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Long-term Outcomes for Extremely Low-Birth-Weight Infants—Reply
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In Reply: We agree with Dr Reiss that ELBW children born in the 1990s, especially those with special health care needs, will require ongoing and coordinated health care services into adulthood. The only information on young adult outcomes of ELBW children pertains to those born in the 1970s and early 1980s during the initial years of neonatal intensive care. This was a time of high neonatal mortality, when the surviving children had lower rates of neonatal complications and thus fewer later ongoing health problems compared with those born in the 1990s. Furthermore, the reported outcomes of young adult health pertain mainly to neurological, cognitive, and educational deficiencies rather than to special health care needs.1
In our longer-term follow-up studies,2 we have found that, because of lower educational attainment and lower-paying jobs, some ELBW young adults who had been covered by their parents’ health insurance or by the local department . . . [Full Text of this Article]
Maureen Hack, MB, ChB
mxh7@case.edu
H. Gerry Taylor, PhD;
Dennis Drotar, PhD;
Mark Schluchter, PhD;
Deanne Wilson-Costello, MD
Rainbow Babies and Children’s Hospital
Department of Pediatrics
Case Western Reserve University
Nancy Klein, PhD
Cleveland State University
Cleveland, Ohio
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