The purpose of this study was to evaluate motor, cognitive, and sensory outcomes of infants <1350 grams enrolled in a randomized double-masked comparison trial of two surfactants (EXO vs INFA) for the treatment of RDS. 95 infants (61.0% follow-up) at 5 centers received Bayley mental and motor scales and an expanded neurological examination at 2 years by assessors masked to neonatal treatment status. Table

Table 1

At age 2 years, 91.5% of EXO and 93.3% of INFA were free of any cerebral palsy, 16.7% of EXO and 10.6% of INFA had major cognitive impairment (MDI<70). 33.3% of EXO and 36.2% of INFA were at risk (MDI 70-89) for future disabilities.

We conclude that ND outcome at 2 years is not influenced by the choice of either EXO or INFA for RDS prophylaxis. Funded by ONY, Inc., and Forest Laboratories.