{"id":203,"date":"2026-07-04T13:48:37","date_gmt":"2026-07-04T13:48:37","guid":{"rendered":"https:\/\/pediatrix.fr\/?page_id=203"},"modified":"2026-07-04T13:57:30","modified_gmt":"2026-07-04T13:57:30","slug":"calcul-de-lage-corrige-dun-premature","status":"publish","type":"page","link":"https:\/\/pediatrix.fr\/index.php\/calcul-de-lage-corrige-dun-premature\/","title":{"rendered":"Calcul de l&rsquo;\u00e2ge corrig\u00e9 d&rsquo;un pr\u00e9matur\u00e9"},"content":{"rendered":"\n<meta charset=\"UTF-8\">\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n<title>\u00c2ge corrig\u00e9 du pr\u00e9matur\u00e9 : d\u00e9finition, calcul et calculateur<\/title>\n<style>\n  :root{\n    --blue-dark:#0b3d63;\n    --blue:#1c6fa8;\n    --blue-light:#e8f2fa;\n    --accent:#2e9e8f;\n    --text:#20303d;\n    --muted:#5a6b78;\n    --border:#d7e4ee;\n    --white:#ffffff;\n    --warn-bg:#fff4e5;\n    --warn-border:#f0c27b;\n    --ok-bg:#e9f7f0;\n    --ok-border:#8fd6b4;\n  }\n  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class=\"page-head\">\n  <h1>\u00c2ge r\u00e9el et \u00e2ge corrig\u00e9 : comprendre et calculer<\/h1>\n  <p>Rep\u00e8re pour le suivi de l&rsquo;enfant n\u00e9 pr\u00e9matur\u00e9ment, de la naissance \u00e0 2 ans.<\/p>\n<\/header>\n\n<div class=\"wrap\">\n\n  <p class=\"lead\">\n    Chez l&rsquo;enfant n\u00e9 avant terme, deux notions d&rsquo;\u00e2ge coexistent et ne se confondent pas : l&rsquo;<strong>\u00e2ge r\u00e9el<\/strong>\n    (ou \u00e2ge chronologique) et l&rsquo;<strong>\u00e2ge corrig\u00e9<\/strong> (ou \u00e2ge ajust\u00e9). Cette page explique la diff\u00e9rence\n    et propose un outil pour calculer l&rsquo;\u00e2ge corrig\u00e9 d&rsquo;un enfant.\n  <\/p>\n\n  <h2>D\u00e9finitions<\/h2>\n  <div class=\"definition-grid\">\n    <div class=\"def-card\">\n      <h4>\u00c2ge r\u00e9el (chronologique)<\/h4>\n      <p>Temps \u00e9coul\u00e9 depuis la date de naissance effective de l&rsquo;enfant, quel que soit son terme de naissance.\n      C&rsquo;est l&rsquo;\u00e2ge de l&rsquo;\u00e9tat civil.<\/p>\n    <\/div>\n    <div class=\"def-card\">\n      <h4>\u00c2ge corrig\u00e9 (ajust\u00e9)<\/h4>\n      <p>\u00c2ge que l&rsquo;enfant aurait s&rsquo;il \u00e9tait n\u00e9 \u00e0 terme (40 semaines d&rsquo;am\u00e9norrh\u00e9e). Il tient compte du nombre\n      de semaines de pr\u00e9maturit\u00e9 et rapproche l&rsquo;\u00e9valuation de l&rsquo;enfant de son niveau de maturit\u00e9 r\u00e9el.<\/p>\n    <\/div>\n  <\/div>\n\n  <h2>Formule de calcul<\/h2>\n  <div class=\"formula-box\">\n    \u00c2ge corrig\u00e9&nbsp; = &nbsp;\u00c2ge r\u00e9el&nbsp; \u2212 &nbsp;(40 SA \u2212 Terme de naissance en SA)\n  <\/div>\n  <p>\n    Concr\u00e8tement : on calcule d&rsquo;abord le nombre de semaines de pr\u00e9maturit\u00e9 (40&nbsp;SA moins le terme de naissance),\n    puis on retranche ce nombre de semaines \u00e0 l&rsquo;\u00e2ge r\u00e9el de l&rsquo;enfant.\n  <\/p>\n  <p><em>Exemple :<\/em> un enfant n\u00e9 \u00e0 30 SA, \u00e2g\u00e9 aujourd&rsquo;hui de 6 mois (\u00e2ge r\u00e9el), a un d\u00e9ficit de terme de\n  10 SA (\u2248 2,3 mois). Son \u00e2ge corrig\u00e9 est donc d&rsquo;environ 3,7 mois.<\/p>\n\n  <h2>Quand utiliser quel \u00e2ge ?