Growth charts and long‐term sequelae in extreme preterm infants – from full‐term age to 10 years. (January 2014)

• Record Type: Journal Article
• Authors: Horemuzova, Eva; Åmark, Per; Jacobson, Lena; Söder, Olle; Hagenäs, Lars
• Is Part Of: Acta pædiatrica. Volume 103:Number 1(2014:Jan.)
• Page Start: 38
• Page End: 47
• Publication Date: 2014-01
• Subjects: Pediatrics -- Periodicals; Pediatrics; 618.92
• DOI: 10.1111/apa.12451
• Languages: English
• ISSNs: 0803-5253

Abstract

<abstract abstract-type="main" id="apa12451-abs-0001"> <title>Abstract</title> <sec id="apa12451-sec-0001" sec-type="section"> <title>Aim</title> <p>To describe growth pattern from full‐term age to 10 years in infants born before 26 weeks of gestation.</p> </sec> <sec id="apa12451-sec-0002" sec-type="section"> <title>Method</title> <p>This retrospective longitudinal cohort contained 123 children from Karolinska Hospital, Stockholm, during 1990–2002. Length/height (Ht), weight (Wt) and head circumference (HC) were recorded monthly during the first year, every 3 months until 2 years and yearly thereafter, but HC at 15 months and at median age of 8.1/9.7 years (range 2–14) in boys/girls.</p> </sec> <sec id="apa12451-sec-0003" sec-type="section"> <title>Results</title> <p>For boys/girls at birth, the mean Z‐score for Ht was −0.2/−0.2, for Wt 0.0/−0.2 and for HC 0.0/−0.3. At term, the mean Z‐score for Ht was −3.8/−3.1, for Wt −3.0/−2.5 and for HC −1.7/−1.2. At 1 year, the mean Z‐score for Ht was−1.3/−1.3, for Wt −1.9/−1.7 and for HC −1.2/−1.0. At 2 years, the mean Z‐score for Ht was −1.3/−1.1, for Wt −1.6/−1.2 and at 10 years for Ht −0.7/−0.4; that was on average −0.3 below mid‐parental height; for Wt −0.2/−0.2. Long‐term sequelae were found in 48% of the boys and 34% of the girls.</p> </sec> <sec id="apa12451-sec-0004" sec-type="section"> <title>Conclusion</title> <p>By 10 years of age, the attained mean Ht was in accordance with their genetic potential and almost half of these children had significant long‐term sequelae.</p> </sec> </abstract>