17-year outcome of preterm infants with diverse neonatal morbidities: Part 1--Impact on physical, neurological, and psychological health status.
OBJECTIVE
The purpose of this study was to comprehensively examine physical, neurological, and psychological health in a U.S. sample of 180 infants at age 17.


METHODS
The World Health Organization International Classification of Functioning, Disability and Health model framed the health-related domains and contextual factors. Assessments included growth, chronic conditions, neurological status, and psychological health.


RESULTS
Physical health, growth, and neurological outcomes were poorer in the preterm groups. Minor neurological impairment was related to integrative function. Preterm survivors reported higher rates of depression, anxiety, and inattention/hyperactivity.


CONCLUSIONS
Complex health challenges confront preterm survivors at late adolescence, suggesting the necessity of continued health surveillance.
University of Rhode Island, College of Nursing/Kingston, Rhode Island, USA. mcsullivan@uri.edu
Mary C
MC
Sullivan
Michael E
ME
Msall
Robin J
RJ
Miller
D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000293:Adolescent; D000704:Analysis of Variance; D001724:Birth Weight; D016009:Chi-Square Distribution; D002657:Child Development / Q000502:physiology; D002658:Developmental Disabilities / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000453:epidemiology; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health; D015999:Multivariate Analysis; D011446:Prospective Studies; D018570:Risk Assessment; D013997:Time Factors; D014944:World Health Organization