Herron, DE, Hines, AC, Lytle, C, Minnich, HM, Smiley, L, Wilson, LD, Sanchez, PJ, Nelin, LD, Jadcherla, SR, Luzader, P, Fortney, CA, Besner, GE, Parikh, NA, Das, A, Wallace, D, Gantz, MG, Poole, WK, Newman, JE, O'Donnell Auman, J, Crawford, MM, Petrie Huitema, CM, Zaterka-Baxter, KM, Van Meurs, KP, Stevenson, DK, Ball, MB, Davis, AS, Palmquist, AW, Proud, MS, Bentley, B, Bruno, E, DeAnda, ME, DeBattista, AM, Earhart, B, Huffman, LC, Kohn, JG, Krueger, C, Weiss, HE, Frantz, ID, Fiascone, JM, MacKinnon, BL, Furey, A, Nylen, E, Carlo, WA, Ambalavanan, N, Collins, MV, Cosby, SS, Biasini, FJ, Johnston, KC, Nelson, KG, Patterson, CS, Phillips, VA, Whitley, S, Devaskar, U, Garg, M, Purdy, IB, Chanlaw, T, Geller, R, Finer, NN, Vaucher, YE, Kaegi, D, Rasmussen, MR, Arnell, K, Demetrio, C, Fuller, MG, Rich, W, Bell, EF, Colaizy, TT, Acarregui, MJ, Ellsbury, DL, Widness, JA, Johnson, KJ, Campbell, DB, Eastman, DL, Walker, JR, Brumbaugh, JE, Duara, S, Bauer, CR, Everett-Thomas, R, Fajardo-Hiriart, S, Rigaud, A, Calejo, M, Frade Eguaras, SM, Berkowits, MH, Garcia, A, Pierre, H, Stoerger, A, Watterberg, KL, Lowe, JR, Fuller, JF, Ohls, RK, Lacy, CB, Duncan, AF, Montman, R, Schmidt, B, Kirpalani, H, DeMauro, SB, Chaudhary, AS, Abbasi, S, Mancini, T, Cucinotta, DM, Bernbaum, JC, Gerdes, M, Hurt, H, D'Angio, CT, Phelps, DL, Guillet, R, Lakshminrusimha, S, Johnson, JB, Reubens, LJ, Horihan, CA, Hust, D, Jensen, RL, Kushner, E, Merzbach, J, Myers, GJ, Rowan, M, Wadkins, HIM, Bowman, M, Hunn, J, Guilford, S, Maffett, D, Osman, F, Prinzing, D, Reynolds, AM, Sacilowski, MG, Williams, A, Wynn, K, Yost, K, Zorn, W, Zwetsch, L, Kennedy, KA, Tyson, JE, McDavid, GE, Alaniz, NI, Arldt-McAlister, J, Burson, K, Evans, PW, Garcia, C, Green, C, Harris, BF, Jiminez, M, John, J, Jones, PM, Lillie, LM, Lis, AE, Martin, K, Martin, SC, Morris, BH, Poundstone, ML, Robichaux, P, Rodgers, S, Siddiki, S, Simmons, MC, Sperry, D, Pierce Tate, PL, Wright, SL, Wyckoff, MH, Brion, LP, Heyne, RJ, Salhab, WA, Rosenfeld, CR, Vasil, DM, Chen, L, Guzman, A, Hensley, G, Leps, MH, Miller, NA, Morgan, JS, Adams, SS, Boatman, CT, Heyne, ET, Madden, LA, Torres, LE, Faix, RG, Yoder, BA, Osborne, KA, Spencer, C, Weaver-Lewis, K, Baker, S, Bird, K, Burnett, J, Steffen, M, Jensen, JJ, Winter, S, Zanetti, K, O'Shea, TM, Dillard, RG, Washburn, LK, Jackson, BG, Peters, N, Chiu, K, Allred, DE, Goldstein, DJ, Halfond, R, Peterson, C, Waldrep, EL, Welch, CD, Morris, MW, Hounshell, GW, Shankaran, S, Pappas, A, Barks, J, Bara, R, Goldston, LA, Natarajan, G, Christensen, M, Wiggins, SA, White, D, Ehrenkranz, RA, Jacobs, H, Butler, CG, Cervone, P, Greisman, S, Konstantino, M, Poulsen, JA, Taft, J, Williams, J & Romano, E 2019, 'Developmental Outcomes of Extremely Preterm Infants with a Need for Child Protective Services Supervision', Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2019.07.063
McGowan, Elisabeth C. ; Laptook, Abbot R. ; Lowe, Jean ; Peralta-Carcelen, Myriam ; Chowdhury, Dhuly ; Higgins, Rosemary D. ; Hintz, Susan R. ; Vohr, Betty R. ; Polin, Richard A. ; Abbott, R. Laptook ; Martin Keszler, Keszler ; Angelita, M. Hensman ; Alksninis, Barbara ; Basso, Kristin M. ; Burke, Robert ; Caskey, Melinda ; Johnson, Katharine ; Keszler, Mary Lenore ; Knoll, Andrea M. ; Leach, Theresa M. ; Little, Emilee ; Vieira, Elisa ; Watson, Victoria E. ; Ventura, Suzy ; Walsh, Michele C. ; Fanaroff, Avroy A. ; Hibbs, Anna Marie ; Wilson-Costello, Deanne E. ; Newman, Nancy S. ; Payne, Allison H. ; Siner, Bonnie S. ; Bhola, Monika ; Yalcinkaya, Gulgun ; Friedman, Harriet G. ; Truog, William E. ; Pallotto, Eugenia K. ; Kilbride, Howard