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LONG TERM PROGNOSIS OF INFANTS WITH SEVERE IDIOPATHIC RESPIRATORY DISTRESS SYNDROME
Author(s) -
KAMPER J.
Publication year - 1978
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1978.tb16278.x
Subject(s) - medicine , cerebral palsy , pediatrics , respiratory distress , full term , assisted ventilation , ventilation (architecture) , distress , physical therapy , pregnancy , surgery , clinical psychology , mechanical engineering , biology , engineering , genetics
. 76 out of 77 children surviving IRDS with the aid of intermittent positive pressure ventilation have been folio ed‐up by the age 2.6–7.6 years together with 68 matched controls. Moderate or severe neurological, developmental or mental abnormalities were present in 17% of all IRDS survivors. Statistical comparison of the matched pairs of IRDS survivors and controls revealed no significant differences in the prevalence of abnormalities. In the IRDS survivors the occurence of cerebral palsy related to prematurity while the development of psycho‐motor and mental retardation related to low birth weight and low milk ìntake durìng the first week suggesting that both prenatal and postnatal growth retardation may have been of importance. Statistical analysis of a number of preventilatory and ventilatory parameters did not show significant differences between these groups of IRDS survivors and the remainder. Ventilator treatment is recommended as a promising adjunct to the therapy of severe IRDS in centers where the necessary experience and equipment is at hand.