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外文摘要
引文資料
題名:
臺灣地區極低出生體重早產兒兩歲追蹤結果對於五歲發展預後之預測
書刊名:
臺灣公共衛生雜誌
作者:
張瑛珍
/
吳明鋗
/
楊長興
/
詹偉添
作者(外文):
Chang, Ying-chen
/
Wu, Ming-jiuan
/
Yang, Chiang-hsing
/
Jim, Wai-tim
出版日期:
2017
卷期:
36:1
頁次:
頁32-43
主題關鍵詞:
早產兒
;
極低出生體重
;
追蹤
;
神經發展預後
;
危險因子
;
Preterm infants
;
Very low birth weight
;
Follow up
;
Neurodevelopmental outcomes
;
Risk factors
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:0
點閱:6
目標:出生體重1,500公克以下的極低出生體重早產兒是發展遲緩的高危險群。研究目的在探討2歲追蹤結果對於5歲長期發展預後的預測。方法:本回溯性研究以2001-2005年出生的極低出生體重早產兒為對象,資料取自二十一家合約醫院登錄在台灣早產兒基金會聯合追蹤小組資料庫。資料收集含括:出生狀況、新生兒罹病情形、家庭背景、父母社經地位、教育程度;2歲貝氏嬰兒發展量表(Bayley Scales of Infant Development Second Edition, BSID-Ⅱ)評估心智發展指數(mental development index, MDI)、動作發展指數(psychomotor development index,PDI);5歲魏氏量表(Wechsler Preschool and Primary Scale of Intelligence-Revised, WPPSI-R)評估全量表智商(full scale intelligence quotient, FSIQ)指數等。並以多元邏輯斯回歸統計分析,探討影響5歲發展預後之預測因子。結果:940位早產兒中,111位(11.8%)2歲時心智發展正常(MDI≧85),5歲時心智發展遲緩(FSIQ<85)。2歲MDI、PDI<85、5分鐘ApgarScore<6分、父親低學歷、出生體重≦1,000克及母親低社經地位等,是影響5歲心智輕微發展遲緩的重要因子(達統計顯著差異)。結論:極低出生體重早產兒2歲時發展雖然正常,但5歲時卻可能成為發展遲緩的高危險群。建議所有早產兒應追蹤直到5歲,並提供發展遲緩的孩子早期療育。
以文找文
Objectives: Preterm infants with a birth weight < 1,500 gm (very low birth weight [VLBW]) are a high-risk group for developmental delay. The purpose of this study was to determine the predictors of 5-year developmental outcomes in VLBW preterm infants based on the 2-year follow-up evaluation. Methods: All VLBW preterm infants were retrospectively recruited in this study between 2001 and 2005 using a large population-based cohort of VLBW infants from 21 neonatology departments registered in the database of the Premature Baby Foundation of Taiwan. Data, including condition at birth, socioeconomic status, educational level, family background, and neonatal morbidities, were collected. The mental development index (MDI) and psychomotor development index (PDI) were determined according to the second edition of the Bayley Scales of Infant Development (BSID-II) at 2 years of age. Also, the full scale intelligence quotient (FSIQ) was determined according to the Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-R) at 5 years of age. Multiple logistic regression was used to identify the predictors of 5-year outcomes. Results: Among 940 VLBW preterm infants, 111 (11.8%) had normal development (MDI > 85) at 2 years of age, but developmental delay (FSIQ < 85) at 5 years of age. A MDI < 85, PDI < 85, APGAR score < 6 at 5 min, birth weight ≤ 1,000 g, father with a low education level, or a mother with a low socioeconomic status were significant predictors of developmental outcomes at 5 years of age. Conclusions: VLBW preterm infants may have normal development at 2 years of age; however, VLBW preterm infants are also a high-risk group for developmental delay at 5 years of age. Thus, all VLBW infants should be followed until 5 years of age. Early intervention for developmental delay children is necessary.
以文找文
期刊論文
1.
Stephens, B. E.、Vohr, B. R.(2009)。Neurodevelopmental outcome of the premature infant。Pediatr Clin North Am,56,631-646。
2.
Larroque, B.、Ancel, P. Y.、Marret, S.(2008)。Neurodevelopmental disabilities and special care of 5-year-old children born before 33 weeks of gestation (the EPIPAGE study): a longitudinal cohort study。Lancet,371,813-820。
3.
Arpino, C.、Compagnone, E.、Montanaro, M. L.(2010)。Preterm birth and neurodevelopmental outcome: a review。Childs Nerv Syst,26,1139-1149。
4.
Synnes, A. R.、Anson, S.、Arkesteijn, A.(2010)。School entry age outcomes for infants with birth weight ⤠800 grams。J Pediatr,157,989-994。
5.
Mikkola, K.、Ritari, N.、Tommiska, V.(2005)。Neurodevelopmental outcome at 5 years of age of a national cohort of extremely low birth weight infants who were born in 1996-1997。Pediatrics,116,1391-1400。
6.
