[Somatic and psychomotor development of preterm infants at the age of 2 years, with and without bronchopulmonary dysplasia].
OBJECTIVE
The assessment of psychomotor and somatic development at the age of 2 years of preterm infants with and without bronchopulmonary dysplasia (BPD).


METHODS
Case -- control study.


METHODS
Neonatal Intensive Care Unit, University Hospital.


METHODS
62 preterm infants born before 32 weeks of gestation, with mean birth weight equaled to 1112 g were included into 2 groups: group A -- with BPD (n=31), group B (control) -- matched by sex, birth weight, gestational age (n=31).


METHODS
Evaluation of reaching milestones, neurological examination at 3, 9, 12, 18-24 months, Psyche-Cattel tests at 12 and 24 months, hearing and visions examinations, head, chest circumference, length and weight at 3, 6, 9, 12 and 24 months.


METHODS
Age of unsupported sitting and walking, intelligence quotient (IQ), cerebral palsy, hearing and sight impairment.


RESULTS
Reaching motor milestones were similar in the both groups (unsupported sitting (mean) 10.4 vs. 8.7 months, unsupported walking: 15.1 vs. 13.9 months). Cerebral palsy occurred more (non-significantly) frequently in group A than in group B (7/31 vs. 2/31, p=0.15). Significantly lower IQ was found in group A at the age of 1 year in comparison with group B (x +/- SEM: 79.9 +/- 2.1 vs. 86.1 +/- 1.5, p=0.03) and at the age of 2 years (x +/- SEM: 89.2 +/- 2.7 vs. 96.0 +/- 2.1, p=0.06). Weight, length, head and chest circumferences at the term of delivery were similar in the both groups, but at the age of 9 and 24 months the group A children weighted less than group B (respectively: 7432 vs. 8128 g, 10010 vs. 11116; p<0.05) and at the age of 24 months were significantly shorter (816 vs. 848 mm, p=0.04).


CONCLUSIONS
Bronchopulmonary dysplasia significantly influences intellectual and somatic development of preterm newborns.
Klinika Chorób Dzieci Katedry Pediatrii, Uniwersytet Jagielloński, ul. Wielicka 265, 30-663 Kraków, Poland. kwintap@mp.pl
Przemko
P
Kwinta
Małgorzata
M
Klimek
Jacek J
JJ
Pietrzyk
D001997:Bronchopulmonary Dysplasia / Q000150:complications* / Q000503:physiopathology*; D016022:Case-Control Studies; D002657:Child Development; D002675:Child, Preschool; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology*; D002658:Developmental Disabilities / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature / Q000254:growth & development*; D009483:Neuropsychological Tests; D010808:Physical Examination; D011044:Poland; D011596:Psychomotor Disorders / Q000175:diagnosis / Q000209:etiology*; D011597:Psychomotor Performance