title: Medical, cognitive and academic outcomes of very low birth weight infants at age 10-14 years in Ireland.
abstract: BACKGROUND
  Low birth weight (LBW) is a leading cause of infant mortality and morbidity, and a specific risk for the development of neuro-developmental and academic problems.
  
  
  OBJECTIVE
  To examine the medical, cognitive and academic outcomes of VLBW (<1,500 g) children, born in one maternity hospital in Dublin between 1995 and 1997.
  
  
  METHODS
  The study employed a prospective/cohort design, with semi-structured, and standardised measures, along with the completion of a study-specific questionnaire. Ratings were obtained from parents and teachers.
  
  
  RESULTS
  Of the 127 surviving VLBW cohort, 64 (50 %) consented to assessment at a mean age of 11.6 years (SD 1.0) along with a matched-weight and gender control sample of 51. VLBW children had an increased risk of chronic medical problems and neuro-sensory deficits, but without any increased use in services. Similarly, they had lower IQ (mean 89.7 compared to NBW 101.3, p < 0.001) and more were identified by teachers to have special education needs (33 % VLBW vs. 7 % NBW, p < 0.005). With regard to academic attainments, birth weight had a significant [t(98) = -4.54, p < 0.001] and robust effect (η(2) = 0.17) on mathematical attainment scores. Those with lower SES fared least well off.
  
  
  CONCLUSIONS
  Although significant advances have been made in reducing infant mortality, there is a recognised increased risk of subsequent disability especially with decreasing gestational age, and when coupled with low SES. Having facilitated the survival of vulnerable infants, services must be available for the necessary on-going medical and educational support and treatment that they require throughout adolescent years.
authors.affiliation: Lucena Clinic, Rathgar, Dublin 6, Ireland, fiona.mcnicholas@sjog.ie.
authors.forename: Fiona
authors.initials: F
authors.lastname: McNicholas
authors.forename: Elaine
authors.initials: E
authors.lastname: Healy
authors.forename: Martin
authors.initials: M
authors.lastname: White
authors.forename: Margaret
authors.initials: M
authors.lastname: Sherdian-Pereira
authors.forename: Niamh
authors.initials: N
authors.lastname: O'Connor
authors.forename: Susie
authors.initials: S
authors.lastname: Coakley
authors.forename: Barbara
authors.initials: B
authors.lastname: Dooley
mesh_terms: D000293:Adolescent; D001724:Birth Weight; D001827:Body Height; D001835:Body Weight; D016022:Case-Control Studies; D002648:Child; D002908:Chronic Disease; D004522:Educational Status; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D007360:Intelligence; D007494:Ireland; D008297:Male; D011446:Prospective Studies; D012678:Sensation Disorders / Q000209:etiology