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Three\u2010hundred and sixty\u2010two (98%) surviving ELBW infants were assessed at a median age of 36 months, using a specially designed protocol. At follow\u2010up, mean height, weight and head circumference in both boys and girls were significantly lower than the reference values. The incidence of cerebral palsy was 7% among all children and 14%, 10% and 3% in children born at 23\u201024,25\u201026 and \u2265 27 gestational weeks, respectively. At least one obvious handicap was present in 14%, 9% and 3% of these three groups of children, respectively. After adjustment for gestational age, a significantly increased risk of handicap was found in children with intraventricular haemorrhage grade \u2265 3 and\/or periventricular leucomalacia and in children with retinopathy of prematurity stage \u2265 3. The results show that more than 90% of ELBW children born at \u2265 25 completed gestational weeks were without neurosensory handicap at 36 months of corrected age. 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