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Open AccessArticle

Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants

by Maeve Morgan-Feir 1, Andrea Abbott 1, Anne Synnes 2,3,4, Dianne Creighton 5, Thevanisha Pillay 2,6 and Jill G. Zwicker 1,2,3,7,* on behalf of the Canadian Neonatal Follow-Up Network
1
Department of Occupational Science, Occupational Therapy, University of British Columbia, Vancouver, BC V6T 2B5, Canada
2
Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada
3
Brain, Behaviour, Development Theme, BC Children’s Hospital Research Institute, Vancouver, BC V5Z 4H4, Canada
4
Neonatal Follow-Up Program, BCWomen’s Hospital, Vancouver V6H 4J4, Canada
5
Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
6
Division of Family Practice, Victoria General Hospital, Victoria, BC V8Z 6R5, Canada
7
Neuromotor Program, Sunny Hill Health Centre for Children, Vancouver, Canada
*
Author to whom correspondence should be addressed.
Children 2019, 6(8), 90; https://doi.org/10.3390/children6080090
Received: 2 June 2019 / Revised: 29 July 2019 / Accepted: 30 July 2019 / Published: 1 August 2019
(This article belongs to the Special Issue Neurodevelopment of Survivors Born Very Preterm)
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. View Full-Text
Keywords: motor outcomes; extremely preterm infants; Bayley-III; Ages and Stages Questionnaire motor outcomes; extremely preterm infants; Bayley-III; Ages and Stages Questionnaire
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Morgan-Feir, M.; Abbott, A.; Synnes, A.; Creighton, D.; Pillay, T.; Zwicker, J.G., on behalf of the Canadian Neonatal Follow-Up Network; Comparing Standardized and Parent-Reported Motor Outcomes of Extremely Preterm Infants. Children 2019, 6, 90.

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