Ontwikkelingsproblemen bij vroeggeborenen

Anne M. de Grauw, Pauline E. van Beek, Aleid G. Leemhuis

Research output: Contribution to journalArticleProfessional

Abstract

The French EPIPAGE-2 study evaluated a large group of premature born children (24-34 weeks' gestational age (GA))) at age 5.5 years. Outcome information of the whole cohort was presented after careful imputation including/using the variable socio-economic-status (SES), because participation rate improved with increasing SES. Survival improved with increasing GA. Survival without moderate or severe impairment was 20% in children born at 24-26 weeks' GA, but among the survivors 75% had no or mild impairment. Mild cognitive impairment rates were comparable and common among all GA groups (25-28%) and thus frequent in prematures. School problems were also common. In addition to prematurity, SES is an important risk factor for developmental impairment. Follow-up programs for premature infants beyond 30 weeks' GA are less common and may need extra attention in low SES families. Future studies should focus on both prevention of prematurity and programs to improve outcome.
Original languageDutch
JournalNederlands Tijdschrift voor Geneeskunde
Volume166
Publication statusPublished - 20 Dec 2021

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