Author/Editor     Kodrič, Jana; Šušteršič, Breda; Paro Panjan, Darja
Title     Relationship between neurological assessments of preterm infants in the first 2 years and cognitive outcome at school age
Type     članek
Vol. and No.     Letnik 51, št. 5
Publication year     2014
Volume     str. 681-687
ISSN     0887-8994 - Pediatric neurology
Language     eng
Abstract     BACKGROUND: The risk of cognitive disability in preterm infants is higher than in general population. The Amiel- Tison neurological assessment could be a useful tool for early identification of preterm children at risk of cognitive disability in school age. This study investigated the value of categorization of neurological signs assessed by the Amiel-Tison neurological assessment in the first 2 years of life in relation to cognitive performance at school age in a group of preterm children. METHODS: Preterm children with gestational age from 23 to 36 weeks were included in the prospective study. From the initial group of 45 children, in whom the Amiel-Tison neurological assessment was performed at term age, at 3 months corrected age, and at 2 years, the Wechsler Intelligence Scale for Childrenethird edition was performed in 39 children after school entry. RESULTS: Full scale IQ, Verbal IQ, and Performance IQ of the whole group of preterm children were not significantly different from the normative data; most of the children had IQ scores in the normal range (%85). The mean cognitive results of children decreased as the number of neurological signs increased. There was a significant correlation between the categories of neurological signs at 2 years and later cognitive results. CONCLUSIONS: The grade of severity of neurological signs at 2 years was associated with the cognitive results at school age. The categorization of neurological signs according to the Amiel-Tison neurological assessment in preterm children might have prognostic value for cognitive outcome at school age.
Keywords     Amiel-Tison neurological assessmen
preterm outcome
cognitive outcome