Very low birth weight preterm infants are under significant risk of neurologic, developmental, and somatic problems. In this study, 90 infants born with a birth weight <1500 g and/or with a gestational age <32 weeks were evaluated after the first year of elementary school to assess neurodevelopment. The Wechsler Intelligence Scale for Children–Revised (WISC-R) test, Pediatric Symptom Checklist, and Parent Evaluation of Developmental Status were performed. Mental retardation, cerebral palsy, blindness, epilepsy, and posthemorrhagic hydrocephaly incidences were 14%, 7%, 2%, 5%, and 2%, respectively. The WISC-R score of 32 patients (35.5%) were below 85. Perinatal asphyxia, abnormal neurologic examination, and delayed or impaired speech correlated significantly with low WISC-R scores. Education and income of the father had positive impact on WISC-R scores (P = .042 and P = .026). Parents’ concern and presence of cognitive problems were correlated (P = .026). Environmental factors, as well as the prevention of morbidity, affected school performance positively.
BallardJLKhouryJCWedigK. New Ballard Score, expanded to include extremely premature infants. J Pediatr. 1991;119:417–423.
2.
GlascoeFPDworkinPH. The role of parents in the detection of developmental and behavioral problems. Pediatrics. 1995;95:829–836.
3.
JellinekMSMurphyJMRobinsonJ. Pediatric Symptom Checklist: screening school-age children for psychosocial dysfunction. J Pediatr. 1988;112:201–209.
4.
SaigalSSzatmariPRosenbaumP. Can learning disabilities in children who were extremely low birth weight be identified at school entry?J Dev Behav Pediatr. 1992;13:356–362.
5.
VolpeJJ. Neurological examination: normal and abnormal features. In Neurology of the Newborn. Philadelphia, WB Saunders; 1995:95–124.
6.
RosenbaumPPanethNLevitonA. A report: the definition and classification of cerebral palsy, April 2006. Developmental Medicine and Child Neurology. 2007;109:8–14.
7.
BundakRFurmanAGunozH. Body mass index references for Turkish children. Acta Paediatr. 2006;95:194–198.
8.
WittenbergJ-VP. Psychiatric considerations in premature birth. Can J Psychiatry. 1990;35:734–740.
9.
AndrewsWWCliverSPBiasiniF. Early preterm birth: association between in utero exposure to acute inflammation and severe neurodevelopmental disability at 6 years of age. Am J Obstet Gynecol. 2008;198:461–466.
10.
SaigalSden OudenLWolkeD. School-age outcomes in children who were extremely low birth weight from four international population-based cohorts. Pediatrics. 2003;112:943–950.
11.
HolcroftCJBlakemoreKJAllenMGrahamEM. Association of prematurity and neonatal infection with neurologic morbidity in very low birth weight infants. Obstet Gynecol. 2003;101:1249–1253.
12.
KellyMM. The medically complex premature infant in primary care. J Pediatr Health Care. 2006;20:367–373.
13.
MajnemerARileyPShevellM. Severe bronchopulmonary dysplasia increases risk for later neurological and motor sequelae in preterm survivors. Dev Med Child Neurol. 2000;42:53–60.
14.
SherlockRLAndersonPJDoyleLW, Victorian Infant Collaborative Study. Neurodevelopmental sequelae of intraventricular haemorrhage at 8 years of age in a regional cohort of ELBW/very preterm infants. Early Hum Dev. 2005;81:909–916.
15.
O’SheaTMKubanKCAllredEN. Neonatal cranial ultrasound lesions and developmental delays at 2 years of age among extremely low gestational age children. Pediatrics. 2008;122:662–669.
16.
ColeCBinneyGCaseyP. Criteria for determining disability in infants and children: low birth weight. Evid Rep Technol Assess. 2002;(70):1–7.
17.
MarlowNRobertsBLCookeRW. Motor skills in extremely low birthweight children at the age of 6 years. Arch Dis Child. 1989;64:839–847.
18.
SaigalSSzatmariPRosenbaumP. Cognitive abilities and school performance of extremely low birth weight children and matched term control children at age 8 years: a regional study. J Pediatr. 1991;118:751–760.
19.
SingerLTSalvatorAGuoS. Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant. JAMA. 1999;281:799–805.
20.
WolkeD. Psychological development of prematurely born children. Arch Dis Child. 1998;78:567–570.
21.
CarsonDKKleeTPerryCK. Comparisons of children with delayed and normal language at 24 months of age on measures of behavioral difficulties, social and cognitive development. Infant Ment Health J. 1998;19:59–75.
22.
WhitfieldMFGrunauRVHolstiL. Extremely premature (< or = 800 g) school children: multiple areas of hidden disability. Arch Dis Child Fetal Neonatal Ed. 1997;77:F85–F90.
23.
O’CallaghanMJBurnsYRGrayPH. School performance of ELBW children: a controlled study. Dev Med Child Neurol. 1996;38:917–926.
24.
DavisDWBurnsBMWilkersonSASteichenJJ. Visual perceptual skills in children born with very low birth weights. J Pediatr Health Care. 2005;19:363–368.
25.
Schalij-DelfosNEde GraafMETreffersWF. Long term follow up of premature infants: detection of strabismus, amblyopia, and refractive errors. Br J Ophthalmol. 2000;84:963–967.
26.
HackMSchluchterMCartarL. Growth of very low birth weight infants to age 20 years. Pediatrics. 2003;112:30–38.
27.
BennetRBergdahlSErikssonMZetterstromR. The outcome of neonatal septicemia during fifteen years. Acta Paediatr Scand. 1989;78:40–43.
28.
LemsWHopkinsBSamsonJF. Mental and motor development in preterm infants: the issue of corrected age. Early Hum Dev. 1993;34:113–123.
29.
WoolfendenSEapenVWilliamsKHayenASpencerNKempL. A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS) indicating developmental risk. BMC Pediatr. 2014;14:231.
30.
PritchardMAColditzPBBellerEM, Queensland Optimising Preterm Infant Outcomes G. Parents’ evaluation of developmental status in children born with a birthweight of 1250 g or less. J Paediatr Child Health. 2005;41:191–196.
31.
HorwoodLJMogridgeNDarlowBA. Cognitive, educational, and behavioural outcomes at 7 to 8 years in a national very low birthweight cohort. Arch Dis Child Fetal Neonatal Ed. 998;79:12–20.
