School-age effects of the newborn individualized developmental care and assessment program for preterm infants with intrauterine growth restriction preliminary findings 英文参考文献.docVIP
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School-ageeffectsofthenewbornindividualized
developmentalcareandassessmentprogramfor
preterminfantswithintrauterinegrowth
restriction:preliminaryfindings
McAnultyetal.
McAnultyetal.BMCPediatrics2013,13:25
/1471-2431/13/25
McAnultyetal.BMCPediatrics2013,13:25
/1471-2431/13/25
RESEARCH ARTICLE
OpenAccess
School-ageeffectsofthenewbornindividualized
developmentalcareandassessmentprogramfor
preterminfantswithintrauterinegrowth
restriction:preliminaryfindings
GloriaMcAnulty1*?,FrankHDuffy2?,SandraKosta1?,NeilIWeisenfeld3?,SimonKWarfield3?,SamanthaCButler1?,
MoonaAlidoost1?,JaneHolmesBernstein1?,RichardRobertson4?,DavidZurakowski5?andHeideliseAls1?
Abstract
Background:Theexperienceinthenewbornintensivecarenurseryresultsinprematureinfants’neurobehavioral
andneurophysiologicaldysfunctionandpoorerbrainstructure.Pretermswithsevereintrauterinegrowthrestriction
aredoublyjeopardizedgiventheircompromisedbrains.TheNewbornIndividualizedDevelopmentalCareand
AssessmentProgramimprovedoutcomeatearlyschool-ageforpretermswithappropriateintrauterinegrowth.It
alsoshowedeffectivenesstoninemonthsforpretermswithintrauterinegrowthrestriction.Thecurrentstudy
testedeffectivenessintoschool-ageforpretermswithintrauterinegrowthrestrictionregardingexecutivefunction
(EF),electrophysiology(EEG)andneurostructure(MRI).
Methods:Twenty-three9-year-oldformergrowth-restrictedpreterms,randomizedatbirthtostandardcare(14
controls)ortotheNewbornIndividualizedDevelopmentalCareandAssessmentProgram(9experimentals)were
assessedwithstandardizedmeasuresofcognition,achievement,executivefunction,electroencephalography,and
magneticresonanceimaging.Theparticipatingchildrenwerecomparabletothoselosttofollow-up,andthe
controlstotheexperimentals,intermsofnewbornbackgroundhealthanddemographics.Alloutcomemeasures
werecorrectedformother’sintelligence.Analysistechniquesincludedtwo-groupanalysisofvarianceandstepwise
discriminateanalysisfortheoutcomemeasures,Wilks’lambdaandjackknifedclassificationtoascertaintwo-group
classifi
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