W. ; Gauldin, Cheri ; Holmes, Anne ; Johnson, Kathy ; Knutson, Allison ; Schibler, Kurt ; Donovan, Edward F. ; Grisby, Cathy ; Bridges, Kate ; Alexander, Barbara ; Fischer, Estelle E. ; Mincey, Holly L. ; Hessling, Jody ; Gratton, Teresa L. ; Jackson, Lenora ; Kirker, Kristin ; Muthig, Greg ; Steichen, Jean J. ; Tepe, Stacey ; Yolton, Kimberly ; Goldberg, Ronald N. ; Cotten, C. Michael ; Goldstein, Ricki F. ; Ashley, Patricia L. ; Malcolm, William F. ; Auten, Kathy J. ; Fisher, Kimberley A. ; Grimes, Sandra ; Gustafson, Kathryn E. ; Lohmeyer, Melody B. ; Finkle, Joanne ; Laughon, Matthew M. ; Bose, Carl L. ; Bernhardt, Janice ; Bose, Gennie ; Clark, Cindy ; Manor, Linda ; Warner, Diane ; Wereszczak, Janice ; Carlton, David P. ; Stoll, Barbara J. ; Adams-Chapman, Ira ; Hale, Ellen C. ; Loggins, Yvonne ; Archer, Stephanie Wilson ; Sokol, Gregory M. ; Poindexter, Brenda B. ; Dusick, Anna M. ; Papile, Lu Ann ; Gunn, Susan ; Hamer, Faithe ; Herron, Dianne E. ; Hines, Abbey C. ; Lytle, Carolyn ; Minnich, Heike M. ; Smiley, Lucy ; Wilson, Leslie Dawn ; Sanchez, Pablo J. ; Nelin, Leif D. ; Jadcherla, Sudarshan R. ; Luzader, Patricia ; Fortney, Christine A. ; Besner, Gail E. ; Parikh, Nehal A. ; Das, Abhik ; Wallace, Dennis ; Gantz, Marie G. ; Poole, W. Kenneth ; Newman, Jamie E. ; O'Donnell Auman, Jeanette ; Crawford, Margaret M. ; Petrie Huitema, Carolyn M. ; Zaterka-Baxter, Kristin M. ; Van Meurs, Krisa P. ; Stevenson, David K. ; Ball, M. Bethany ; Davis, Alexis S. ; Palmquist, Andrew W. ; Proud, Melinda S. ; Bentley, Barbara ; Bruno, Elizabeth ; DeAnda, Maria Elena ; DeBattista, Anne M. ; Earhart, Beth ; Huffman, Lynne C. ; Kohn, Jean G. ; Krueger, Casey ; Weiss, Hali E. ; Frantz, Ivan D. ; Fiascone, John M. ; MacKinnon, Brenda L. ; Furey, Anne ; Nylen, Ellen ; Carlo, Waldemar A. ; Ambalavanan, Namasivayam ; Collins, Monica V. ; Cosby, Shirley S. ; Biasini, Fred J. ; Johnston, Kristen C. ; Nelson, Kathleen G. ; Patterson, Cryshelle S. ; Phillips, Vivien A. ; Whitley, Sally ; Devaskar, Uday ; Garg, Meena ; Purdy, Isabell B. ; Chanlaw, Teresa ; Geller, Rachel ; Finer, Neil N. ; Vaucher, Yvonne E. ; Kaegi, David ; Rasmussen, Maynard R. ; Arnell, Kathy ; Demetrio, Clarence ; Fuller, Martha G. ; Rich, Wade ; Bell, Edward F. ; Colaizy, Tarah T. ; Acarregui, Michael J. ; Ellsbury, Dan L. ; Widness, John A. ; Johnson, Karen J. ; Campbell, Donia B. ; Eastman, Diane L. ; Walker, Jacky R. ; Brumbaugh, Jane E. ; Duara, Shahnaz ; Bauer, Charles R. ; Everett-Thomas, Ruth ; Fajardo-Hiriart, Sylvia ; Rigaud, Arielle ; Calejo, Maria ; Frade Eguaras, Silvia M. ; Berkowits, Michelle Harwood ; Garcia, Andrea ; Pierre, Helina ; Stoerger, Alexandra ; Watterberg, Kristi L. ; Lowe, Jean R. ; Fuller, Janell F. ; Ohls, Robin K. ; Lacy, Conra Backstrom ; Duncan, Andrea F. ; Montman, Rebecca ; Schmidt, Barbara ; Kirpalani, Haresh ; DeMauro, Sara B. ; Chaudhary, Aasma S. ; Abbasi, Soraya ; Mancini, Toni ; Cucinotta, Dara M. ; Bernbaum, Judy C. ; Gerdes, Marsha ; Hurt, Hallam ; D'Angio, Carl T. ; Phelps, Dale L. ; Guillet, Ronnie ; Lakshminrusimha, Satyan ; Johnson, Julie Babish ; Reubens, Linda J. ; Horihan, Cassandra A. ; Hust, Diane ; Jensen, Rosemary L. ; Kushner, Emily ; Merzbach, Joan ; Myers, Gary J. ; Rowan, Mary ; Wadkins, Holly I.M. ; Bowman, Melissa ; Hunn, Julianne ; Guilford, Stephanie ; Maffett, Deanna ; Osman, Farooq ; Prinzing, Diane ; Reynolds, Anne Marie ; Sacilowski, Michael G. ; Williams, Ashley ; Wynn, Karen ; Yost, Kelley ; Zorn, William ; Zwetsch, Lauren ; Kennedy, Kathleen A. ; Tyson, Jon E. ; McDavid, Georgia E. ; Alaniz, Nora I. ; Arldt-McAlister, Julie ; Burson, Katrina ; Evans, Patricia W. ; Garcia, Carmen ; Green, Charles ; Harris, Beverly Foley ; Jiminez, Margarita ; John, Janice ; Jones, Patrick M. ; Lillie, Layne M. ; Lis, Anna E. ; Martin, Karen ; Martin, Sara C. ; Morris, Brenda H. ; Poundstone, M. Layne ; Robichaux, Peggy ; Rodgers, Shawna ; Siddiki, Saba ; Simmons, Maegan C. ; Sperry, Daniel ; Pierce Tate, Patti L. ; Wright, Sharon L. ; Wyckoff, Myra H. ; Brion, Luc P. ; Heyne, Roy J. ; Salhab, Walid A. ; Rosenfeld, Charles R. ; Vasil, Diana M. ; Chen, Lijun ; Guzman, Alicia ; Hensley, Gaynelle ; Leps, Melissa H. ; Miller, Nancy A. ; Morgan, Janet S. ; Adams, Sally S. ; Boatman, Catherine Twell ; Heyne, Elizabeth T. ; Madden, Linda A. ; Torres, Lizette E. ; Faix, Roger G. ; Yoder, Bradley A. ; Osborne, Karen A. ; Spencer, Cynthia ; Weaver-Lewis, Kimberlee ; Baker, Shawna ; Bird, Karie ; Burnett, Jill ; Steffen, Michael ; Jensen, Jennifer J. ; Winter, Sarah ; Zanetti, Karen ; O'Shea, T. Michael ; Dillard, Robert G. ; Washburn, Lisa K. ; Jackson, Barbara G. ; Peters, Nancy ; Chiu, Korinne ; Allred, Deborah Evans ; Goldstein, Donald J. ; Halfond, Raquel ; Peterson, Carroll ; Waldrep, Ellen L. ; Welch, Cherrie D. ; Morris, Melissa Whalen ; Hounshell, Gail Wiley ; Shankaran, Seetha ; Pappas, Athina ; Barks, John ; Bara, Rebecca ; Goldston, Laura A. ; Natarajan, Girija ; Christensen, Mary ; Wiggins, Stephanie A. ; White, Diane ; Ehrenkranz, Richard A. ; Jacobs, Harris ; Butler, Christine G. ; Cervone, Patricia ; Greisman, Sheila ; Konstantino, Monica ; Poulsen, Jo Ann ; Taft, Janet ; Williams, Joanne ; Romano, Elaine. / Developmental Outcomes of Extremely Preterm Infants with a Need for Child Protective Services Supervision. In: Journal of Pediatrics. 2019.
@article{6aa329a29475431da43b3e1a41b9a9a3,
title = "Developmental Outcomes of Extremely Preterm Infants with a Need for Child Protective Services Supervision",
abstract = "Objective: To evaluate neurodevelopmental outcomes of preterm infants with need for Child Protective Services (CPS) supervision at hospital discharge compared with those discharged without CPS supervision. Study design: For infants born at <27 weeks of gestation between 2006 and 2013, prospectively collected maternal and neonatal characteristics and 18- to 26-month corrected age follow-up data were analyzed. Bayley-III cognitive and language scores of infants with discharge CPS supervision were compared with infants without CPS supervision using regression analysis while adjusting for potentially confounding variables, including entering CPS after discharge from the hospital. Results: Of the 4517 preterm infants discharged between 2006 and 2013, 255 (5.6{\%}) were discharged with a need for CPS supervision. Mothers of infants with CPS supervision were significantly more likely to be younger, single, and gravida ≥3; to have less than a high school education; and to have a singleton pregnancy and less likely to have received prenatal care or antenatal steroids. Despite similar birth weight and medical morbidities, the CPS group had longer hospital stays compared with the non-CPS group. In adjusted analysis, cognitive scores were points lower (B = −1.94; 95{\%} CI, −3.88 to −0.08; P = .04) in the CPS at discharge group compared with the non-CPS group. In children who entered CPS supervision after hospital discharge (an additional 106 infants), cognitive scores were 4 points lower (β = −4.76; 95{\%} CI, −7.47 to −2.05; P < .001) and language scores were 5 points lower (β = −4.93; 95{\%} CI, −8.00 to −1.86; P = .002). Conclusion: Extremely preterm infants discharged from the hospital with CPS supervision or entering CPS postdischarge are at increased risk for cognitive delay at 2 years of age. Opportunities exist to intervene and potentially improve outcomes in this vulnerable group of children.",
