...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Sao Paulo Medical Journal >Risk factors associated with developmental abnormalities among high-risk children attended at a multidisciplinary clinic
【24h】

Risk factors associated with developmental abnormalities among high-risk children attended at a multidisciplinary clinic

机译：在多学科诊所就诊的高危儿童中与发育异常相关的危险因素

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

CONTEXT AND OBJECTIVE: Knowledge of risk factors associated with child development disorders is essential for delivering high-quality childcare. The objective here was to evaluate the relationships between risk factors and occurrences of developmental abnormalities among children attended at a reference clinic for children at risk of developmental abnormalities. DESIGN AND SETTING: Retrospective study at a multidisciplinary reference center, Embu, S?o Paulo. METHODS: All cases followed up for more than three months between 1995 and 2003 were reviewed. The risk factors assessed were low birth weight, gestational age, length of stay in neonatal ward, perinatal asphyxia, mother’s age < 18 years, congenital infections, malformations and low mother’s education level. Developmental abnormalities were defined according to developmental tests and assessments by the clinic’s professionals. The statistical analysis consisted of the chi-squared test for comparing categorical variables and a logistic regression model for multivariate analysis. RESULTS: 211 children were followed up for more than three months. Developmental abnormalities occurred in 111 (52.6%). Univariate analysis showed significant relationships between developmental abnormality and low birth weight, perinatal asphyxia, length of stay > 5 days, prematurity and mother’s age 18 years and older. Low birth weight, history of perinatal asphyxia and mother’s age continued to be significant in multivariate analysis. CONCLUSIONS: Special attention must be paid to the development of low birth weight infants and/or infants with histories of neonatal complications. Low birth weight is easily assessed and should be considered to be an important marker when defining guidelines for following up child development.
机译：背景与目的：与儿童发育障碍相关的危险因素的知识对于提供高质量的儿童保育至关重要。此处的目的是评估就诊于发育异常风险儿童的参考诊所就诊的儿童中，危险因素与发育异常发生之间的关系。设计与环境：在圣保罗的Embu多学科参考中心进行回顾性研究。方法：回顾了1995年至2003年间所有随访三个月以上的病例。评估的风险因素为低出生体重，胎龄，新生儿病房的住院时间，围产期窒息，母亲的年龄<18岁，先天性感染，畸形和母亲的教育程度低。发育异常是根据诊所专业人员的发育测试和评估定义的。统计分析包括用于比较分类变量的卡方检验和用于多变量分析的逻辑回归模型。结果：对211名儿童进行了三个月以上的随访。发育异常发生在111（52.6％）。单因素分析显示发育异常与低出生体重，围产期窒息，住院时间大于5天，早产和母亲18岁及以上之间存在显着关系。低出生体重，围产期窒息史和母亲的年龄在多变量分析中仍然很重要。结论：必须特别注意低出生体重婴儿和/或有新生儿并发症史的婴儿的发育。低出生体重很容易评估，在定义后续儿童发展指南时应被视为重要标志。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号