Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants
Extremely preterm infants are at increased risk of motor impairment. The Canadian Neonatal Follow-Up Network (CNFUN) afforded an opportunity to study the outcomes of extremely preterm children. The purpose of this study was to compare 18-month corrected age (CA) motor outcomes of extremely preterm i...
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-08-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/6/8/90 |
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| author | Maeve Morgan-Feir Andrea Abbott Anne Synnes Dianne Creighton Thevanisha Pillay Jill G. Zwicker |
| author_facet | Maeve Morgan-Feir Andrea Abbott Anne Synnes Dianne Creighton Thevanisha Pillay Jill G. Zwicker |
| author_sort | Maeve Morgan-Feir |
| collection | DOAJ |
| description | Extremely preterm infants are at increased risk of motor impairment. The Canadian Neonatal Follow-Up Network (CNFUN) afforded an opportunity to study the outcomes of extremely preterm children. The purpose of this study was to compare 18-month corrected age (CA) motor outcomes of extremely preterm infants with parent-reported functional outcomes at 3 years CA. CNFUN data of 1376 infants were used to conduct chi-square analyses to compare Bayley-III motor scores (composite, gross, and fine motor) at 18 months CA with parent-reported Ages and Stages Questionnaire motor scores (gross and fine motor) at 3 years CA. The correlation of motor scores at 18-months CA with parent-reported gross and fine motor scores at 3 years CA was also examined. We found that 1 in 5 infants scoring within or above the average range on the Bayley-III had parent-reported functional fine and gross motor difficulties at 3 years CA. Bayley-III scores were only moderately correlated with functional motor outcomes. Results of the study suggest that the Bayley-III at 18 months CA was able to detect the majority of infants with motor problems, but not all; therefore, ongoing follow-up of extremely preterm infants is required. The Bayley-III motor composite score has greater clinical utility compared to sub-scale scores. |
| first_indexed | 2024-12-14T14:34:59Z |
| format | Article |
| id | doaj.art-6837b960fd6f4691aee0d06a2f26c87c |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-12-14T14:34:59Z |
| publishDate | 2019-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-6837b960fd6f4691aee0d06a2f26c87c2022-12-21T22:57:41ZengMDPI AGChildren2227-90672019-08-01689010.3390/children6080090children6080090Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm InfantsMaeve Morgan-Feir0Andrea Abbott1Anne Synnes2Dianne Creighton3Thevanisha Pillay4Jill G. Zwicker5Department of Occupational Science, Occupational Therapy, University of British Columbia, Vancouver, BC V6T 2B5, CanadaDepartment of Occupational Science, Occupational Therapy, University of British Columbia, Vancouver, BC V6T 2B5, CanadaDepartment of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, CanadaDepartment of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, CanadaDepartment of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, CanadaDepartment of Occupational Science, Occupational Therapy, University of British Columbia, Vancouver, BC V6T 2B5, CanadaExtremely preterm infants are at increased risk of motor impairment. The Canadian Neonatal Follow-Up Network (CNFUN) afforded an opportunity to study the outcomes of extremely preterm children. The purpose of this study was to compare 18-month corrected age (CA) motor outcomes of extremely preterm infants with parent-reported functional outcomes at 3 years CA. CNFUN data of 1376 infants were used to conduct chi-square analyses to compare Bayley-III motor scores (composite, gross, and fine motor) at 18 months CA with parent-reported Ages and Stages Questionnaire motor scores (gross and fine motor) at 3 years CA. The correlation of motor scores at 18-months CA with parent-reported gross and fine motor scores at 3 years CA was also examined. We found that 1 in 5 infants scoring within or above the average range on the Bayley-III had parent-reported functional fine and gross motor difficulties at 3 years CA. Bayley-III scores were only moderately correlated with functional motor outcomes. Results of the study suggest that the Bayley-III at 18 months CA was able to detect the majority of infants with motor problems, but not all; therefore, ongoing follow-up of extremely preterm infants is required. The Bayley-III motor composite score has greater clinical utility compared to sub-scale scores.https://www.mdpi.com/2227-9067/6/8/90motor outcomesextremely preterm infantsBayley-IIIAges and Stages Questionnaire |
| spellingShingle | Maeve Morgan-Feir Andrea Abbott Anne Synnes Dianne Creighton Thevanisha Pillay Jill G. Zwicker Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants Children motor outcomes extremely preterm infants Bayley-III Ages and Stages Questionnaire |
| title | Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants |
| title_full | Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants |
| title_fullStr | Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants |
| title_full_unstemmed | Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants |
| title_short | Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants |
| title_sort | comparing standardized and parent reported motor outcomes of extremely preterm infants |
| topic | motor outcomes extremely preterm infants Bayley-III Ages and Stages Questionnaire |
| url | https://www.mdpi.com/2227-9067/6/8/90 |
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