کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6220007 1607447 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Antenatal and Early Postnatal Antecedents of Parent-Reported Attention Problems at 2 Years of Age
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Antenatal and Early Postnatal Antecedents of Parent-Reported Attention Problems at 2 Years of Age
چکیده انگلیسی

ObjectivesTo assess antenatal and early postnatal antecedents of attention problems identified by the Child Behavior Checklist in extremely preterm children.Study designIn a cohort of 826 children born between 23 and 27 weeks' gestation, we collected demographic, birth, and postnatal information. We then identified behavior problems by using parent ratings from the Child Behavior Checklist at 2 years' adjusted age. We created time-oriented logistic regression risk models to identify significant risk factors for attention problems and Diagnostic and Statistical Manual of Mental Disorders-compatible attention deficit/hyperactivity problems (ADHPDSM).ResultsChildren were at increased risk of both attention problems if they were born to a woman who had no formal education beyond high school and/or a woman who was exposed to secondhand smoke. Recovery of a single organism from the placenta was associated with increased risk of an attention problem, and fetal stem vessel thrombosis and recovery of Mycoplasma species were associated with increased risk of ADHPDSM. Infants of multifetal gestations were at reduced risk of both attention problems. The only postnatal risk factor for an attention problem was recovery of bacteria from a tracheal aspirate.ConclusionAmong extremely preterm infants, several potentially modifiable antenatal and perinatal antecedents are associated with increased risk for attention problems and ADHPDSM at 2 years adjusted age.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Pediatrics - Volume 166, Issue 1, January 2015, Pages 20-25.e1
نویسندگان
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