• Value the risk of significant developmental delays in infants with very low and extremely low birth weight 

Value the risk of significant developmental delays in infants with very low and extremely low birth weight 

PERINATOLOGIYA I PEDIATRIYA. 2016.2(66):97-100; doi 10.15574/PP.2016.66.97 
 

Value the risk of significant developmental delays in infants with very low and extremely low birth weight 
 

Shunko Ye. Ye., Bielova O. O., Krasnova Yu. Yu.

National Medical Academy of Postgraduate Education named after P.L. Shupyk, Kyiv, Ukraine 
 

Purpose — to develop an algorithm for forecasting significant developmental delays in infants born with very low and extremely low birth weight using body weight and head circumference parameters. 
 

Patients and methods. 126 infants with very low (n=92) and extremely low (n=34) birth weight analysed by 133 clinical and anamnestic indicators. 
 

Results. Major forecast risk factors of significant body weight delays at hospital discharge are significant delays (below 3rd percentile) at admission to special care nursery in weight (informative value — 4.22), length (3,64) and head circumference (2.41), and delays (below 10th percentile) by three parameters at admission to special care nursery (informative value — 3.80). Major forecast risk factors of significant head circumference delays at hospital discharge are delays in three physical development parameters at admission to special care nursery (informative value — 4.75) and significant delays at admission in weight (3.19), length (4.03) and head circumference (4.30). 
 

Conclusions. Suggested forecast models of significant delays (below 3rd percentile) in body weight and head circumference at hospital discharge in infants with very low and extremely low birth weight have a high level of significance (R=0.97 and R=0.94 respectively), high (0.94) and medium (0.61) sensitivity (respectively), high specificity (0.81 and 0.91 respectively), which indicates the possibility of use of developed forecast models in practical medicine. 
 

Key words: forecast, physical development, very low birth weight, extremely low birth weight, premature infants. 
 

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