Long-term neurocognitive and educational outcomes of neonatal insults in Kilifi, Kenya

Autor:	Amina Abubakar, Dorcas N. Magai, Hans M. Koot, Charles R. Newton, Esther Chongwo, Paul Mwangi
Přispěvatelé:	Clinical Developmental Psychology, APH - Mental Health
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	lcsh:RC435-571 Neurocognitive impairment 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Hypoxic-ischemic encephalopathy lcsh:Psychiatry Medicine Humans Medical history Survivors Child Children Aged 2. Zero hunger Disability Working memory business.industry 4. Education Infant Newborn Mental health Kenya Psychiatry and Mental health Cross-Sectional Studies Memory Short-Term Educational Status Neonatal jaundice business Neurocognitive SDG 4 - Quality Education 030217 neurology & neurosurgery Research Article Clinical psychology
Zdroj:	BMC Psychiatry, Vol 20, Iss 1, Pp 1-12 (2020) Magai, D N, Koot, H M, Mwangi, P, Chongwo, E, Newton, C R & Abubakar, A 2020, ' Long-term neurocognitive and educational outcomes of neonatal insults in Kilifi, Kenya ', BMC Psychiatry, vol. 20, no. 1, 578, pp. 1-12 . https://doi.org/10.1186/s12888-020-02939-9 BMC Psychiatry BMC Psychiatry, 20(1):578, 1-12. BioMed Central
ISSN:	1471-244X
Popis:	BackgroundThere is little data on the long-term neurocognitive and educational outcomes among school-aged survivors of neonatal jaundice (NNJ) and hypoxic-ischemic encephalopathy (HIE) in Africa.This study investigates the long-term neurocognitive and educational outcomes and the correlates of these outcomes in school-aged survivors of NNJ or HIE in Kilifi, Kenya.MethodsWe conducted a cross-sectional study on neurocognitive and educational outcomes among school-aged survivors (6–12 years) of NNJ (n = 134) and HIE (n = 107) and compared them to a community comparison group (n = 134). We assessed nonverbal intelligence, planning, working memory, attention, syntax, pragmatics, word-finding, memory, perceptual-motor, mathematical, and reading abilities. We also collected information on medical history, caregivers’ mental health, and family environment.ResultsThe survivors of NNJ had lower mean total scores in word-finding [F (1, 250) = 3.89,p = 0.050] and memory [F (1, 248) = 6.74,p = 0.010] than the comparison group. The survivors of HIE had lower mean scores in pragmatics [F (1, 230) = 6.61,p = 0.011] and higher scores higher scores in non-verbal reasoning [F (1, 225) =4.10,p = 0.044] than the comparison group. Stunted growth was associated with almost all the outcomes in HIE.ConclusionSurvivors of NNJ and HIE present with impairment in the multiple domains, which need to be taken into consideration in the planning of educational and rehabilitative services.
Databáze:	OpenAIRE
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