Weight and neuro-psycho-motor development in children discharged from neonatal intensive care unit

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dc.contributor.authorde Souza, Cintia Ginaid [UNESP]
dc.contributor.authorde Abreu, Luiz Carlos [UNESP]
dc.contributor.authorValenti, Vitor Engrácia [UNESP]
dc.contributor.authorReis, Alberto O. A. [UNESP]
dc.contributor.authorGallo, Paulo R. [UNESP]
dc.contributor.authorFonseca, Fernando L. A.
dc.contributor.authorRadziavicius, Fernanda R. C.
dc.contributor.authorSiqueira, Arnaldo A. F. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionFac Med ABC
dc.date.accessioned2014-05-20T13:31:32Z
dc.date.available2014-05-20T13:31:32Z
dc.date.issued2012-01-01
dc.description.abstractBackground: Low birth weight affects child growth and development, requiring the intensive use of health services. There are conversely proportional associations between prematurity and academic performance around the world. In this study we evaluated factors involved in weight and neuropsychomotor profile in one and two years old discharged from Intensive Care Units (ICU).Methods/Design: We investigated 203 children from the ICU who were followed for 24 +/- 4 months. The research was conducted by collecting data from medical records of patients in a Follow-up program. We investigated the following variables: inadequate weight at one year old; inadequate weight at two years old and a severe neurological disorder at two years old.Results: We observed increase of almost 20% in the proportion of children which weighted between the 10th and 90th percentiles and decrease of around 40% of children below the 15th percentile, from one to two years old. In almost 60% of the cases neuropsychomotor development was normal at 2 years old, less than 15% of children presented abnormal development. Variables that remained influential for clinical outcome at 1 and 2 years old were related to birth weight and gestational age, except for hypoglycemia. Neurological examination was the most influential variable for severe neurological disturbance.Conclusion: Hypoglycemia was considered a new fact to explain inadequate weight. The results, new in Brazil and difficult in terms of comparison, could be used to identify risk factors and for a better approach of newborn discharged from ICUs.en
dc.description.affiliationUniv Estadual Paulista UNESP, Dept Saúde Materno Infantil, Fac Saúde Publ, Marilia, SP, Brazil
dc.description.affiliationUniv Estadual Paulista UNESP, Dept Fonoaudiol, Fac Filosofia & Ciencias, Marilia, SP, Brazil
dc.description.affiliationFac Med ABC, Dept Morfol & Fisiol, Santo Andre, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista UNESP, Dept Saúde Materno Infantil, Fac Saúde Publ, Marilia, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista UNESP, Dept Fonoaudiol, Fac Filosofia & Ciencias, Marilia, SP, Brazil
dc.description.sponsorshipFaculdade de Saúde Publica da Universidade de São Paulo
dc.format.extent1552-1560
dc.identifier.citationHealthmed. Sarajevo: Drunpp-sarajevo, v. 6, n. 5, p. 1552-1560, 2012.
dc.identifier.issn1840-2291
dc.identifier.urihttp://hdl.handle.net/11449/10743
dc.identifier.wosWOS:000305914400006
dc.language.isoeng
dc.publisherDrunpp-sarajevo
dc.relation.ispartofHealthmed
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectChilden
dc.subjectAdvance Care Planningen
dc.subjectEpidemiologyen
dc.titleWeight and neuro-psycho-motor development in children discharged from neonatal intensive care uniten
dc.typeArtigo
dcterms.rightsHolderDrunpp-sarajevo
unesp.author.orcid0000-0001-7477-3805[3]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Filosofia e Ciências, Maríliapt
unesp.departmentFonoaudiologia - FFCpt

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Marília - FFC - Faculdade de Filosofia e Ciências