Abstract

* Abbreviation: EF — : executive function The study by Cheong et al,1 “Changing neurodevelopment at 8 years of children born extremely preterm since the early 1990s” in this issue of Pediatrics , once again reminds us of the challenges and limitations of follow-up studies. The authors have done a commendable job following 3 cohorts (1991 to 1992, 1997, and 2005) of extremely preterm infants from 22 to 27 weeks' gestation to 8 years of age. Although the authors previously had shown that there was no improvement in moderate to severe disability at 8 years between 1991 to 1992 and 1997,2 their report3 of all 3 cohorts at 2 years of age identified a significant decrease in severe disability (15.4% to 3.7%) and severe developmental delay (14.8% to 3.7%) between 1997 and 2005 attributed to improvements in perinatal interventions. The Bayley Scales of Infant and Toddler Development, Third Edition ,4 however, which was first used with the 2005 cohort, is known to underestimate developmental delay. In addition, Bayley scores are not strong predictors of school-age outcomes.5,6 The purpose of the current study was to additionally compare neurodevelopmental outcomes of the … Address correspondence to Betty R. Vohr, MD, Department of Pediatrics, Women & Infants Hospital of Rhode Island, 101 Dudley St, Providence, RI 02905. E-mail: bvohr{at}wihri.org

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