17-year outcome of preterm infants with diverse neonatal morbidities: Part 1--Impact on physical, neurological, and psychological health status

J Spec Pediatr Nurs. 2012 Jul;17(3):226-41. doi: 10.1111/j.1744-6155.2012.00337.x. Epub 2012 May 29.

Abstract

Purpose: The purpose of this study was to comprehensively examine physical, neurological, and psychological health in a U.S. sample of 180 infants at age 17.

Design and methods: The World Health Organization International Classification of Functioning, Disability and Health model framed the health-related domains and contextual factors. Assessments included growth, chronic conditions, neurological status, and psychological health.

Results: Physical health, growth, and neurological outcomes were poorer in the preterm groups. Minor neurological impairment was related to integrative function. Preterm survivors reported higher rates of depression, anxiety, and inattention/hyperactivity.

Practice implications: Complex health challenges confront preterm survivors at late adolescence, suggesting the necessity of continued health surveillance.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Physiological
  • Adaptation, Psychological
  • Adolescent
  • Analysis of Variance
  • Birth Weight
  • Chi-Square Distribution
  • Child Development / physiology
  • Developmental Disabilities / epidemiology*
  • Developmental Disabilities / etiology
  • Developmental Disabilities / physiopathology*
  • Female
  • Follow-Up Studies
  • Health Status*
  • Humans
  • Incidence
  • Infant, Newborn
  • Infant, Premature*
  • Infant, Premature, Diseases / diagnosis
  • Infant, Premature, Diseases / epidemiology
  • Longitudinal Studies
  • Male
  • Mental Health*
  • Multivariate Analysis
  • Prospective Studies
  • Risk Assessment
  • Time Factors
  • World Health Organization