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Long term neurodevelopmental outcome of preterm infants with periventricularintraventricular hemorrhage

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Author(s): Erhan Bayram | Meral Torun Bayram | Yasemin Topcu | Semra Hız | Ertan Kayserili

Journal: Journal of Clinical and Experimental Investigations
ISSN 1309-8578

Volume: 3;
Issue: 3;
Start page: 326;
Date: 2012;
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Keywords: Prematurity | periventricular hemorrhage | intraventricular

ABSTRACT
Objectives: To determine the neurodevelopmental morbidityof preterm infants with periventricular- intraventricularhemorrhage, at the age of 4.Materials and methods: The patients at the age of 4were evaluated through neurologic examination and motorassessment by a pediatric neurologist and Denver IIDevelopmental Screening Test by a psychologist. Theresults were compared with Denver II DevelopmentalScreening Test results which had been made at 3-6 and6-12 months.Results: Patients with grade ІІІ-ІV Periventricular-IntraventricularHemorrhage had significantly lower DenverII Developmental Screening Test results at the age of 4,compared with grade І-ІІ Periventricular-IntraventricularHemorrhage group. Similarly, ≤ 32 weeks patients hadsignificantly lower Denver II Developmental ScreeningTest at the age of 4 when compared with > 32 weeks patients.Conclusions: Children who were born ≤ 32 gestationalweeks and/or patients with grade ІІІ-ІV periventricularintraventricularHemorrhage have an increased risk ofneurologic impairment. All premature infants should beevaluated by Denver II Developmental Screening Test inearly childhood period of life. J Clin Exp Invest 2012; 3(3):326-330Key words: Prematurity, periventricular hemorrhage, intraventricularhemorrhage
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