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dc.contributor.authorBourke, J.
dc.contributor.authorWong, K.
dc.contributor.authorSrinivasjois, Ravisha
dc.contributor.authorPereira, Gavin
dc.contributor.authorShepherd, Carrington
dc.contributor.authorWhite, S.W.
dc.contributor.authorStanley, F.
dc.contributor.authorLeonard, H.
dc.date.accessioned2023-09-07T00:50:34Z
dc.date.available2023-09-07T00:50:34Z
dc.date.issued2019
dc.identifier.citationBourke, J. and Wong, K. and Srinivasjois, R. and Pereira, G. and Shepherd, C.C.J. and White, S.W. and Stanley, F. et al. 2019. Predicting Long-Term Survival Without Major Disability for Infants Born Preterm. Journal of Pediatrics. 215: pp. 90-97.e1.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/93221
dc.identifier.doi10.1016/j.jpeds.2019.07.056
dc.description.abstract

Objective: To describe the long-term neurodevelopmental and cognitive outcomes for children born preterm. Study design: In this retrospective cohort study, information on children born in Western Australia between 1983 and 2010 was obtained through linkage to population databases on births, deaths, and disabilities. For the purpose of this study, disability was defined as a diagnosis of intellectual disability, autism, or cerebral palsy. The Kaplan–Meier method was used to estimate the probability of disability-free survival up to age 25 years by gestational age. The effect of covariates and predicted survival was examined using parametric survival models. Results: Of the 720 901 recorded live births, 12 083 children were diagnosed with disability, and 5662 died without any disability diagnosis. The estimated probability of disability-free survival to 25 years was 4.1% for those born at gestational age 22 weeks, 19.7% for those born at 23 weeks, 42.4% for those born at 24 weeks, 53.0% for those born at 25 weeks, 78.3% for those born at 28 weeks, and 97.2% for those born full term (39-41 weeks). There was substantial disparity in the predicted probability of disability-free survival for children born at all gestational ages by birth profile, with 5-year estimates of 4.9% and 10.4% among Aboriginal and Caucasian populations, respectively, born at 24-27 weeks and considered at high risk (based on low Apgar score, male sex, low sociodemographic status, and remote region of residence) and 91.2% and 93.3%, respectively, for those at low risk (ie, high Apgar score, female sex, high sociodemographic status, residence in a major city). Conclusions: Apgar score, birth weight, sex, socioeconomic status, and maternal ethnicity, in addition to gestational age, have pronounced impacts on disability-free survival.

dc.languageEnglish
dc.publisherMOSBY-ELSEVIER
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/1117105
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/1127265
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/1052236
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/1099655
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/1047263
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/572742
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectPediatrics
dc.subjectACTIVE PERINATAL-CARE
dc.subjectNEURODEVELOPMENTAL OUTCOMES
dc.subjectEXTREME PREMATURITY
dc.subjectGESTATIONAL-AGE
dc.subjectMORTALITY
dc.subjectDISPARITIES
dc.subjectMANAGEMENT
dc.subjectMORBIDITY
dc.subjectCHILDREN
dc.subjectBIRTH
dc.subjectAdult
dc.subjectDevelopmental Disabilities
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectForecasting
dc.subjectGestational Age
dc.subjectHumans
dc.subjectIncidence
dc.subjectInfant
dc.subjectInfant Mortality
dc.subjectInfant, Newborn
dc.subjectInfant, Premature
dc.subjectMale
dc.subjectRetrospective Studies
dc.subjectWestern Australia
dc.subjectYoung Adult
dc.subjectHumans
dc.subjectIncidence
dc.subjectInfant Mortality
dc.subjectRetrospective Studies
dc.subjectFollow-Up Studies
dc.subjectDevelopmental Disabilities
dc.subjectGestational Age
dc.subjectForecasting
dc.subjectAdult
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectInfant, Premature
dc.subjectWestern Australia
dc.subjectFemale
dc.subjectMale
dc.subjectYoung Adult
dc.titlePredicting Long-Term Survival Without Major Disability for Infants Born Preterm
dc.typeJournal Article
dcterms.source.volume215
dcterms.source.startPage90
dcterms.source.endPage97.e1
dcterms.source.issn0022-3476
dcterms.source.titleJournal of Pediatrics
dc.date.updated2023-09-07T00:50:34Z
curtin.departmentOffice of the Pro Vice Chancellor Health Sciences
curtin.departmentCurtin Medical School
curtin.accessStatusOpen access via publisher
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidPereira, Gavin [0000-0003-3740-8117]
curtin.contributor.orcidShepherd, Carrington [0000-0003-0043-7053]
curtin.contributor.researcheridPereira, Gavin [D-7136-2014]
dcterms.source.eissn1097-6833
curtin.contributor.scopusauthoridPereira, Gavin [35091486200]
curtin.contributor.scopusauthoridShepherd, Carrington [55012496100]
curtin.repositoryagreementV3


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