Predictive factors for neuromotor abnormalities at the corrected age of 12 months in very low birth weight premature infants

Arquivos de Neuro-Psiquiatria

Rosane Reis De Mello²  Kátia Silveira Da Silva¹  Maura Calixto Cecherelli De Rodrigues¹  Geórgia Chalfun¹  Rachel Carvalho Ferreira¹  Juliana Verçosa Rocha Delamônica¹ 

[1] ,FIOCRUZ Instituto Fernandes Figueira Departamento de Neonatologia

关键词: infant;    premature;    child development;    psychomotor performance;    risk factors;    desenvolvimento infantil;    desempenho psicomotor;    criança;    prematuro;    fatores de risco;   

DOI  :  10.1590/S0004-282X2009000200012

来源: SciELO

【 摘 要 】

BACKGROUND: The increase in survival of premature newborns has sparked growing interest in the prediction of their long-term neurodevelopment. OBJECTIVE: To estimate the incidence of neuromotor abnormalities at the corrected age of 12 months and to identify the predictive factors associated with altered neuromotor development in very low birth weight premature infants. METHOD: Cohort study. The sample included 100 premature infants. The outcome was neuromotor development at 12 months classified by Bayley Scale (PDI) and neurological assessment (tonus, reflexes, posture). A multivariate logistic regression model was constructed. Neonatal variables and neuromotor abnormalities up to 6 months of corrected age were selected by bivariate analysis. RESULTS: Mean birth weight was 1126g (SD: 240). Abnormal neuromotor development was presented in 60 children at 12 months corrected age. CONCLUSION: According to the model, patients with a diagnosis including bronchopulmonary dysplasia, hypertonia of lower extremities, truncal hypotonia showed a 94.0% probability of neuromotor involvement at 12 months.

【 授权许可】

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