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Cognitive, Language, and Visuomotor Abilities of Very Low Birthweight Infants at Corrected Age of Two Years

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Abstract

Objective

To assess the prevalence and predictors of language and visuomotor delay in very low birthweight (≤1250 g) children at corrected age (CA) of 2 years.

Design

Prospective observational.

Setting

Neonatal follow-up clinic of a level III center.

Participants

Children with birthweight ≤1250 g and discharged alive (n=164) from April 2012 to April 2013 were followed up till 2 years CA (n=126).

Methods

Development, neurological status, and language/visuomotor cognitive skills were assessed by Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS). Development Quotient (DQ) was calculated.

Main Outcome

Prevalence and predictors for the language and visuomotor delay.

Results

At 2 years (n=123 CAT, 126 CLAMS), 30 (24%) children had below average DQ (90) and 93 (74%) average and above average DQ (≥90) in full scale CAT/CLAMS test. Small for gestation infants (n=86) have higher risk of below average DQ (P=0.036). Gestational age and socioeconomic status have a positive correlation with language development at 9 months and 2 years, respectively.

Conclusions

In VLBW (birth weight ≤1250 g) infants, the prevalence of language/visuomotor delay is high. Small for gestational age infants are at higher risk for language and visuomotor development delay at 2 years corrected age.

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Acknowledgments

Mrs Smita Gupta (Psychologist), Mrs Sonia Sharma (Social worker), Mrs Parul (Physiotherapist), Mr Kanwar Mohan (Audiologist), Dr Naresh Panda (ENT), and Dr MR Dogra (Ophthalmology) for their help in the recruitment of children, ensuring timely follow up, psychological evaluation, and hearing assessment.

Funding

Funding: ICMR New Delhi. IRIS ID: 2010-04980/384 dated 5/7/2010

Author information

Authors and Affiliations

  1. Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160 012, India

    Kanya Mukhopadhyay, Prahbhjot Malhi, Jogender Kumar & Pratibha Singhi

Authors
  1. Kanya Mukhopadhyay
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  2. Prahbhjot Malhi
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  3. Jogender Kumar
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  4. Pratibha Singhi
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Contributions

Contributors: KM: conceptualized and designed the study, collected data, and critically revised the manuscript; PM: substantial contribution to the concept and design of the study; supervised the cognitive, language, and visuomotor development assessment and critically revised the manuscript; JK: substantial role in acquisition, analysis, and interpretation of data; and drafted the manuscript; PS: substantial contribution to the concept and design of the study; supervised neurological and developmental assessments and critically revised the manuscript. All the authors approved the final version of the manuscript and will be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Corresponding author

Correspondence to Kanya Mukhopadhyay.

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Competing interest: None stated.

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Mukhopadhyay, K., Malhi, P., Kumar, J. et al. Cognitive, Language, and Visuomotor Abilities of Very Low Birthweight Infants at Corrected Age of Two Years. Indian Pediatr 57, 296–300 (2020). https://doi.org/10.1007/s13312-020-1778-x

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  • DOI: https://doi.org/10.1007/s13312-020-1778-x

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