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Neurodevelopment at age 5.5 years according to Ages & Stages Questionnaire at 2 years’ corrected age in children born preterm: the EPIPAGE-2 cohort study

Archives of disease in childhood. Fetal and neonatal edition, 2024-01, p.fetalneonatal-2023-325928-2023-325928 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ. ;2024 Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ. ;Distributed under a Creative Commons Attribution 4.0 International License ;ISSN: 1359-2998 ;EISSN: 1468-2052 ;DOI: 10.1136/archdischild-2023-325928 ;PMID: 38290830

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Title:
Neurodevelopment at age 5.5 years according to Ages & Stages Questionnaire at 2 years’ corrected age in children born preterm: the EPIPAGE-2 cohort study
Author: Charkaluk, Marie-Laure ; Kana, Gildas Delavoix ; Benhammou, Valérie ; Guellec, Isabelle ; Letouzey, Mathilde ; Morgan, Andrei Scott ; Nuytten, Alexandra ; Torchin, Héloïse ; Twilhaar, Sabrina ; Cambonie, Gilles ; Marret, Stéphane ; Ancel, Pierre Yves ; Pierrat, Véronique ; Basson, Eliane ; Chevallier, Marie ; Datin-Dorrière, Valérie ; Lebeaux, Cécile ; Muller, Jean-Baptiste
Subjects: Age groups ; Cerebral palsy ; Child development ; Child Health Services ; Classification ; Cohort analysis ; Disability ; Epidemiology ; Gestational age ; Hearing loss ; Infant Development ; Life Sciences ; Motor ability ; Neonatology ; Original research ; Questionnaires ; Surveillance ; Visual acuity
Is Part Of: Archives of disease in childhood. Fetal and neonatal edition, 2024-01, p.fetalneonatal-2023-325928-2023-325928
Description: ObjectiveTo report neurodevelopment at age 5.5 years according to developmental delay screening with the Ages & Stages Questionnaire (ASQ) in late infancy in preterm-born children.DesignPopulation-based cohort study, EPIPAGE-2.SettingFrance, 2011–2017.Participants2504 children born at 24–26, 27–31 and 32–34 weeks, free of cerebral palsy, deafness or blindness at 2 years’ corrected age.Main outcome measuresModerate/severe, mild or no disability at age 5.5 years using gross and fine motor, sensory, cognitive and behavioural evaluations. Results of the ASQ completed between 22 and 26 months’ corrected age described as positive screening or not.ResultsAmong 2504 participants, 38.3% had ASQ positive screening. The probability of having moderate/severe or mild disability was higher for children with ASQ positive versus negative screening: 14.2% vs 7.0%, adjusted OR 2.5 (95% CI 1.8 to 3.4), and 37.6% vs 29.7%, adjusted OR 1.5 (1.2 to 1.9). For children with ASQ positive screening, the probability of having neurodevelopmental disabilities at age 5.5 years was associated with the number of domain scores below threshold, very low gestational age and severe neonatal morbidities. For children with ASQ negative screening, this probability was increased for boys and children born small-for-gestational age. For both groups, maternal level of education was strongly associated with outcomes.ConclusionIn preterm-born children, ASQ screening at 2 years’ corrected age was associated with neurodevelopmental disabilities at age 5.5 years. However, other factors should be considered when interpreting the ASQ data to draw further follow-up.Trial registration number2016-A00333-48.
Publisher: England: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
Language: English
Identifier: ISSN: 1359-2998
EISSN: 1468-2052
DOI: 10.1136/archdischild-2023-325928
PMID: 38290830
Source: Hyper Article en Ligne (HAL) (Open Access)
Alma/SFX Local Collection

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Neurodevelopment at age 5.5 years according to Ages & Stages Questionnaire at 2 years’ corrected age in children born preterm: the EPIPAGE-2 cohort study

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