Cargando…

The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants

Oral motor assessment is used to identify abnormal sucking patterns which may reflect neurodevelopmental problems in preterm infants, but few studies have focused on moderately and late preterm infants. We enrolled 118 moderately and late preterm infants (mean gestational age, 35.04 weeks; mean birt...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Xianhong, Zhou, Mei, Yin, Huaying, Dai, Ying, Li, Yuwei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815754/
https://www.ncbi.nlm.nih.gov/pubmed/29390342
http://dx.doi.org/10.1097/MD.0000000000009207
_version_ 1783300561963057152
author Zhang, Xianhong
Zhou, Mei
Yin, Huaying
Dai, Ying
Li, Yuwei
author_facet Zhang, Xianhong
Zhou, Mei
Yin, Huaying
Dai, Ying
Li, Yuwei
author_sort Zhang, Xianhong
collection PubMed
description Oral motor assessment is used to identify abnormal sucking patterns which may reflect neurodevelopmental problems in preterm infants, but few studies have focused on moderately and late preterm infants. We enrolled 118 moderately and late preterm infants (mean gestational age, 35.04 weeks; mean birth weight, 2347.59 g) and analyzed the relationship between the Neonatal Oral-Motor Assessment Scale scores of these infants and the Chinese revision of Bayley Scales of Infant Development outcomes at 6 months corrected age. And the infants with abnormal sucking pattern had significantly lower Mental Development Index and Psychomotor Development Index and showed a higher rate of below average scores than control group (P = .003, P = .029, P = .022). The incoordination of suck–swallow–respiration was a risk factor for adverse neurodevelopment (RR = 3.67, 95% CI: 1.42–9.45). These indicate that abnormal sucking patterns in moderately and late preterm infants might provide some predictive value for short-term neurodevelopmental outcomes, but the clinical predictive value for developmental delay need to be determined in a longer term follow-up. This finding may offer a basis for early intervention.
format Online
Article
Text
id pubmed-5815754
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Wolters Kluwer Health
record_format MEDLINE/PubMed
spelling pubmed-58157542018-02-28 The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants Zhang, Xianhong Zhou, Mei Yin, Huaying Dai, Ying Li, Yuwei Medicine (Baltimore) 6200 Oral motor assessment is used to identify abnormal sucking patterns which may reflect neurodevelopmental problems in preterm infants, but few studies have focused on moderately and late preterm infants. We enrolled 118 moderately and late preterm infants (mean gestational age, 35.04 weeks; mean birth weight, 2347.59 g) and analyzed the relationship between the Neonatal Oral-Motor Assessment Scale scores of these infants and the Chinese revision of Bayley Scales of Infant Development outcomes at 6 months corrected age. And the infants with abnormal sucking pattern had significantly lower Mental Development Index and Psychomotor Development Index and showed a higher rate of below average scores than control group (P = .003, P = .029, P = .022). The incoordination of suck–swallow–respiration was a risk factor for adverse neurodevelopment (RR = 3.67, 95% CI: 1.42–9.45). These indicate that abnormal sucking patterns in moderately and late preterm infants might provide some predictive value for short-term neurodevelopmental outcomes, but the clinical predictive value for developmental delay need to be determined in a longer term follow-up. This finding may offer a basis for early intervention. Wolters Kluwer Health 2017-12-15 /pmc/articles/PMC5815754/ /pubmed/29390342 http://dx.doi.org/10.1097/MD.0000000000009207 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6200
Zhang, Xianhong
Zhou, Mei
Yin, Huaying
Dai, Ying
Li, Yuwei
The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants
title The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants
title_full The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants
title_fullStr The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants
title_full_unstemmed The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants
title_short The predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants
title_sort predictive value of early oral motor assessments for neurodevelopmental outcomes of moderately and late preterm infants
topic 6200
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815754/
https://www.ncbi.nlm.nih.gov/pubmed/29390342
http://dx.doi.org/10.1097/MD.0000000000009207
work_keys_str_mv AT zhangxianhong thepredictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT zhoumei thepredictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT yinhuaying thepredictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT daiying thepredictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT liyuwei thepredictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT zhangxianhong predictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT zhoumei predictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT yinhuaying predictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT daiying predictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants
AT liyuwei predictivevalueofearlyoralmotorassessmentsforneurodevelopmentaloutcomesofmoderatelyandlatepreterminfants