keywords = "behavior, cognitive and language outcome, foster care, growth, preterm",
author = "McGowan, {Elisabeth C.} and Laptook, {Abbot R.} and Jean Lowe and Myriam Peralta-Carcelen and Dhuly Chowdhury and Higgins, {Rosemary D.} and Hintz, {Susan R.} and Vohr, {Betty R.} and Polin, {Richard A.} and Abbott, {R. Laptook} and {Martin Keszler}, Keszler and Angelita, {M. Hensman} and Barbara Alksninis and Basso, {Kristin M.} and Robert Burke and Melinda Caskey and Katharine Johnson and Keszler, {Mary Lenore} and Knoll, {Andrea M.} and Leach, {Theresa M.} and Emilee Little and Elisa Vieira and Watson, {Victoria E.} and Suzy Ventura and Walsh, {Michele C.} and Fanaroff, {Avroy A.} and Hibbs, {Anna Marie} and Wilson-Costello, {Deanne E.} and Newman, {Nancy S.} and Payne, {Allison H.} and Siner, {Bonnie S.} and Monika Bhola and Gulgun Yalcinkaya and Friedman, {Harriet G.} and Truog, {William E.} and Pallotto, {Eugenia K.} and Kilbride, {Howard W.} and Cheri Gauldin and Anne Holmes and Kathy Johnson and Allison Knutson and Kurt Schibler and Donovan, {Edward F.} and Cathy Grisby and Kate Bridges and Barbara Alexander and Fischer, {Estelle E.} and Mincey, {Holly L.} and Jody Hessling and Gratton, {Teresa L.} and Lenora Jackson and Kristin Kirker and Greg Muthig and Steichen, {Jean J.} and Stacey Tepe and Kimberly Yolton and Goldberg, {Ronald N.} and Cotten, {C. Michael} and Goldstein, {Ricki F.} and Ashley, {Patricia L.} and Malcolm, {William F.} and Auten, {Kathy J.} and Fisher, {Kimberley A.} and Sandra Grimes and Gustafson, {Kathryn E.} and Lohmeyer, {Melody B.} and Joanne Finkle and Laughon, {Matthew M.} and Bose, {Carl L.} and Janice Bernhardt and Gennie Bose and Cindy Clark and Linda Manor and Diane Warner and Janice Wereszczak and Carlton, {David P.} and Stoll, {Barbara J.} and Ira Adams-Chapman and Hale, {Ellen C.} and Yvonne Loggins and Archer, {Stephanie Wilson} and Sokol, {Gregory M.} and Poindexter, {Brenda B.} and Dusick, {Anna M.} and Papile, {Lu Ann} and Susan Gunn and Faithe Hamer and Herron, {Dianne E.} and Hines, {Abbey C.} and Carolyn Lytle and Minnich, {Heike M.} and Lucy Smiley and Wilson, {Leslie Dawn} and Sanchez, {Pablo J.} and Nelin, {Leif D.} and Jadcherla, {Sudarshan R.} and Patricia Luzader and Fortney, {Christine A.} and Besner, {Gail E.} and Parikh, {Nehal A.} and Abhik Das and Dennis Wallace and Gantz, {Marie G.} and Poole, {W. Kenneth} and Newman, {Jamie E.} and {O'Donnell Auman}, Jeanette and Crawford, {Margaret M.} and {Petrie Huitema}, {Carolyn M.} and Zaterka-Baxter, {Kristin M.} and {Van Meurs}, {Krisa P.} and Stevenson, {David K.} and Ball, {M. Bethany} and Davis, {Alexis S.} and Palmquist, {Andrew W.} and Proud, {Melinda S.} and Barbara Bentley and Elizabeth Bruno and DeAnda, {Maria Elena} and DeBattista, {Anne M.} and Beth Earhart and Huffman, {Lynne C.} and Kohn, {Jean G.} and Casey Krueger and Weiss, {Hali E.} and Frantz, {Ivan D.} and Fiascone, {John M.} and MacKinnon, {Brenda L.} and Anne Furey and Ellen Nylen and Carlo, {Waldemar A.} and Namasivayam Ambalavanan and Collins, {Monica V.} and Cosby, {Shirley S.} and Biasini, {Fred J.} and Johnston, {Kristen C.} and Nelson, {Kathleen G.} and Patterson, {Cryshelle S.} and Phillips, {Vivien A.} and Sally Whitley and Uday Devaskar and Meena Garg and Purdy, {Isabell B.} and Teresa Chanlaw and Rachel Geller and Finer, {Neil N.} and Vaucher, {Yvonne E.} and David Kaegi and Rasmussen, {Maynard R.