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1231 Neurodevelopmental Outcome Among Multiples and Singletons: A Regional Neonatal Intensive Care Unit’s Experience in Turkey
  1. Z Eras1,
  2. BM Özyurt2,
  3. O Erdeve3,
  4. ED Sakrucu1,
  5. SS Oguz2,
  6. FE Canpolat2,
  7. N Uras2,
  8. U Dilmen4
  1. 1Developmental Behavioral Pediatrics Unit
  2. 2Neonatology, Zekai Tahir Burak Maternity and Teaching Hospital
  3. 3Neonatology, Ankara University, Faculty of Medicine
  4. 4Neonatology, Zekai Tahir Burak Maternity and Teaching Hospital, Yıldırım Beyazıt University Department of Pediatrics, Ankara, Turkey

Abstract

Objective The aim of this study was to compare the neurodevelopmental outcome at 12–18 months’ corrected age between multiples and singleton preterm infants.

Methods We designed a prospective study of preterm infants (≤32 weeks gestation) born and hospitalized in the neonatal intensive care unit between November 2008 and November 2009, whose assessments were performed at 12–18 months’ corrected age. Neurodevelopmental impairment was defined as the presence of any one of the following: moderate or severe cerebral palsy, severe bilateral hearing loss or bilateral blindness, mental developmental index score or psychomotor developmental index score less than 70. Results were compared for both multiples and singleton infants.

Results A hundred and fifty-nine multiples and 211 singleton infants were assessed at 12–18 months’ corrected age. The neurodevelopmental outcome including all parameters at 12–18 months’ corrected age in multiples was not significantly different from singleton preterm infants.

Conclusions Multiple gestation in preterm infants is not associated with an increased risk of neurodevelopmental impairment at 12–18 months’ corrected age compared to singleton preterm infants. For further information long-term and high-participated neurodevelopmental follow-up and evaluation at pre-school age will be needed.

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