Desenvolvimento de crianças nascidas pré-termo avaliado pelo teste de Denver-II: revisão da produção científica brasileira

Abstract

Resumo Este artigo objetivou analisar a produção científica sobre o desenvolvimento de crianças brasileiras nascidas pré-termo e de muito baixo peso avaliado por meio do Teste de Denver-II, no período de 2000 a 2009. Realizou-se levantamento bibliográfico de estudos empíricos indexados nas bases de dados Medline, Lilacs e Scielo, por meio da combinação das palavras chave: pré-termo, muito baixo peso, fatores de risco, desenvolvimento, Denver-II. Foram identificados 26 artigos e selecionados oito conforme critérios de inclusão. A maioria dos estudos avaliou crianças pré-termo entre 5 a 24 meses de idade. Os estudos identificaram associação entre as variáveis neonatais e ambientais e o desempenho no Teste de Denver-II. Crianças nascidas pré-termo devem ser acompanhadas ambulatorialmente para prevenir e detectar riscos no desenvolvimento. Palavras-chave: Pré-termo, muito baixo peso, fatores de risco, desenvolvimento, Denver-II.

Psychomotor development screening of children from kindergarten units of Belém, Pará, Brazil

“…In this sense, it calls attention to the fact that the results obtained in this study differ from most Brazilian studies done thus far to assess the development of children through the DDST II. [2][3] In some Brazilian research studies, 7,10 approximately 40% to 46% of children presented development that was assessed as at risk and/or suspected of delay, but most research reveals a percentage close to the 20% range. [19][20] Among possible explanations for this variation could be the particular characteristics of the study population in Belém, Pará, Brazil.…”

“…The test also stands out as one of the most widely used instruments in Brazilian research [10][11] and stands out as the most globally applied test. 2,3,6 After the assessment, were classifi ed in the test with the development: Normal, when the child did not present any kind of delay or at most one item of caution; and were considered indicative of suspected cases of delay in development when indicated two or more items of caution or one or more items.…”

“…Less than 30% of children with mental retardation, language disorders or other developmental problems had such situations detected by the clinical trial. [7][8][9][10] With the purpose of promoting some form of early intervention for the so-called deviations of development, the use of standardized instruments have been DOI: http://dx.doi.org/10.7322/jhgd.119261 indicated and recommended by experts and institutions [2][3][4][5][6] since it enables the action of anticipatory recommendations to parents, caregivers and professionals.…”

“…The most recent studies emphasize development as a process of change and permanence, demonstrating that the acquisition and use of skills integrate various systems and functions of the individual in constant interaction with the physical and social environment. [1][2][3][4][5][6] There are many factors that infl uence the child's health and development, which may be related to heredity and biological adaptation, in addition to environmental conditions (experience and sensory-motor stimulation, nutrition, socioeconomic conditions, affective disorders). The impact of these factors on child development has been the subject of many studies in recent decades, pointing out that identifi cation and early intervention are key to the prognosis of children with development disorders.…”

Triagem do desenvolvimento neuropsicomotor de crianças brasileiras: uma revisão sistemática da literatura

“…Regarding the factors associated with delays, aspects ranging from conception, pregnancy and birth, to neurological causes, malnutrition, environmental, socioeconomic and family factors, causing permanent or transitional delay conditions, are some of the most prominent, assuming an adequate and periodical monitoring of the child [3][4][5][6][7] . Despite their importance, there are few studies with national approaches, in particular those that make a systematic review of the literature and address issues related to the surveillance of the development of children, both typical and atypical, as well as its outcomes 2,3,8,9 . One of the main instruments of the NPMD used in national studies is the Denver Development Screening Test II (DDST II), due to its practicality, low cost and quick implementation in relation to other existing instruments 2,5,[7][8][9][10][11][12] .…”