} and Kathy Arnell and Clarence Demetrio and Fuller, {Martha G.} and Wade Rich and Bell, {Edward F.} and Colaizy, {Tarah T.} and Acarregui, {Michael J.} and Ellsbury, {Dan L.} and Widness, {John A.} and Johnson, {Karen J.} and Campbell, {Donia B.} and Eastman, {Diane L.} and Walker, {Jacky R.} and Brumbaugh, {Jane E.} and Shahnaz Duara and Bauer, {Charles R.} and Ruth Everett-Thomas and Sylvia Fajardo-Hiriart and Arielle Rigaud and Maria Calejo and {Frade Eguaras}, {Silvia M.} and Berkowits, {Michelle Harwood} and Andrea Garcia and Helina Pierre and Alexandra Stoerger and Watterberg, {Kristi L.} and Lowe, {Jean R.} and Fuller, {Janell F.} and Ohls, {Robin K.} and Lacy, {Conra Backstrom} and Duncan, {Andrea F.} and Rebecca Montman and Barbara Schmidt and Haresh Kirpalani and DeMauro, {Sara B.} and Chaudhary, {Aasma S.} and Soraya Abbasi and Toni Mancini and Cucinotta, {Dara M.} and Bernbaum, {Judy C.} and Marsha Gerdes and Hallam Hurt and D'Angio, {Carl T.} and Phelps, {Dale L.} and Ronnie Guillet and Satyan Lakshminrusimha and Johnson, {Julie Babish} and Reubens, {Linda J.} and Horihan, {Cassandra A.} and Diane Hust and Jensen, {Rosemary L.} and Emily Kushner and Joan Merzbach and Myers, {Gary J.} and Mary Rowan and Wadkins, {Holly I.M.} and Melissa Bowman and Julianne Hunn and Stephanie Guilford and Deanna Maffett and Farooq Osman and Diane Prinzing and Reynolds, {Anne Marie} and Sacilowski, {Michael G.} and Ashley Williams and Karen Wynn and Kelley Yost and William Zorn and Lauren Zwetsch and Kennedy, {Kathleen A.} and Tyson, {Jon E.} and McDavid, {Georgia E.} and Alaniz, {Nora I.} and Julie Arldt-McAlister and Katrina Burson and Evans, {Patricia W.} and Carmen Garcia and Charles Green and Harris, {Beverly Foley} and Margarita Jiminez and Janice John and Jones, {Patrick M.} and Lillie, {Layne M.} and Lis, {Anna E.} and Karen Martin and Martin, {Sara C.} and Morris, {Brenda H.} and Poundstone, {M. Layne} and Peggy Robichaux and Shawna Rodgers and Saba Siddiki and Simmons, {Maegan C.} and Daniel Sperry and {Pierce Tate}, {Patti L.} and Wright, {Sharon L.} and Wyckoff, {Myra H.} and Brion, {Luc P.} and Heyne, {Roy J.} and Salhab, {Walid A.} and Rosenfeld, {Charles R.} and Vasil, {Diana M.} and Lijun Chen and Alicia Guzman and Gaynelle Hensley and Leps, {Melissa H.} and Miller, {Nancy A.} and Morgan, {Janet S.} and Adams, {Sally S.} and Boatman, {Catherine Twell} and Heyne, {Elizabeth T.} and Madden, {Linda A.} and Torres, {Lizette E.} and Faix, {Roger G.} and Yoder, {Bradley A.} and Osborne, {Karen A.} and Cynthia Spencer and Kimberlee Weaver-Lewis and Shawna Baker and Karie Bird and Jill Burnett and Michael Steffen and Jensen, {Jennifer J.} and Sarah Winter and Karen Zanetti and O'Shea, {T. Michael} and Dillard, {Robert G.} and Washburn, {Lisa K.} and Jackson, {Barbara G.} and Nancy Peters and Korinne Chiu and Allred, {Deborah Evans} and Goldstein, {Donald J.} and Raquel Halfond and Carroll Peterson and Waldrep, {Ellen L.} and Welch, {Cherrie D.} and Morris, {Melissa Whalen} and Hounshell, {Gail Wiley} and Seetha Shankaran and Athina Pappas and John Barks and Rebecca Bara and Goldston, {Laura A.} and Girija Natarajan and Mary Christensen and Wiggins, {Stephanie A.} and Diane White and Ehrenkranz, {Richard A.} and Harris Jacobs and Butler, {Christine G.} and Patricia Cervone and Sheila Greisman and Monica Konstantino and Poulsen, {Jo Ann} and Janet Taft and Joanne Williams and Elaine Romano",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.jpeds.2019.07.063",
language = "English (US)",
journal = "Journal of Pediatrics",
issn = "0022-3476",
publisher = "Mosby Inc.",

