RT Book, Section
A1 Randolph, Adrienne G.
A1 Cook, Deborah J.
A1 Guyatt, Gordon
A2 Guyatt, Gordon
A2 Rennie, Drummond
A2 Meade, Maureen O.
A2 Cook, Deborah J.
SR Print(0)
ID 1183877525
T1 Prognosis
T2 Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179071-0
LK jamaevidence.mhmedical.com/content.aspx?aid=1183877525
RD 2024/04/25
AB CLINICAL  SCENARIOYou  are  a  pediatrician  expecting  to  see  an  infant  who  was  born  at  26  weeks'  gestation  tomorrow  for  her  first  outpatient  clinic  visit  at  4  months  after  birth.  You  know  the  family  well  because  you  care  for  their  older  child  who  was  born  at  35  weeks'  gestation  and  is  now  a  healthy  3-year-old  girl.  This  infant  had  a  prolonged  stay  in  the  neonatal  intensive  care  unit  but  required  relatively  minimal  respiratory  support  during  her  first  3  weeks  of  life.  The  neonatologist  told  you  that  the  infant  did  extremely  well,  experiencing  none  of  the  complications  that  often  occur  in  extremely  preterm  infants.  He  also  informs  you  that  he  warned  the  family,  “Your  baby  is  at  risk  for  long-term  neurocognitive  and  motor  complications  related  to  being  born  so  prematurely.  Although  some  babies  born  this  prematurely  grow  up  to  lead  normal  lives,  many  have  minor  disabilities,  and  there  is  a  nontrivial  chance  that  your  baby  could  develop  moderate  to  severe  disabilities.”  You  have  5  other  children  in  your  pediatric  practice  born  at  less  than  27  weeks  of  gestation;  all  of  them  have  major  neurodevelopmental  problems.  On  the  basis  of  your  professional  experience,  you  wonder  if  the  neonatologist  has  presented  the  family  with  an  overly  optimistic  outlook.  You  decide  to  check  out  the  evidence  for  yourself.