Disappointing Follow-up Findings for Indigent High-Risk Newborns

R. E. Lasky, J. E. Tyson, C. R. Rosenfeld, D. Krasinski, S. Dowling, N. F. Gant

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Indigent populations have received little attention in neonatal follow-up studies. We conducted "blinded" evaluations one year past term for 204 indigent high-risk infants who were ventilator treated or had a very low birth weight (VLBW) (≤1500 g) and 85 healthy term controls from families similar to those of the high-risk infants. Marked developmental delay (Bayley Mental Developmental Index, <70) or gross motor abnormality occurred in 2% of controls, 27% of VLBW infants, 33% of ventilatortreated infants, and 39% of ventilatortreated VLBW infants. Despite considerable effort to prevent attrition, 43% of high-risk survivors were unavailable for follow-up at the one-year visit. Even if all of these infants were assumed to be normal, the incidence of developmental delay exceeded that in 11 of 12 recent studies. Indigent high-risk infants deserve considerable follow-up attention because of their high rate of attrition and developmental delay.

Original languageEnglish (US)
Pages (from-to)100-105
Number of pages6
JournalAmerican Journal of Diseases of Children
Volume141
Issue number1
DOIs
StatePublished - Jan 1987

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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