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Disappointing Follow-up Findings for Indigent High-Risk Newborns
Robert E. Lasky, PhD;
Jon E. Tyson, MD;
Charles R. Rosenfeld, MD;
Debra Krasinski, MS;
Sharon Dowling, MS;
Norman F. Gant, MD
Am J Dis Child. 1987;141(1):100-105.
Abstract
• Indigent populations have received little attention in neonatal follow-up studies. We conducted "blinded" evaluations one year past term for 204 indigent high-risk infants who were ventilator treated or had a very low birth weight (VLBW) ( 1500 g) and 85 healthy term controls from families similar to those of the high-risk infants. Marked developmental delay (Bayley Mental Developmental Index, <70) or gross motor abnormality occurred in 2% of controls, 27% of VLBW infants, 33% of ventilatortreated infants, and 39% of ventilatortreated VLBW infants. Despite considerable effort to prevent attrition, 43% of high-risk survivors were unavailable for follow-up at the one-year visit. Even if all of these infants were assumed to be normal, the incidence of developmental delay exceeded that in 11 of 12 recent studies. Indigent high-risk infants deserve considerable follow-up attention because of their high rate of attrition and developmental delay.
(AJDC 1987;147:100-105)
Author Affiliations
From the Department of Pediatrics, The University of Texas Health Science Center at Dallas. Dr Lasky is now with the Waisman Center, University of Wisconsin-Madison.
Footnotes
Accepted for publication Aug 19, 1986.
Reprint requests to Department of Pediatrics, The University of Texas Health Science Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75235 (Dr Tyson).
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