Adult Outcomes of Preterm Children

  title={Adult Outcomes of Preterm Children},
  author={Maureen Hack},
  journal={Journal of Developmental \& Behavioral Pediatrics},
  • M. Hack
  • Published 1 October 2009
  • Medicine, Psychology
  • Journal of Developmental & Behavioral Pediatrics
The survivors of the initial years of neonatal intensive care of preterm infants reached adulthood during the last decade. Reports of their adult outcomes examined have included neurodevelopmental, behavioral and health outcomes as well as social functioning and reproduction. Despite statistically significant differences between preterm young adults and controls in most outcomes studied, the majority of preterm survivors do well and live fairly normal lives. The two major predictors of adult… 
Functional outcomes of very premature infants into adulthood.
  • S. Saigal
  • Medicine, Psychology
    Seminars in fetal & neonatal medicine
  • 2014
Adults born preterm: a review of general health and system‐specific outcomes
A small, but a significant fraction of adults born at preterm gestations remain at higher risk for neurological, personality and behavioural abnormalities, cardio‐pulmonary functional limitations, systemic hypertension and metabolic syndrome compared to their term‐born counterparts.
Follow-up Outcomes of High Risk Infants
Since 2000, the rates of mortality of preterm infants have remained fairly stable and there has been an encouraging decrease in the rate of cerebral palsy, which has contributed to an overall decrease in neurodevelopmental impairments.
Neurodevelopmental Outcomes of the Child with Congenital Heart Disease.
  • B. Latal
  • Medicine
    Clinics in perinatology
  • 2016
Cognitive, Mental Health, and Adaptive Outcomes Among Survivors of Prematurity
The current data about cognitive, mental health, and adaptive outcomes among survivors of Prematurity is reviewed to inform and empower clinicians to effectively counsel and support those affected by prematurity.
Prematurity: an overview and public health implications.
Public health approaches to prematurity include assurance of delivery in a facility capable of managing neonatal complications, quality improvement to minimize interinstitutional variations, early developmental support for such infants, and attention to related family health issues.
The impact of preterm birth on participation in childhood occupation
Premature infants had significantly lower scores in adaptive behaviour than term infants, and this measurable effect of preterm birth on ‘childhood occupations’ merits further investigation.
School-aged children born preterm: review of functioning across multiple domains and guidelines for assessment
An overview of the research on children born preterm is provided and guidelines for assessment in the areas of cognitive, academic, and psychosocial functioning are delineated.
Persisting cognitive deficits in survivors of very low birthweight and their implications for adult functioning
  • H. Taylor
  • Psychology
    Developmental medicine and child neurology
  • 2010
Review of outcomes of VLBW in young adulthood suggests that many survivors may encounter more problems in facing these challenges than their term-born, normal birthweight peers, and cognitive impairment in early adulthood is more pervasive than suggested by past studies using shortened versions of IQ testing batteries.
Young Adult Motor, Sensory, and Cognitive Outcomes and Longitudinal Development after Very and Extremely Preterm Birth.
Adult outcomes after very and extremely preterm birth are reported, with a focus on neuromotor function, neurosensory impairment, general cognitive abilities, executive function, and attentional abilities, all of which are important for academic progress, peer relationships, and participation.


Young adult outcomes of very-low-birth-weight children.
  • M. Hack
  • Medicine
    Seminars in fetal & neonatal medicine
  • 2006
Trends in the Rates of Cerebral Palsy Associated with Neonatal Intensive Care of Preterm Children
The rates of neonatal morbidity have decreased with evidence of a decrease in the rates of cerebral palsy since the year 2000, and efforts to further decrease neonatal mortality should continue to improve the outcomes of preterm children.
Preterm Infants as Young Adults: A Swedish National Cohort Study
The total economic gain for Swedish society, in terms of taxes and decreased costs for benefits, if all long-term effects of preterm birth could have been prevented in the birth cohorts in this study would have amounted to 65 million euros in 2002 alone.
Long-term medical and social consequences of preterm birth.
In this cohort of people in Norway who were born between 1967 and 1983, the risks of medical and social disabilities in adulthood increased with decreasing gestational age at birth.
Behavioral Outcomes and Evidence of Psychopathology Among Very Low Birth Weight Infants at Age 20 Years
The increase in psychopathology among VLBW survivors in young adulthood indicates a need for anticipatory guidance and early intervention that might help to prevent or ameliorate potential psychopathology.
Growth of very low birth weight infants to age 20 years.
OBJECTIVE Intrauterine and neonatal growth failure of very low birth weight (VLBW; <1500 g) infants may influence adult growth attainment and have long-term implications for adult health. As part of
Early Intervention in Low Birth Weight Premature Infants: Results at 18 Years of Age for the Infant Health and Development Program
The findings in the HLBW INT group provide support for preschool education to make long-term changes in a diverse group of children who are at developmental risk and raise questions about the biological and educational factors that foster or inhibit sustained effects of early educational intervention.
Psychiatric Morbidity in Adolescents and Young Adults Born Preterm: A Swedish National Cohort Study
Preterm birth carries some risk for psychiatric disorders requiring hospitalization in adolescence and young adulthood, even if this risk increases with degree of preterm birth, most subjects are moderately preterm, a group in need of more attention in research and secondary prevention.
Neurodevelopmental Outcomes of Infants Born Prematurely
  • G. Aylward
  • Psychology, Medicine
    Journal of developmental and behavioral pediatrics : JDBP
  • 2005
Suggestions for improved analyses and clarification of outcomes include use of cluster analysis, structural equation modeling, growth curve analysis, developmental epidemiologic approaches, and better control of background variables using risk indexes and factor scores.