<\/h2>\n  <table>\n    <tbody><tr><th>Domaine<\/th><th>\u00c2ge \u00e0 utiliser<\/th><\/tr>\n    <tr><td>Courbes de croissance (poids, taille, p\u00e9rim\u00e8tre cr\u00e2nien)<\/td><td>\u00c2ge corrig\u00e9, jusqu&rsquo;\u00e0 2 ans<\/td><\/tr>\n    <tr><td>D\u00e9veloppement psychomoteur (motricit\u00e9, langage)<\/td><td>\u00c2ge corrig\u00e9, jusqu&rsquo;\u00e0 2 ans (parfois au-del\u00e0 pour les grands pr\u00e9matur\u00e9s)<\/td><\/tr>\n    <tr><td>Calendrier vaccinal<\/td><td><strong>\u00c2ge r\u00e9el<\/strong> (chronologique) \u2014 pas de correction<\/td><\/tr>\n    <tr><td>Diversification alimentaire<\/td><td>G\u00e9n\u00e9ralement \u00e2ge corrig\u00e9 la premi\u00e8re ann\u00e9e<\/td><\/tr>\n  <\/tbody><\/table>\n\n  <div class=\"note\">\n    <strong>Point de vigilance vaccination :<\/strong> contrairement \u00e0 la croissance et au d\u00e9veloppement, la\n    vaccination des pr\u00e9matur\u00e9s suit l&rsquo;<strong>\u00e2ge r\u00e9el<\/strong>, avec des sch\u00e9mas parfois adapt\u00e9s (ex. primo-vaccination\n    d\u00e8s 8 semaines d&rsquo;\u00e2ge r\u00e9el, sch\u00e9ma 3+1 pour le pneumocoque avant 37 SA). Ne pas d\u00e9caler le calendrier vaccinal\n    sur la base de l&rsquo;\u00e2ge corrig\u00e9.\n  <\/div>\n\n  <h3>Fen\u00eatre d&rsquo;utilisation<\/h3>\n  <p>\n    La correction de l&rsquo;\u00e2ge est habituellement appliqu\u00e9e jusqu&rsquo;\u00e0 l&rsquo;\u00e2ge r\u00e9el de <strong>2 ans<\/strong> pour la\n    plupart des pr\u00e9matur\u00e9s (jusqu&rsquo;\u00e0 2\u20133 ans pour les grands pr\u00e9matur\u00e9s n\u00e9s avant 30 SA, selon certaines \u00e9quipes).\n    Au-del\u00e0, l&rsquo;\u00e2ge r\u00e9el redevient la r\u00e9f\u00e9rence pour le suivi. Le calculateur ci-dessous applique cette fen\u00eatre de 2 ans.\n  <\/p>\n\n  <!-- CALCULATOR -->\n  <section id=\"calc\">\n    <h2>Calculateur d&rsquo;\u00e2ge corrig\u00e9<\/h2>\n    <p style=\"margin-top:-6px;color:var(--muted);font-size:.92rem;\">\n      Renseignez la date de naissance de l&rsquo;enfant, son terme de naissance, puis la date \u00e0 laquelle vous\n      souhaitez \u00e9valuer son \u00e2ge (aujourd&rsquo;hui par d\u00e9faut).\n    <\/p>\n\n    <div class=\"field-row\">\n      <div class=\"field\">\n        <label for=\"dob\">Date de naissance de l&rsquo;enfant<\/label>\n        <input type=\"date\" id=\"dob\">\n      <\/div>\n      <div class=\"field\">\n        <label for=\"evalDate\">Date d&rsquo;\u00e9valuation<\/label>\n        <input type=\"date\" id=\"evalDate\">\n      <\/div>\n    <\/div>\n\n    <div class=\"field-row\">\n      <div class=\"field\">\n        <label>Terme de naissance<\/label>\n        <div class=\"terme-row\">\n          <div class=\"field\">\n            <input type=\"number\" id=\"termeSA\" min=\"22\" max=\"42\" placeholder=\"SA (ex. 30)\">\n          <\/div>\n          <div class=\"field\">\n            <input type=\"number\" id=\"termeJours\" min=\"0\" max=\"6\" placeholder=\"+ jours (0-6)\">\n          <\/div>\n        <\/div>\n      <\/div>\n      <div class=\"field\">\n        <label>&nbsp;<\/label>\n        <button id=\"compute\" type=\"button\">Calculer l&rsquo;\u00e2ge corrig\u00e9<\/button>\n      <\/div>\n    <\/div>\n\n    <div class=\"error-msg\" id=\"errorMsg\"><\/div>\n\n    <div id=\"result\"><\/div>\n  <\/section>\n\n  <h2>R\u00e9f\u00e9rences<\/h2>\n  <ul class=\"sources\">\n    <li>Vaccination Info Service \u2014 <a href=\"https:\/\/professionnels.vaccination-info-service.fr\/Recommandations-vaccinales-specifiques\/Personnes-exposees-a-des-risques-specifiques\/Prematures\" target=\"_blank\" rel=\"noopener\">Recommandations