4.1 Article

School Performance and Neurodevelopment of Very Low Birth Weight Preterm Infants: First Report From Turkey

Journal

JOURNAL OF CHILD NEUROLOGY
Volume 31, Issue 2, Pages 170-176

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0883073815587028

Keywords

very low birth weight; prematurity; neurodevelopmental prognosis; school performance

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Very low birth weight preterm infants are under significant risk of neurologic, developmental, and somatic problems. In this study, 90 infants born with a birth weight <1500 g and/or with a gestational age <32 weeks were evaluated after the first year of elementary school to assess neurodevelopment. The Wechsler Intelligence Scale for Children-Revised (WISC-R) test, Pediatric Symptom Checklist, and Parent Evaluation of Developmental Status were performed. Mental retardation, cerebral palsy, blindness, epilepsy, and posthemorrhagic hydrocephaly incidences were 14%, 7%, 2%, 5%, and 2%, respectively. The WISC-R score of 32 patients (35.5%) were below 85. Perinatal asphyxia, abnormal neurologic examination, and delayed or impaired speech correlated significantly with low WISC-R scores. Education and income of the father had positive impact on WISC-R scores (P = .042 and P = .026). Parents' concern and presence of cognitive problems were correlated (P = .026). Environmental factors, as well as the prevention of morbidity, affected school performance positively.

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