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Evaluation ViewAttendees 56
State of the Art Plenary

Academic and Research Skills

Children with Chronic Conditions

Developmental and Behavioral Pediatrics

Epidemiology

General Pediatrics

Health Equity/Social Determinants of Health

Neonatology

Pharmacology and Therapeutics
Session Type: State of the Art Plenary

The Long Reach of Prematurity - New Findings

Monday, May 6, 2024
1:00 PM – 2:30 PM ET
Location: Metro Toronto Convention Centre: 201 F
CE: Live CME: 1.5

Selected By: MOD
Co-sponsored By: Neonatal
Disclosure(s):
Cynthia F. Bearer, MD, PhD: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Eleanor Molloy, MB PhD FRCPI: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Session

Description: While advances in neonatology have substantially improved survival, the outcomes of these infants are still being investigated. In these four presentations, different outcomes of preterm infants, from extremely preterm infants to late preterm infants, will be described.
Marie Camerota: Neurodevelopmental and behavioral outcome profiles of very preterm infants. Very preterm infants were found to have four distinct neurobehavioral profiles characterized by differing severity and co-occurrence of neurodevelopmental and behavioral impairment. Child-centered approaches provide comprehensive, parsimonious descriptions of neurodevelopment following preterm birth.
Olivier Baud: The beneficial effect of prophylactic hydrocortisone on reducing BPD. On reanalysis of existing data, adjusting for baseline risk of developing BPD, hydrocortisone administration was found to to substantially increase the chance for extremely preterm infants to survive without BPD.
Prachi Shah: Developmental Trajectories of Late Preterm Infants and Predictors of Academic Performance. This study examined early academic trajectories in reading and math, in 1200 late preterm infants. LPIs were followed from 9-months to kindergarten, and 4 trajectories for reading and 3 trajectories for math emerged. Sensitive parenting and preschool attendance predicted academic resilience, and neonatal and psychosocial risks predicted academic risk. Results can help inform how to promote academic resilience in LPIs.
Henry Lee: Creating different cohorts of extremely preterm infants alters the rate of neonatal mortality. Across varying cohort selection, risk adjusted survival advantage among Black infants ranged from 0.7 (CL 0.61 – 0.80) to 0.84 (CL 0.76-.093). These statistical considerations can be important in tracking progress as we work toward reducing disparities in infant mortality.

Learning Objectives:

  • Upon completion, participants will be able to describe various outcomes of preterm infants
  • Upon completion, participants will be able to develop a procedure for predicting academic performance in late preterm infants.
  • Upon completion, participants will be able to weigh the benefits versus the costs of prophylactic hydrocortisone use in extremely preterm infants.

Presentations:

  • 2:05 PM – 2:25 PM ET
    Creating different cohorts of extremely preterm infants alters the rate of neonatal mortality

    Speaker: Henry Lee, MD – University of California, San Diego School of Medicine

  • 2:25 PM – 2:30 PM ET
    Q & A

    Speaker: Eleanor Molloy, MB PhD FRCPI (she/her/hers) – Trinity College Dublin