}

TY - JOUR

T1 - Developmental Outcomes of Extremely Preterm Infants with a Need for Child Protective Services Supervision

AU - McGowan, Elisabeth C.

AU - Laptook, Abbot R.

AU - Lowe, Jean

AU - Peralta-Carcelen, Myriam

AU - Chowdhury, Dhuly

AU - Higgins, Rosemary D.

AU - Hintz, Susan R.

AU - Vohr, Betty R.

AU - Polin, Richard A.

AU - Abbott, R. Laptook

AU - Martin Keszler, Keszler

AU - Angelita, M. Hensman

AU - Alksninis, Barbara

AU - Basso, Kristin M.

AU - Burke, Robert

AU - Caskey, Melinda

AU - Johnson, Katharine

AU - Keszler, Mary Lenore

AU - Knoll, Andrea M.

AU - Leach, Theresa M.

AU - Little, Emilee

AU - Vieira, Elisa

AU - Watson, Victoria E.

AU - Ventura, Suzy

AU - Walsh, Michele C.

AU - Fanaroff, Avroy A.

AU - Hibbs, Anna Marie

AU - Wilson-Costello, Deanne E.

AU - Newman, Nancy S.

AU - Payne, Allison H.

AU - Siner, Bonnie S.

AU - Bhola, Monika

AU - Yalcinkaya, Gulgun

AU - Friedman, Harriet G.

AU - Truog, William E.

AU - Pallotto, Eugenia K.

AU - Kilbride, Howard W.

AU - Gauldin, Cheri

AU - Holmes, Anne

AU - Johnson, Kathy

AU - Knutson, Allison

AU - Schibler, Kurt

AU - Donovan, Edward F.

AU - Grisby, Cathy

AU - Bridges, Kate

AU - Alexander, Barbara

AU - Fischer, Estelle E.

AU - Mincey, Holly L.

AU - Hessling, Jody

AU - Gratton, Teresa L.

AU - Jackson, Lenora

AU - Kirker, Kristin

AU - Muthig, Greg

AU - Steichen, Jean J.

AU - Tepe, Stacey

AU - Yolton, Kimberly

AU - Goldberg, Ronald N.

AU - Cotten, C. Michael

AU - Goldstein, Ricki F.

AU - Ashley, Patricia L.

AU - Malcolm, William F.

AU - Auten, Kathy J.

AU - Fisher, Kimberley A.

AU - Grimes, Sandra

AU - Gustafson, Kathryn E.

AU - Lohmeyer, Melody B.

AU - Finkle, Joanne

AU - Laughon, Matthew M.

AU - Bose, Carl L.

AU - Bernhardt, Janice

AU - Bose, Gennie

AU - Clark, Cindy

AU - Manor, Linda

AU - Warner, Diane

AU - Wereszczak, Janice

AU - Carlton, David P.

AU - Stoll, Barbara J.

AU - Adams-Chapman, Ira

AU - Hale, Ellen C.

AU - Loggins, Yvonne

AU - Archer, Stephanie Wilson

AU - Sokol, Gregory M.

AU - Poindexter, Brenda B.

AU - Dusick, Anna M.

AU - Papile, Lu Ann

AU - Gunn, Susan

AU - Hamer, Faithe

AU - Herron, Dianne E.

AU - Hines, Abbey C.

AU - Lytle, Carolyn

AU - Minnich, Heike M.

AU - Smiley, Lucy

AU - Wilson, Leslie Dawn

AU - Sanchez, Pablo J.

AU - Nelin, Leif D.

AU - Jadcherla, Sudarshan R.

AU - Luzader, Patricia

AU - Fortney, Christine A.

AU - Besner, Gail E.

AU - Parikh, Nehal A.

AU - Das, Abhik

AU - Wallace, Dennis

AU - Gantz, Marie G.

AU - Poole, W. Kenneth

AU - Newman, Jamie E.

AU - O'Donnell Auman, Jeanette

AU - Crawford, Margaret M.

AU - Petrie Huitema, Carolyn M.

AU - Zaterka-Baxter, Kristin M.

AU - Van Meurs, Krisa P.

AU - Stevenson, David K.

AU - Ball, M. Bethany

AU - Davis, Alexis S.

AU - Palmquist, Andrew W.

AU - Proud, Melinda S.

AU - Bentley, Barbara

AU - Bruno, Elizabeth

AU - DeAnda, Maria Elena

AU - DeBattista, Anne M.

AU - Earhart, Beth

AU - Huffman, Lynne C.

AU - Kohn, Jean G.

AU - Krueger, Casey

AU - Weiss, Hali E.

AU - Frantz, Ivan D.

AU - Fiascone, John M.

AU - MacKinnon, Brenda L.

AU - Furey, Anne

AU - Nylen, Ellen

AU - Carlo, Waldemar A.

