کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4158023 1273804 2009 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Interdisciplinary structural follow-up of surgical newborns: a prospective evaluation
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Interdisciplinary structural follow-up of surgical newborns: a prospective evaluation
چکیده انگلیسی

BackgroundInformation on physical and developmental outcomes of children with anatomical congenital anomalies (CAs) may indicate the need for early intervention and reduce impact on the child's life and parental burden.MethodsFrom 1999 to 2003, 101 children with CA (76.5% of initial survivors) were seen 6-monthly in a tertiary children's hospital. Growth, neurologic outcome, mental and psychomotor development as determined with the Bayley Scales of Infant Development, and categorization of predictive sociodemographic and medical variables of the children were evaluated prospectively and longitudinally.ResultsCongenital diaphragmatic hernia (CDH) and esophageal atresia patients showed impaired growth, that is, both height for age (−1.5 standard deviation score [SDS]) and weight for height (−1.0 SDS). Overall neurologic outcome was normal, however, suspect or abnormal for 40% of CDH patients. Overall mental development was normal, but psychomotor scores were significantly lower than the norm (95% confidence interval, 83.8-92.2 at 6 months and 87.9-98.5 at 24 months). Sex, maternal age, socioeconomic status, CA, severity-of-disease covariables, and need of medical appliances at home could predict negative outcome significantly (P < .05).ConclusionsThe CA survivors show impaired growth and psychomotor developmental delay up to age 2 years. This warrants specific follow-up programs and infrastructure for these patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 44, Issue 7, July 2009, Pages 1382–1389
نویسندگان
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