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Adult Outcomes of Preterm Children

Hack, Maureen MBChB

Journal of Developmental & Behavioral Pediatrics: October 2009 - Volume 30 - Issue 5 - p 460-470
doi: 10.1097/DBP.0b013e3181ba0fba
Review Article

The survivors of the initial years of neonatal intensive care of preterm infants reached adulthood during the last decade. Reports of their adult outcomes examined have included neurodevelopmental, behavioral and health outcomes as well as social functioning and reproduction. Despite statistically significant differences between preterm young adults and controls in most outcomes studied, the majority of preterm survivors do well and live fairly normal lives. The two major predictors of adult outcomes are lower gestational age that reflect perinatal injury and family sociodemographic status which refelects both genetic and environmental effects.

From the Division of Neonatology, Department of Pediatrics, Case Western Reserve University, Cleveland, OH.

Received April 2, 2009; accepted June 30, 2009.

Address for reprints: Maureen Hack, MD, Division of Neonatology, Rainbow Babies and Children's Hospital, University Hospitals of Cleveland Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106-6010; e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.