An evidentiary review regarding the use of chronological and adjusted age in the assessment of preterm infants

J Spec Pediatr Nurs. 2010 Jan;15(1):26-32. doi: 10.1111/j.1744-6155.2009.00215.x.

Abstract

Purpose: The evidence supporting the recommendation to use age adjustment when assessing the growth, motor, and global development of premature infants was explored. Following a comprehensive literature search, 16 articles that compared the use of adjusted and chronological age were reviewed.

Conclusions: The use of full age adjustment based on the degree of prematurity was supported for the assessment of premature infants for a minimum of 12 months adjusted age.

Practice implications: The use of adjusted age enhances the ability to accurately recognize genuine delays as opposed to perceived delays related to a child's gestational age at birth.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Child Development / physiology
  • Developmental Disabilities / diagnosis*
  • Diagnosis, Differential
  • Evidence-Based Nursing
  • Gestational Age*
  • Humans
  • Infant, Newborn
  • Infant, Premature* / physiology
  • Infant, Premature* / psychology
  • Language Development
  • Motor Skills
  • Neonatal Nursing / methods*
  • Neonatal Screening / methods
  • Nursing Assessment / methods*
  • Nursing Research