Risk factors for cognitive impairment in school-age children born preterm: application of a hierarchical model

Arquivos de Neuro-Psiquiatria

Maura Calixto Cecherelli De Rodrigues²  Rosane Reis De Mello¹  Kátia Silveira Da Silva¹  Márcia Lazaro De Carvalho¹ 

[1] ,Hospital Municipal Lourenço Jorge Maternidade Leila Diniz Núcleo de Atenção Interdisciplinar ao Recém-nascido de RiscoRio de Janeiro RJ ,Brazil

关键词: cognition;    child development;    risk factors;    cognição;    desenvolvimento infantil;    fatores de risco;   

DOI  :  10.1590/S0004-282X2012000800005

来源: SciELO

【 摘 要 】

The purpose was to analyze factors associated with cognitive impairment in very low birth weight (VLBW) children born preterm. A prospective cohort of 65 VLBW children was assessed at the age of eight years using the Wechsler Intelligence Scale for Children. A model for the relationship of variables with the cognitive impairment outcome attributed hierarchical levels: distal (socioeconomic variables), intermediate I and II (perinatal and neonatal variables, post-neonatal variables) and proximal (child health and psychosocial stimulation). A multivariate logistic regression was performed. In the multivariate hierarchical logistic regression, the maternal education (OR=0.77, 95%CI 0.63-0.94) and number of prenatal visits (OR=0.73, 95%CI 0.54-0.99) showed a protective association, but the male (OR=7.3, 95%CI 1.54-35.3) was associated with worse results. The VLBW children cognitive performance in the age of eight years benefits from more educated mothers, better prenatal care, and the baby gender as female.

【 授权许可】

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