Consulta De Seguimento Ambulatorial Do Recém-Nascido Prematuro: Construção E Validação De Cenário Simulado

Silva, Júlia Soares da; Paula, Rayanne Augusta Parente; Ivo, Rafaela Seixas; Brasil, Guilherme da Costa; Alves, Airla Ketlin Santos; Alves, Lorena Oliveira; Leon, Casandra Genoveva Rosales Martins Ponce de; Ribeiro, Laiane Medeiros; Camargo, Laire Alves Di Andrade

doi:10.37423/201103279

Cited by 1 publication

(2 citation statements)

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“…Most studies developed in Brazil included patients assisted on neonatal units of university hospitals that belong to our national public health system (Sistema Único de Saúde, SUS, in Portuguese), and most of its users are from lower socioeconomic classes. In the present review, the mean age of the children when the follow-up ended was of approximately 30 months of life, and only 5 studies 9,16,17,27,32 had longer follow-ups (of up to 8 years of age). In four studies, 15,21,22,32 socioeconomic-educational variables (environmental aspects, literacy of the mothers, and/or income) and poorer outcomes on the motor and cognitive measurements were significantly associated with an unfavorable home environment, illiteracy, and low income.…”

Section: Discussionmentioning

confidence: 66%

“…Although Sociedade Brasileira de Pediatria (the Brazilian Pediatrics Society) has specific guidelines for the follow-up of preterm neonates after discharge from a neonatal intensive care unit (NICU), many neonates are left without appropriate attention to long-term follow-up. 9 Given the great effect of LBW and/or prematurity on children's neurodevelopment, it is extremely necessary to conduct studies on these phenomena in greater depth in more heterogeneous populations such as the ones from underprivileged countries.…”

Section: Introductionmentioning

confidence: 99%

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Motor and cognitive outcomes of neonates with low birth weight in Brazil: a systematic review and meta-analysis

et al. 2023

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Background Data on the outcomes of preterm newborns in South American countries are scarce. Given the great effect of low birth weight (LBW) and/or prematurity on children's neurodevelopment, it is extremely necessary to conduct studies on these phenomena in greater depth in more heterogeneous populations such as those ones from countries with limited resources. Methods We conducted a comprehensive literature search on databases including PubMed, the Cochrane Library, and Web of Science for articles published in Portuguese and English up to March 2021 involving children born and evaluated in Brazil. The analysis of the risk of bias was adapted from the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement and used to evaluate the methodology of the included studies. Results From the eligible trials, 25 articles were selected for qualitative synthesis, and 5 of those, for quantitative synthesis (meta-analysis). The meta-analyses showed that children born with LBW presented lower scores on motor development when compared with controls (standardized mean difference: −1.15; 95% confidence interval [95%CI]: −1.56–−0.73]; I2: 80%) and also scored lower in terms of cognitive development (standardized mean difference: −0.71; 95% CI: −0.99–−0.44; I2: 67%). Conclusion The results of the present study reinforce that impaired motor and cognitive functions can be a significant long-term outcome of LBW. The lower the gestational age at delivery, the higher the risk of impairment in those domains. The study protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database under number CRD42019112403.

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