Interdisciplinary structural follow-up of surgical newborns: a prospective evaluation
| Autor: | Saskia J. Gischler, Dick Tibboel, Monique van Dijk, Nikolaas M.A. Bax, Petra Mazer, Hazebroek Fw, Hugo J. Duivenvoorden |
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| Přispěvatelé: | Pediatric Surgery, Psychiatry |
| Rok vydání: | 2008 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Gestational Age Bayley Scales of Infant Development Prospective evaluation Congenital Abnormalities Child Development Confidence Intervals Medicine Humans Prospective Studies Socioeconomic status Psychomotor learning business.industry Infant Newborn Congenital diaphragmatic hernia Infant General Medicine medicine.disease Prognosis Confidence interval Atresia Child Preschool Pediatrics Perinatology and Child Health Intensive Care Neonatal Surgery Female Interdisciplinary Communication business Weight for height Follow-Up Studies |
| Zdroj: | Journal of Pediatric Surgery, 44(7), 1382-1389. W.B. Saunders |
| ISSN: | 1531-5037 0022-3468 |
| Popis: | Background: Information 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. Methods: From 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. Results: Congenital 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 |
| Databáze: | OpenAIRE |
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