The Role of Follow-up in Monitoring the Outcomes of Prematurity in a Cohort of Romanian Infants

Year 2017, Volume: 34 Issue: 1, 21 - 27, 01.01.2017

Anca Bivoleanu Andreea Avasiloaiei Mihaela Moscalu Maria Stamatin

Abstract

Background: The rate of preterm births in Romania is
one of the highest among European countries. However,
there is little information regarding the ways in which
premature birth affects the outcome in Romanian
preterm infants.
Aims: To investigate the effects of early developmental
intervention after discharge from the hospital on motor
and cognitive development in preterm infants.
Study Design: Longitudinal observational study
Methods: We performed the Amiel-Tison neurologic
evaluation at discharge and the Bayley Scales of Infant
Development from 3 to 24 months. Based on these
evaluations, an outcome score was formulated.
Results: Between 2007 and 2010, 1157 of 2793 premature
infants were included into the study. There was a negative
correlation between the number of evaluations and
the risk of developing neurologic sequelae (p<0.001).
The correlation analysis demonstrated a significant
association between the final category of risk at the end
of the follow up program and the degree of compliance
(p<0.01). At 24 months evaluation, there was a
correlation between the low gestational age and the risk
of developing severe neurologic sequelae (p<0.001).
Conclusion: This study shows the importance of
follow up program in decreasing the risk o

Keywords

Neurologic sequelae, prematurity, infants, monitoring

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