Neurodevelopmental outcomes in high-risk infants at 12 months: a prospective observational study from Western India

Background: Objectives of the study were to evaluate neurodevelopmental outcomes at 12 months corrected age in high-risk neonates using developmental assessment scales for Indian infants (DASII) and correlate findings with neonatal morbidities. Methods: This prospective observational study was conducted at a tertiary care hospital in Rajkot, India, involving 88 high-risk infants admitted to the neonatal intensive care unit (NICU). After discharge, follow-up was done at 3, 6, 9, and 12 months corrected age. Developmental assessments (DASII), brainstem evoked response audiometry (BERA) for hearing, and retinopathy of prematurity (ROP) screening were performed. The primary outcome of the study was the proportion of high-risk infants with neurodevelopmental delay at 12 months corrected age, as assessed by the DASII, specifically focusing on mental and motor developmental quotients (MeDQ and MoDQ) <70. Results: Of 88 infants, 76 completed follow-ups. Developmental delay was seen in 31.6%. MeDQ <70 in 14.5%, MoDQ <70 in 21.1%, any degree of hearing loss in 25%, and ROP requiring treatment in 2.6%. Prematurity, sepsis, and hypoglycaemia were key morbidities associated with poor outcomes. Conclusions: High-risk infants remain vulnerable to neurodevelopmental delays. Early screening and structured follow-up are essential in Indian settings. TRANSLATE with x English Arabic Hebrew Polish Bulgarian Hindi Portuguese Catalan Hmong Daw Romanian Chinese Simplified Hungarian Russian Chinese Traditional Indonesian Slovak Czech Italian Slovenian Danish Japanese Spanish Dutch Klingon Swedish English Korean Thai Estonian Latvian Turkish Finnish Lithuanian Ukrainian French Malay Urdu German Maltese Vietnamese Greek Norwegian Welsh Haitian Creole Persian TRANSLATE with COPY THE URL BELOW Back EMBED THE SNIPPET BELOW IN YOUR SITE Enable collaborative features and customize widget: Bing Webmaster Portal Back

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Publication Details

Journal
International Journal of Contemporary Pediatrics
Published
2025-08-22
DOI
https://doi.org/10.18203/2349-3291.ijcp20252600
Primary Topic
Infant Development and Preterm Care
Type
article
Field-Weighted Citation Impact
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article

Neurodevelopmental outcomes in high-risk infants at 12 months: a prospective observational study from Western India

Kuldeep Singh, Palak T. Hapani, Yogesh N Parikh
International Journal of Contemporary Pediatrics
Infant Development and Preterm Care
article

Neurodevelopmental outcomes in high-risk infants at 12 months: a prospective observational study from Western India

Kuldeep Singh, Palak T. Hapani, Yogesh N Parikh
article en

Abstract

Background: Objectives of the study were to evaluate neurodevelopmental outcomes at 12 months corrected age in high-risk neonates using developmental assessment scales for Indian infants (DASII) and correlate findings with neonatal morbidities. Methods: This prospective observational study was conducted at a tertiary care hospital in Rajkot, India, involving 88 high-risk infants admitted to the neonatal intensive care unit (NICU). After discharge, follow-up was done at 3, 6, 9, and 12 months corrected age. Developmental assessments (DASII), brainstem evoked response audiometry (BERA) for hearing, and retinopathy of prematurity (ROP) screening were performed. The primary outcome of the study was the proportion of high-risk infants with neurodevelopmental delay at 12 months corrected age, as assessed by the DASII, specifically focusing on mental and motor developmental quotients (MeDQ and MoDQ) <70. Results: Of 88 infants, 76 completed follow-ups. Developmental delay was seen in 31.6%. MeDQ <70 in 14.5%, MoDQ <70 in 21.1%, any degree of hearing loss in 25%, and ROP requiring treatment in 2.6%. Prematurity, sepsis, and hypoglycaemia were key morbidities associated with poor outcomes. Conclusions: High-risk infants remain vulnerable to neurodevelopmental delays. Early screening and structured follow-up are essential in Indian settings. TRANSLATE with x English Arabic Hebrew Polish Bulgarian Hindi Portuguese Catalan Hmong Daw Romanian Chinese Simplified Hungarian Russian Chinese Traditional Indonesian Slovak Czech Italian Slovenian Danish Japanese Spanish Dutch Klingon Swedish English Korean Thai Estonian Latvian Turkish Finnish Lithuanian Ukrainian French Malay Urdu German Maltese Vietnamese Greek Norwegian Welsh Haitian Creole Persian TRANSLATE with COPY THE URL BELOW Back EMBED THE SNIPPET BELOW IN YOUR SITE Enable collaborative features and customize widget: Bing Webmaster Portal Back

International Journal of Contemporary PediatricsVol. 12(9)
Government Medical College (IN), Government Medical College (IN)
Openalex Percentile: Top 69%
Infant Development and Preterm Care
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