[Long-term survival of preterm neonates].
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[Long-term survival of preterm neonates]. / Singer, Dominique.
In: BUNDESGESUNDHEITSBLA, Vol. 55, No. 4, 4, 2012, p. 568-575.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [Long-term survival of preterm neonates].
AU - Singer, Dominique
PY - 2012
Y1 - 2012
N2 - In view of the increased survival rate of very preterm neonates, several longitudinal studies were done to assess the quality of life of the survivors. They revealed a fairly constant rate of 25-30% of sensorineural and/or motor impairment. Beyond those "major handicaps," further problems may arise in every single period of life, which, albeit less severe, add to the burden of prematurity. These include growth retardation and cognitive delay in the school age, affected psychosocial behavior during adolescence, and the "metabolic syndrome" of formerly malnourished fetuses in adulthood. Thus, the epidemiologic studies not only confirmed the role of regionalization in the quality of perinatology, but also supported a more farsighted approach to the sequelae of prematurity. Like in young adults who grew up with congenital heart defects, also in former preterm neonates, appropriate medical care has to be provided for an increasing number of long-term survivors. Moreover, the life-long effects of metabolic imprinting in growth-retarded fetuses underline the primary-preventive role of perinatal medicine, extending far beyond the "baby" stage of human development.
AB - In view of the increased survival rate of very preterm neonates, several longitudinal studies were done to assess the quality of life of the survivors. They revealed a fairly constant rate of 25-30% of sensorineural and/or motor impairment. Beyond those "major handicaps," further problems may arise in every single period of life, which, albeit less severe, add to the burden of prematurity. These include growth retardation and cognitive delay in the school age, affected psychosocial behavior during adolescence, and the "metabolic syndrome" of formerly malnourished fetuses in adulthood. Thus, the epidemiologic studies not only confirmed the role of regionalization in the quality of perinatology, but also supported a more farsighted approach to the sequelae of prematurity. Like in young adults who grew up with congenital heart defects, also in former preterm neonates, appropriate medical care has to be provided for an increasing number of long-term survivors. Moreover, the life-long effects of metabolic imprinting in growth-retarded fetuses underline the primary-preventive role of perinatal medicine, extending far beyond the "baby" stage of human development.
KW - Comorbidity
KW - Humans
KW - Prevalence
KW - Infant, Newborn
KW - Germany/epidemiology
KW - Life Expectancy/trends
KW - Survivors/statistics & numerical data
KW - Chronic Disease/mortality
KW - Infant, Premature, Diseases/mortality
KW - Comorbidity
KW - Humans
KW - Prevalence
KW - Infant, Newborn
KW - Germany/epidemiology
KW - Life Expectancy/trends
KW - Survivors/statistics & numerical data
KW - Chronic Disease/mortality
KW - Infant, Premature, Diseases/mortality
M3 - SCORING: Zeitschriftenaufsatz
VL - 55
SP - 568
EP - 575
JO - BUNDESGESUNDHEITSBLA
JF - BUNDESGESUNDHEITSBLA
SN - 1436-9990
IS - 4
M1 - 4
ER -