AU - Ambalavanan, Namasivayam

AU - Collins, Monica V.

AU - Cosby, Shirley S.

AU - Biasini, Fred J.

AU - Johnston, Kristen C.

AU - Nelson, Kathleen G.

AU - Patterson, Cryshelle S.

AU - Phillips, Vivien A.

AU - Whitley, Sally

AU - Devaskar, Uday

AU - Garg, Meena

AU - Purdy, Isabell B.

AU - Chanlaw, Teresa

AU - Geller, Rachel

AU - Finer, Neil N.

AU - Vaucher, Yvonne E.

AU - Kaegi, David

AU - Rasmussen, Maynard R.

AU - Arnell, Kathy

AU - Demetrio, Clarence

AU - Fuller, Martha G.

AU - Rich, Wade

AU - Bell, Edward F.

AU - Colaizy, Tarah T.

AU - Acarregui, Michael J.

AU - Ellsbury, Dan L.

AU - Widness, John A.

AU - Johnson, Karen J.

AU - Campbell, Donia B.

AU - Eastman, Diane L.

AU - Walker, Jacky R.

AU - Brumbaugh, Jane E.

AU - Duara, Shahnaz

AU - Bauer, Charles R.

AU - Everett-Thomas, Ruth

AU - Fajardo-Hiriart, Sylvia

AU - Rigaud, Arielle

AU - Calejo, Maria

AU - Frade Eguaras, Silvia M.

AU - Berkowits, Michelle Harwood

AU - Garcia, Andrea

AU - Pierre, Helina

AU - Stoerger, Alexandra

AU - Watterberg, Kristi L.

AU - Lowe, Jean R.

AU - Fuller, Janell F.

AU - Ohls, Robin K.

AU - Lacy, Conra Backstrom

AU - Duncan, Andrea F.

AU - Montman, Rebecca

AU - Schmidt, Barbara

AU - Kirpalani, Haresh

AU - DeMauro, Sara B.

AU - Chaudhary, Aasma S.

AU - Abbasi, Soraya

AU - Mancini, Toni

AU - Cucinotta, Dara M.

AU - Bernbaum, Judy C.

AU - Gerdes, Marsha

AU - Hurt, Hallam

AU - D'Angio, Carl T.

AU - Phelps, Dale L.

AU - Guillet, Ronnie

AU - Lakshminrusimha, Satyan

AU - Johnson, Julie Babish

AU - Reubens, Linda J.

AU - Horihan, Cassandra A.

AU - Hust, Diane

AU - Jensen, Rosemary L.

AU - Kushner, Emily

AU - Merzbach, Joan

AU - Myers, Gary J.

AU - Rowan, Mary

AU - Wadkins, Holly I.M.

AU - Bowman, Melissa

AU - Hunn, Julianne

AU - Guilford, Stephanie

AU - Maffett, Deanna

AU - Osman, Farooq

AU - Prinzing, Diane

AU - Reynolds, Anne Marie

AU - Sacilowski, Michael G.

AU - Williams, Ashley

AU - Wynn, Karen

AU - Yost, Kelley

AU - Zorn, William

AU - Zwetsch, Lauren

AU - Kennedy, Kathleen A.

AU - Tyson, Jon E.

AU - McDavid, Georgia E.

AU - Alaniz, Nora I.

AU - Arldt-McAlister, Julie

AU - Burson, Katrina

AU - Evans, Patricia W.

AU - Garcia, Carmen

AU - Green, Charles

AU - Harris, Beverly Foley

AU - Jiminez, Margarita

AU - John, Janice

AU - Jones, Patrick M.

AU - Lillie, Layne M.

AU - Lis, Anna E.

AU - Martin, Karen

AU - Martin, Sara C.

AU - Morris, Brenda H.

AU - Poundstone, M. Layne

AU - Robichaux, Peggy

AU - Rodgers, Shawna

AU - Siddiki, Saba

AU - Simmons, Maegan C.

AU - Sperry, Daniel

AU - Pierce Tate, Patti L.

AU - Wright, Sharon L.

AU - Wyckoff, Myra H.

AU - Brion, Luc P.

AU - Heyne, Roy J.

AU - Salhab, Walid A.

AU - Rosenfeld, Charles R.

AU - Vasil, Diana M.

AU - Chen, Lijun

AU - Guzman, Alicia

AU - Hensley, Gaynelle

AU - Leps, Melissa H.

AU - Miller, Nancy A.

AU - Morgan, Janet S.

AU - Adams, Sally S.

AU - Boatman, Catherine Twell

AU - Heyne, Elizabeth T.

AU - Madden, Linda A.

AU - Torres, Lizette E.

AU - Faix, Roger G.

AU - Yoder, Bradley A.

AU - Osborne, Karen A.

AU - Spencer, Cynthia

AU - Weaver-Lewis, Kimberlee

AU - Baker, Shawna

AU - Bird, Karie

AU - Burnett, Jill

AU - Steffen, Michael

AU - Jensen, Jennifer J.

