TABLE 1.
NICHD NRN31 | NICHD NRN 5 | VICS 2005145 | Japan NRN147 | EPICure 2 148 | EXPRESS38 | |
---|---|---|---|---|---|---|
Study group | <25 wk EGA | 22–26 wk EGA | 22–27+6/7 wk EGA | 22–25 wk EGA | 22–26+6/7 wk EGA | <27 wk EGA |
Birth years | 2002–2004 | 2006–2011 | 2005 | 2003–2005 | 2006 | 2004–2007 |
Age corrected for prematurity |
18–22 months | 18–22 months | 2 years | 36–42 months (chronological) |
3 years | 2.5 years |
# (% follow-up of eligible survivors) |
405 (93%) | 2630 (92%) | 163 (95%) | 562 (72%) | 576 (55%)† | 415 (90%) |
Blind | 2.2% | 0.4% | 0 | 4.6%‡ | 1% | 0.9% |
Deaf/require aids | 4.3% | 1.4% | 2.5% | Requires aids: 1.7% | Aids improve 0.2% do not Improve: 5% |
Aids improve: 0.2% do not Improve: 0.7% |
Developmental impairment |
BSID-II MDI<70: 51% MDI<50: 19% |
BSID-III Cognitive 70–84: 16.5% <70: 9.3% |
*DQ None/1SD: 52% 1–2SD: 32% 2–3SD: 12% >3SD: 4% |
*KSPD DQ <70: 35% <50: 11% |
*Predicted MDI 70–84: 34% <70: 30% |
*Cognitive/language None: 55% Mild: 25% Moderate: 11% Severe: 9% |
CP or motor delay |
Moderate: 8.7% Severe: 6.2% |
Moderate: 3.4% Severe: 2.5% |
Any CP: 9.8% | Any CP: 13.7% Profound CP: 8.2% |
Any CP: 14% Moderate motor:3% Severe motor: 5% |
Mild: 2.9% Moderate: 2.9% Severe: 1.3% |
Overall disability or impairment |
Any NDI: 58.5% Profound NDI:17.5% None/ minimal: 21.9% |
Moderate NDI: 23.5% Severe NDI: 13.6% |
None: 51% Mild: 29% Moderate: 16% Severe: 4% |
§Any: 42.4% §Profound: 22.6% |
None/mild: 75% Moderate: 12% Severe: 13% |
None: 42% Mild: 31% Moderate: 16% Severe: 11% |
For VICS: DQ = developmental quotient compared with a contemporaneous NBW control group; for EPICure 2: Predicted MDI (Mental Developmental Index) BSID 2nd Edition from BSID-III; for EXPRESS: aggregated BSID-III cognitive and language score information, with mean and SD relative to a contemporaneous 37–41 week GA control group; for Japan NRN: formal evaluation by the Kyoto Scale of Psychological Development (KSPD) was available for only 318.
Face to face study examiner evaluations occurred in 55.3%. Multiple imputation from complete perinatal, neonatal, and sociodemographic information estimated outcomes for the entire cohort.
Defined as no functional vision in one or both eyes
Includes 173 with informal assessments of developmental delay by pediatricians, without formal developmental testing