vaccinales chez le pr\u00e9matur\u00e9<\/a><\/li>\n    <li>Infovac.fr \u2014 <a href=\"https:\/\/www.infovac.fr\/pratique-vaccinale\/vaccination-du-premature\/\" target=\"_blank\" rel=\"noopener\">Vaccination du pr\u00e9matur\u00e9<\/a><\/li>\n    <li>La Revue du Praticien \u2014 <a href=\"https:\/\/www.larevuedupraticien.fr\/article\/vaccination-des-prematures-un-schema-adapte\" target=\"_blank\" rel=\"noopener\">Vaccination des pr\u00e9matur\u00e9s : un sch\u00e9ma adapt\u00e9<\/a><\/li>\n    <li>CHU Sainte-Justine \u2014 <a href=\"https:\/\/www.chusj.org\/fr\/soins-services\/P\/Prematures\/Age-corrige\" target=\"_blank\" rel=\"noopener\">\u00c2ge corrig\u00e9 des pr\u00e9matur\u00e9s<\/a><\/li>\n  <\/ul>\n\n  <footer class=\"disclaimer\">\n    Cet outil est destin\u00e9 \u00e0 l&rsquo;information des professionnels et des familles. Il ne remplace pas l&rsquo;avis du\n    p\u00e9diatre ou du m\u00e9decin traitant, qui reste seul juge de l&rsquo;interpr\u00e9tation clinique de l&rsquo;\u00e2ge corrig\u00e9 pour\n    un enfant donn\u00e9. Page r\u00e9alis\u00e9e \u00e0 titre p\u00e9dagogique \u2014 AFPA \/ Pediatrix.\n  <\/footer>\n<\/div>\n\n<script>\n(function(){\n  var dobInput = document.getElementById('dob');\n  var evalInput = document.getElementById('evalDate');\n  var termeSA = document.getElementById('termeSA');\n  var termeJours = document.getElementById('termeJours');\n  var btn = document.getElementById('compute');\n  var resultDiv = document.getElementById('result');\n  var errorDiv = document.getElementById('errorMsg');\n\n  \/\/ default eval date = today\n  var today = new Date();\n  evalInput.value = today.toISOString().slice(0,10);\n\n  function humanAge(totalDays){\n    if (totalDays < 0) totalDays = 0;\n    var years = Math.floor(totalDays \/ 365.25);\n    var remAfterYears = totalDays - years*365.25;\n    var months = Math.floor(remAfterYears \/ 30.4375);\n    if (totalDays < 60){\n      var weeks = Math.floor(totalDays\/7);\n      var days = totalDays - weeks*7;\n      return weeks + ' sem' + (days>0 ? ' ' + days + ' j' : '');\n    }\n    if (years >= 1){\n      return years + ' an' + (years>1?'s':'') + (months>0 ? ' et ' + months + ' mois' : '');\n    }\n    return months + ' mois';\n  }\n\n  \/\/ \u00c2ge corrig\u00e9 exprim\u00e9 syst\u00e9matiquement en semaines et jours (pertinent sur la fen\u00eatre 0-2 ans)\n  function correctedAgeWeeksDays(totalDays){\n    var sign = totalDays < 0 ? '- ' : '';\n    var abs = Math.abs(totalDays);\n    var weeks = Math.floor(abs \/ 7);\n    var days = abs - weeks * 7;\n    return sign + weeks + ' sem' + (days > 0 ? ' ' + days + ' j' : '');\n  }\n\n  btn.addEventListener('click', function(){\n    errorDiv.textContent = '';\n    resultDiv.innerHTML = '';\n\n    var dobVal = dobInput.value;\n    var evalVal = evalInput.value;\n    var sa = parseInt(termeSA.value, 10);\n    var jours = parseInt(termeJours.value, 10);\n    if (isNaN(jours)) jours = 0;\n\n    if(!dobVal){ errorDiv.textContent = 'Veuillez indiquer la date de naissance.'; return; }\n    if(!evalVal){ errorDiv.textContent = 'Veuillez indiquer la date d\\'\u00e9valuation.'; return; }\n    if(isNaN(sa) || sa < 22 || sa > 42){ errorDiv.textContent = 'Veuillez indiquer un terme de naissance valide (22 \u00e0 42 SA).'; return; }\n    if(jours < 0 || jours > 6){ errorDiv.textContent = 'Le compl\u00e9ment en jours doit \u00eatre compris entre 0 et 6.'; return; }\n\n    var dob = new Date(dobVal + 'T00:00:00');\n    var evalDate = new Date(evalVal + 'T00:00:00');\n\n    if (evalDate < dob){ errorDiv.textContent = 'La date d\\'\u00e9valuation doit \u00eatre post\u00e9rieure \u00e0 la date de naissance.'; return; }\n\n    var realDays = Math.round((evalDate - dob) \/ 86400000);\n    var termeDays = sa*7 + jours;\n    var prematurityDays = 280 - termeDays; \/\/ 40 SA = 280 jours\n    if (prematurityDays < 0) prematurityDays = 0;\n\n    var correctedDaysRaw = realDays - prematurityDays;\n\n    var realAgeStr = humanAge(realDays);\n    var correctedAgeStr = correctedAgeWeeksDays(correctedDaysRaw);\n\n    var isTermBirth = termeDays >= 259; \/\/ 37 SA = 259 jours\n    var withinWindow = realDays <= 730; \/\/ 2 ans\n\n    var html = '';\n    html += '<div class=\"results-grid\">';\n    html += '  <div class=\"result-card\"><div class=\"label\">\u00c2ge r\u00e9el<\/div><div class=\"big\">' + realAgeStr + '<\/div><\/div>';\n    html += '  <div class=\"result-card\"><div class=\"label\">\u00c2ge corrig\u00e9<\/div><div class=\"big\">' + (isTermBirth ? realAgeStr : correctedAgeStr) + '<\/div><\/div>';\n    html += '<\/div>';\n\n    var pct = Math.min(100, Math.round((realDays\/730)*100));\n    html += '<div class=\"progress-outer\"><div class=\"progress-inner\" style=\"width:' + pct + '%;\"><\/div><\/div>';\n    html += '<div class=\"progress-text\">' + pct + '% de la fen\u00eatre de correction (2 ans d\\'\u00e2ge r\u00e9el)<\/div>';\n\n    if (isTermBirth){\n      html += '<div class=\"status-box status-info\">Terme de naissance \u2265 37 SA : cet enfant n\\'est pas consid\u00e9r\u00e9 comme pr\u00e9matur\u00e9, aucune correction d\\'\u00e2ge n\\'est n\u00e9cessaire (\u00e2ge corrig\u00e9 = \u00e2ge r\u00e9el).<\/div>';\n    } else if (!withinWindow){\n      html += '<div class=\"status-box status-warn\"><strong>Hors fen\u00eatre de correction :<\/strong> l\\'enfant a d\u00e9pass\u00e9 l\\'\u00e2ge r\u00e9el de 2 ans. L\\'\u00e2ge corrig\u00e9 n\\'est en principe plus utilis\u00e9 au-del\u00e0 de ce seuil (\u00e2ge r\u00e9el = r\u00e9f\u00e9rence), sauf avis contraire du p\u00e9diatre pour les tr\u00e8s grands pr\u00e9matur\u00e9s.<\/div>';\n    } else {\n      html += '<div class=\"status-box status-ok\">Correction applicable : utiliser l\\'\u00e2ge corrig\u00e9 pour la croissance et le d\u00e9veloppement psychomoteur. Pour la vaccination, continuer \u00e0 utiliser l\\'\u00e2ge r\u00e9el.<\/div>';\n    }\n\n    resultDiv.innerHTML = html;\n  });\n})();\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>\u00c2ge corrig\u00e9 du pr\u00e9matur\u00e9 : d\u00e9finition, calcul et calculateur \u00c2ge r\u00e9el et \u00e2ge corrig\u00e9 : comprendre et calculer Rep\u00e8re pour le suivi de l&rsquo;enfant n\u00e9 pr\u00e9matur\u00e9ment, de la\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-203","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/comments?post=203"}],"version-history":[{"count":3,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/203\/revisions"}],"predecessor-version":[{"id":207,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/203\/revisions\/207"}],"wp:attachment":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/media?parent=203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}