Executive Functioning in School-Aged Children Who Were Born Very Preterm or With Extremely Low Birth Weight in the 1990s
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- Peter J. Anderson
- Royal Women’s Hospital, Melbourne, Australia
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- Lex W. Doyle
- Royal Women’s Hospital, Melbourne, Australia
抄録
<jats:p>Objective. To determine the frequency, nature, and severity of executive dysfunction (EDF) at 8 years of age in extremely low birth weight (ELBW)/very preterm infants who were born in the 1990s, compared with normal birth weight (NBW) control subjects.</jats:p> <jats:p>Methods. A geographically determined cohort study was conducted in Victoria, Australia. The ELBW/very preterm cohort comprised 298 consecutive survivors at 2 years of age who had gestational ages <28 completed weeks or birth weights <1000 g and were born during 1991-1992. The NBW cohort comprised 262 randomly selected children of birth weight >2499 g matched on date of birth, gender, ethnicity, and health insurance status. The participation rate was 92% (275 of 298) for the ELBW/very preterm cohort and 85% (223 of 262) for the NBW cohort. Cognitive and behavioral measures of executive functioning were administered.</jats:p> <jats:p>Results. The ELBW/very preterm cohort exhibited significant EDF compared with their NBW peers in all areas assessed. The cognitive assessment revealed global impairment rather than deficits in specific executive domains. The ELBW/very preterm children also displayed more behavioral problems indicative of EDF than the NBW children. Severe impairments were exhibited in only a small minority of ELBW/very preterm children. No statistical conclusions were altered after adjustment for sociodemographic variables or when children with substantial neurosensory impairment were excluded.</jats:p> <jats:p>Conclusions. School-aged children who were born in the 1990s and were very preterm or had ELBW are at greater risk for developing EDF and require ongoing neuropsychological review throughout middle childhood.</jats:p>
収録刊行物
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- Pediatrics
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Pediatrics 114 (1), 50-57, 2004-07-01
American Academy of Pediatrics (AAP)
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詳細情報 詳細情報について
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- CRID
- 1362825894615158528
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- NII論文ID
- 30012915681
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- ISSN
- 10984275
- 00314005
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- データソース種別
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