The purpose of this study was to evaluate motor, cognitive, and sensory outcomes of infants < 29 weeks gestation enrolled in a randomized double-masked comparison trial of two surfactants (EXO vs INFA) for the prevention of RDS. 236 infants (63%) at 4 centers received the Bayley scales and an expanded neurological examination at age 2 years. Assessors were masked to neonatal treatment status. Table

Table 1

Overall at age 2 years, 84% EXO and 83% INFA were free of any cerebral palsy, 37% of EXO and 31% of INFA had major cognitive impairment (MDI <70). 37% of EXO and 45% 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.