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Variation in follow-up for children born very preterm in Europe
Seppänen, AV; Barros, H; Draper, ES; Petrou, S; Andronis, L; Kim, S; Maier, RF; Pedersen, P; Gadzinowski, J; Pierrat, V; Sarrechia, I; Lebeer, JBackground Children born very preterm (<32 weeks of gestation) face high risks of neurodevelopmental and health difficulties compared with children born at term. Follow-up after discharge from the neonatal intensive care unit is essential to ensure early detection and intervention, but data on policy approaches are sparse. Methods We investigated the characteristics of follow-up policy and programmes in 11 Euro...
Health-related quality of life at 5 years of age for children born very preterm...
Kim, SW; Tian, X; Andronis, L; Maier, RF; Varendi, H; Seppänen, A-V; Siljehav, V; Draper, ES; Zeitlin, J; Petrou, S; Seppänen, AV; El Rafei, RBackground: This study aimed to investigate the health-related quality of life (HRQoL) at 5 years of age of European children born very preterm across multi-dimensional outcomes by presence and severity of congenital anomalies. Methods: The study used data from a European cohort of children born very preterm (<32 weeks of gestation) and followed up to 5 years of age (N = 3493). Multilevel Ordinary Least Squares...
Prediction of movement difficulties at 5 years from parent report at 2 years in...
Costa, R; Aubert, AM; Seppänen, AV; Ådén, U; Sarrechia, I; Zemlin, M; Cuttini, M; Männamaa, M; Pierrat, V; van Heijst, A; Barros, H; Zeitlin, JAimTo assess the predictive validity of parent-reported gross motor impairment (GMI) at age 2 years to detect significant movement difficulties at age 5 years in children born extremely preterm. MethodData were from 556 children (270 males, 286 females) born at less than 28 weeks' gestation in 2011 to 2012 in 10 European countries. Parent report of moderate/severe GMI was defined as walking unsteadily or unable...
Follow-up after very preterm birth in Europe
Seppänen, AV; Draper, ES; Petrou, S; Barros, H; Andronis, L; Kim, SW; Maier, RF; Pedersen, P; Gadzinowski, J; Lebeer, J; Ådén, U; Toome, LFollow-up programmes aim to detect neurodevelopmental and health problems and enable early interventions for children born very preterm (<32 weeks of gestational age (GA)). Although the importance of postdischarge follow-up is widely acknowledged, recommendations differ regarding eligibility criteria, frequency, duration and content, especially for follow-up beyond early childhood.1–3 We used data from a Europe...
Health-related quality of life of children born very preterm: a multinational E...
Kim, SW; Andronis, L; Seppänen, AV; Aubert, AM; Barros, H; Draper, ES; Sentenac, M; Zeitlin, J; Petrou, S; SHIPS Research GroupPurpose This study aims to (1) describe the health-related quality of life (HRQoL) outcomes experienced by children born very preterm (28–31 weeks’ gestation) and extremely preterm (< 28 weeks’ gestation) at five years of age and (2) explore the mediation effects of bronchopulmonary dysplasia (BPD) and severe non-respiratory neonatal morbidity on those outcomes. Methods This investigation was based on data for ...
Parents' ratings of post-discharge healthcare for their children born very pret...
Seppänen, AV; Sauvegrain, P; Draper, ES; Toome, L; El Rafei, R; Petrou, S; Barros, H; Zimmermann, LJI; Cuttini, M; Zeitlin, J; SHIPS Research GroupBackground Follow-up of very preterm infants is essential for reducing risks of health and developmental problems and relies on parental engagement. We investigated parents’ perceptions of post-discharge healthcare for their children born very preterm in a European multi-country cohort study. Methods Data come from a 5-year follow-up of an area-based cohort of births <32 weeks’ gestation in 19 regions from 11 E...
Economic costs at age five associated with very preterm birth: multinational Eu...
Kim, SW; Andronis, L; Seppänen, AV; Aubert, AM; Zeitlin, J; Barros, H; Draper, ES; Petrou, S; SHIPS Research GroupBackground: This study aims to estimate the economic costs of care provided to children born very preterm and extremely preterm across 11 European countries, and to understand what perinatal and socioeconomic factors contribute to higher costs. Methods: Generalised linear modelling was used to explore the association between perinatal and sociodemographic characteristics and total economic costs (€, 2016 prices...
Neonatal Morbidity and Mortality in Advanced Aged Mothers-Maternal Age Is Not a...
Nourkami-Tutdibi, N; Tutdibi, E; Faas, T; Wagenpfeil, G; Draper, ES; Johnson, S; Cuttini, M; Rafei, RE; Seppänen, AV; Mazela, J; Maier, RF; Nuytten, ABackground: As childbearing is postponed in developed countries, maternal age (MA) has increased over decades with an increasing number of pregnancies between age 35–39 and beyond. The aim of the study was to determine the influence of advanced (AMA) and very advanced maternal age (vAMA) on morbidity and mortality of very preterm (VPT) infants. Methods: This was a population-based cohort study including infants...
Specialist health care services use in a European cohort of infants born very p...
Seppänen, AV; Bodeau-Livinec, F; Boyle, EM; Edstedt-Bonamy, AK; Cuttini, M; Toome, L; Maier, RF; Cloet, E; Koopman-Esseboom, C; Pedersen, PAim Children born very preterm require additional specialist care because of the health and developmental risks associated with preterm birth, but information on their health service use is sparse. We sought to describe the use of specialist services by children born very preterm in Europe. Method We analysed data from the multi-regional, population-based Effective Perinatal Intensive Care in Europe (EPICE) coh...