AU - Winter, Sarah

AU - Zanetti, Karen

AU - O'Shea, T. Michael

AU - Dillard, Robert G.

AU - Washburn, Lisa K.

AU - Jackson, Barbara G.

AU - Peters, Nancy

AU - Chiu, Korinne

AU - Allred, Deborah Evans

AU - Goldstein, Donald J.

AU - Halfond, Raquel

AU - Peterson, Carroll

AU - Waldrep, Ellen L.

AU - Welch, Cherrie D.

AU - Morris, Melissa Whalen

AU - Hounshell, Gail Wiley

AU - Shankaran, Seetha

AU - Pappas, Athina

AU - Barks, John

AU - Bara, Rebecca

AU - Goldston, Laura A.

AU - Natarajan, Girija

AU - Christensen, Mary

AU - Wiggins, Stephanie A.

AU - White, Diane

AU - Ehrenkranz, Richard A.

AU - Jacobs, Harris

AU - Butler, Christine G.

AU - Cervone, Patricia

AU - Greisman, Sheila

AU - Konstantino, Monica

AU - Poulsen, Jo Ann

AU - Taft, Janet

AU - Williams, Joanne

AU - Romano, Elaine

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: To evaluate neurodevelopmental outcomes of preterm infants with need for Child Protective Services (CPS) supervision at hospital discharge compared with those discharged without CPS supervision. Study design: For infants born at <27 weeks of gestation between 2006 and 2013, prospectively collected maternal and neonatal characteristics and 18- to 26-month corrected age follow-up data were analyzed. Bayley-III cognitive and language scores of infants with discharge CPS supervision were compared with infants without CPS supervision using regression analysis while adjusting for potentially confounding variables, including entering CPS after discharge from the hospital. Results: Of the 4517 preterm infants discharged between 2006 and 2013, 255 (5.6%) were discharged with a need for CPS supervision. Mothers of infants with CPS supervision were significantly more likely to be younger, single, and gravida ≥3; to have less than a high school education; and to have a singleton pregnancy and less likely to have received prenatal care or antenatal steroids. Despite similar birth weight and medical morbidities, the CPS group had longer hospital stays compared with the non-CPS group. In adjusted analysis, cognitive scores were points lower (B = −1.94; 95% CI, −3.88 to −0.08; P = .04) in the CPS at discharge group compared with the non-CPS group. In children who entered CPS supervision after hospital discharge (an additional 106 infants), cognitive scores were 4 points lower (β = −4.76; 95% CI, −7.47 to −2.05; P < .001) and language scores were 5 points lower (β = −4.93; 95% CI, −8.00 to −1.86; P = .002). Conclusion: Extremely preterm infants discharged from the hospital with CPS supervision or entering CPS postdischarge are at increased risk for cognitive delay at 2 years of age. Opportunities exist to intervene and potentially improve outcomes in this vulnerable group of children.

AB - Objective: To evaluate neurodevelopmental outcomes of preterm infants with need for Child Protective Services (CPS) supervision at hospital discharge compared with those discharged without CPS supervision. Study design: For infants born at <27 weeks of gestation between 2006 and 2013, prospectively collected maternal and neonatal characteristics and 18- to 26-month corrected age follow-up data were analyzed. Bayley-III cognitive and language scores of infants with discharge CPS supervision were compared with infants without CPS supervision using regression analysis while adjusting for potentially confounding variables, including entering CPS after discharge from the hospital. Results: Of the 4517 preterm infants discharged between 2006 and 2013, 255 (5.6%) were discharged with a need for CPS supervision. Mothers of infants with CPS supervision were significantly more likely to be younger, single, and gravida ≥3; to have less than a high school education; and to have a singleton pregnancy and less likely to have received prenatal care or antenatal steroids. Despite similar birth weight and medical morbidities, the CPS group had longer hospital stays compared with the non-CPS group. In adjusted analysis, cognitive scores were points lower (B = −1.94; 95% CI, −3.88 to −0.08; P = .04) in the CPS at discharge group compared with the non-CPS group. In children who entered CPS supervision after hospital discharge (an additional 106 infants), cognitive scores were 4 points lower (β = −4.76; 95% CI, −7.47 to −2.05; P < .001) and language scores were 5 points lower (β = −4.93; 95% CI, −8.00 to −1.86; P = .002). Conclusion: Extremely preterm infants discharged from the hospital with CPS supervision or entering CPS postdischarge are at increased risk for cognitive delay at 2 years of age. Opportunities exist to intervene and potentially improve outcomes in this vulnerable group of children.

KW - behavior

KW - cognitive and language outcome

KW - foster care

KW - growth

KW - preterm

UR - http://www.scopus.com/inward/record.url?scp=85071902146&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071902146&partnerID=8YFLogxK

U2 - 10.1016/j.jpeds.2019.07.063

DO - 10.1016/j.jpeds.2019.07.063

M3 - Article

C2 - 31500860

AN - SCOPUS:85071902146

JO - Journal of Pediatrics

JF - Journal of Pediatrics

SN - 0022-3476

ER -