Tamaru, S.、Kikuchi, A.、Takagi, K.(2011)。Neurodevelopmental outcomes of very low birth weight and extremely low birth weight infants at 18 months of corrected age associated with prenatal risk factors。Early Hum Dev,87,55-59。
7.
Forsblad, K.、Kallfn, K.、Marsal, K.、Hellstrom-Westas, L.(2008)。Short-term outcome predictors in infants born at 23- 24 gestational weeks。Acta Paediatr,97,551-556。
8.
Patrianakos-Hoobler, A. I.、Msall, M. E.、Marks, J. D.、Huo, D.、Schreiber, M. D.(2009)。Risk factors affecting school readiness in premature infants with respiratory distress syndrome。Pediatrics,124,258-267。
9.
Stoinska, B.、Gadzinowski, J.(2011)。Neurological and developmental disabilities in ELBW and VLBW: follow-up at 2 years of age。J Perinatol,31,137-142。
10.
Beaino, G.、Khoshnood, B.、Kaminski, M.(2011)。Predictors of the risk of cognitive deficiency in very preterm infants: the EPIPAGE prospective cohort。Acta Paediatr,100,370-378。
11.
Orchinik, L. J.、Taylor, H. G.、Espy, K. A.(2011)。Cognitive outcomes for extremely preterm/extremely low birth weight children in kindergarten。J Int Neuropsychol Soc,17,1067-1079。
12.
Deforge, H.、Andre, M.、Hascoet, J. M.、Fresson, J.、Toniolo, A. M.(2009)。Impact of very preterm birth on visuospatial processes at 5 years of age。Arch Paediatr,16,227-234。
13.
Leversen, K. T.、Sommerfelt, K.、Elgen, I. B.(2012)。Prediction of outcome at 5 years from assessments at 2 years among extremely preterm children: a Norwegian national cohort study。Acta Paediatr,101,264-270。
14.
Roberts, G.、Lim, J.、Doyle, L. W.、Anderson, P.(2011)。High rates of school readiness difficulties at 5 years of age in very preterm infants compared with term controls。J Dev Behav Pediatr,32,117-124。
15.
Hintz, S. R.、Kendrick, D. E.、Wilson-Costello, D. E.(2011)。Early-childhood neurodevelopmental outcomes are not improving for infants born at <25 weeks' gestational age。Pediatrics,127,62-70。
16.
Romeo, D. M.、Guzzardi, S.、Ricci, D.(2012)。Longitudinal cognitive assessment in healthy late preterm infants。Eur J Paediatr Neurol,16,243-247。
17.
Claas, M. J.、de Vries, L. S.、Bruinse, H. W.(2011)。Neurodevelopmental outcome over time of preterm born children ⤠750 g at birth。Early Hum Dev,87,183-191。
18.
Patrianakos-Hoobler, A. I.、Msall, M. E.、Huo, D.、Marks, J. D.、Plesha-Troyke, S.、Schreiber, M. D.(2010)。Predicting school readiness from neurodevelopmental assessments at age 2 years after respiratory distress syndrome in infants born preterm。Dev Med Child Neurol,52,379-385。
19.
Luttikhuizen dos Santos, E. S.、de Kieviet, J. F.、Konigs, M.、van Elburg, R. M.、Oosterlaan, J.(2013)。Predictive value of the Bayley scales of infant development on development of very preterm/very low birth weight children: a meta-analysis。Early Hum Dev,89,487-496。
20.
Munck, P.、Niemi, P.、Lapinleimu, H.、Lehtonen, L.、Haataja, L.(2012)。PIPARI Study Group. Stability of cognitive outcome from 2 to 5 years of age in very low birth weight children。Pediatrics,129,503-508。
學位論文
1.
羅麗君(2010)。極低出生體重早產兒的發展與神經預後之探討(碩士論文)。亞洲大學。
延伸查詢
其他
1.
衛生福利部國民健康署(2015)。103年出生通報年報統計表,http://www.hpa.gov.tw/BHPNet/Web/healthtopic/TopicArticle.aspx?No=201508170001&parentid=201109200006。
延伸查詢
2.
WHO。Media centre Factsheets,http://www.who.int/mediacentre/factsheets/fs363/en/。
圖書論文
1.
鄒國英、台灣早產兒聯合追蹤小組(2011)。台灣地區極低出生體重早產兒罹病及存活率--十年之變化。台灣極低出生體重早產兒十年期間的早期預後--2011成果報告。台北:財團法人早產兒基金會。
延伸查詢
2.
鄒國英、台灣早產兒聯合追蹤小組(2011)。台灣地區極低出生體重早產兒之神經動作發展預後--十年之變化。台灣極低出生體重早產兒十年期間的早期預後--2011成果報告。台北:財團法人早產兒基金會。
延伸查詢
3.
陳倩儀、周弘傑、曹伯年、謝武勳、台灣早產兒聯合追蹤小組(2011)。極低體重早產兒罹患慢性肺疾病之神經發展預後。台灣極低出生體重早產兒十年期間的早期預後--2011成果報告。台北:財團法人早產兒基金會。
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