Extremely Low-Birth-Weight Children and Their Peers
- 1 August 1996
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Pediatrics & Adolescent Medicine
- Vol. 150 (8), 790-794
- https://doi.org/10.1001/archpedi.1996.02170330016003
Abstract
Objective: To document 7-year developmental and educational outcomes in a cohort of predominantly white, middle-class, extremely low-birth-weight (ELBW, Design: Observational study. Patients: Fifty-four ELBW children and 58 comparison children, who were matched for race, gender, and socioeconomic status (30 with low birth weights [1500-2500 g] and 28 with birth weights >2500 g). The ELBW cohort was drawn from 104 presurfactant survivors born between 1984 and 1986 and cared for in a single hospital. Setting: Suburban, university-based tertiary referral center. Main Outcome Measures: Teachers' reports of classroom placement and special education services and tests of cognitive, motor, language, and visual-motor integration abilities were studied. Results: Twenty-seven (50%) of 54 ELBW children were in regular classrooms with no special services compared with 21 (70%) of 30 in the low-birth-weight group and 27 (93%) of 28 in the full-term group, indicating a significant trend toward increasing need for special services with decreasing birth weight across the 3 groups (P<.001). The ELBW group scored significantly lower than the comparison groups on all tests, although generally within the average range. Seventy-nine percent of ELBW children had average cognitive scores, but they averaged 14 to 17 points lower than the 2 comparison groups. Twenty percent of the ELBW children had significant disabilities including cerebral palsy, mental retardation, autism, and low intelligence with severe learning problems. Conclusions: Even with optimal socioeconomic environments, 20% of ELBW children are significantly disabled, and 1 of every 2 ELBW children requires special educational services. Objective testing pinpointed weakness on all measures compared with matched peer groups. Arch Pediatr Adolesc Med. 1996;150:790-794Keywords
This publication has 14 references indexed in Scilit:
- OUTCOME AT SCHOOL AGE OF CHILDREN WITH BIRTHWEIGHTS OF 1000 GRAMS OR LESSDevelopmental Medicine and Child Neurology, 2008
- School-Age Outcomes in Children with Birth Weights under 750 gNew England Journal of Medicine, 1994
- Cerebral palsy in four northern California counties, births 1983 through 1985The Journal of Pediatrics, 1993
- Kindergarten Readiness After Extreme PrematurityArchives of Pediatrics & Adolescent Medicine, 1992
- Neurodevelopmental, health, and growth status at age 6 years of children with birth weights less than 1001 gramsThe Journal of Pediatrics, 1991
- Cognitive abilities and school performance of extremely low birth weight children and matched term control children at age 8 years: A regional studyThe Journal of Pediatrics, 1991
- Increased survival rate in very low birth weight infants (1500 grams or less): No association with increased incidence of handicapsThe Journal of Pediatrics, 1990
- Motor skills in extremely low birthweight children at the age of 6 years.Archives of Disease in Childhood, 1989
- Children Who were Very Low Birthweight: Cognitive Abilities and Classroom Behavior at Five Years of AgeThe Journal of Special Education, 1988
- School Performance of Children With Birth Weights of 1,000 g or LessArchives of Pediatrics & Adolescent Medicine, 1982