Letters Section Editor: Robert M. Golub, MD, Senior Editor.
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
Hack M, Taylor HG, Drotar D, Schluchter M, Wilson-Costello D, Klein N. Long-term Outcomes for Extremely Low-Birth-Weight Infants—Reply. JAMA. 2005;294(17):2168-2169. doi:10.1001/jama.294.17.2169-a