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Specific cognitive correlates of the quality of life of extremely preterm school-aged children without major neurodevelopmental disability.
Gire, Catherine; Tosello, Barthélémy; Marret, Stéphane; Cambonie, Gilles; Souksi-Medioni, Isabelle; Müller, Jean-Baptiste; Garcia, Patricia; Berbis, Julie; Auquier, Pascal; Brévaut-Malaty, Véronique; Resseguier, Noémie.
Afiliação
  • Gire C; Department of Neonatology, North Hospital, APHM University Hospital, Chemin des Bourrely, 13015, Marseille, France. catherine.gire@ap-hm.fr.
  • Tosello B; EA3279, Self-Perceived Health Assessment Research Unit, Faculty of Medicine, Marseille, 13385, France. catherine.gire@ap-hm.fr.
  • Marret S; Department of Neonatology, North Hospital, APHM University Hospital, Chemin des Bourrely, 13015, Marseille, France.
  • Cambonie G; Aix-Marseille Univ, CNRS, EFS, ADES, Marseille, France.
  • Souksi-Medioni I; Department of Neonatal Medicine, Rouen University Hospital and INSERM U1245, Neovasc team, Perinatal neurological handicap and Neuroprotection IRIB, Faculty of Medicine, Rouen, France.
  • Müller JB; Department of Neonatal Medicine, Montpellier University Hospital, Montpellier, France.
  • Garcia P; Department of Neonatal Medicine, Nimes University Hospital, Nimes, France.
  • Berbis J; Department of Neonatal Medicine, Nantes University Hospital, Nantes, France.
  • Auquier P; Department of Neonatology, Conception Hospital, APHM University Hospital, Marseille, France.
  • Brévaut-Malaty V; EA3279, Self-Perceived Health Assessment Research Unit, Faculty of Medicine, Marseille, 13385, France.
  • Resseguier N; EA3279, Self-Perceived Health Assessment Research Unit, Faculty of Medicine, Marseille, 13385, France.
Pediatr Res ; 88(4): 642-652, 2020 10.
Article em En | MEDLINE | ID: mdl-32050254
BACKGROUND: We examined how specific cognitive behavioral impairments impacted quality of life (QoL) within a large multicenter cohort of 7-10 year olds surviving extremely preterm (EPT) without major neurodevelopmental disability. METHODS: Between 7 and 10 years of age, two generic, self-proxy, and parental evaluations were obtained. QoL measurement questionnaires (Kidscreen-10/VSPA (Vécu et Santé Perçue de l'Enfant et de l'Adolescent)) were used and compared to a reference population. The general and specific cognitive functions, such as executive functions, behavior and anxiety, and clinical neurologic examination, were also assessed. RESULTS: We analyzed 211 school-aged EPT children. The mean gestational age was 26.2 (±0.8) weeks, birth weight was 879 g (±181) and the mean age was 8.4 years (±0.87). Children with a Full-Scale Index Quotient ≥89, who were considered as normal, had a lower QoL. Specific cognitive impairments: comprehensive language delay, visuo-spatial integration defect, and dysexecutive disorders) were the QoL correlates in the domains of school performance and body image. CONCLUSIONS: School and health care professionals need to increase their focus on EPT children's lower so as to recognize the preterm behavioral/cognitive phenotype and their potential need for supportive measures. Research on preventive interventions is warranted to investigate if these long-term effects of an EPT birth can be attenuated in neonatal period and after.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Deficiências do Desenvolvimento / Cognição Tipo de estudo: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Child / Female / Humans / Male / Newborn Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Deficiências do Desenvolvimento / Cognição Tipo de estudo: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Child / Female / Humans / Male / Newborn Idioma: En Ano de publicação: 2020 Tipo de documento: Article