Early diagnosis of abnormal development of preterm newborns: assessment instruments

Santos, Rosana Silva dos; Araujo, Anna Carla; Porto, Maria Amélia Sayeg

doi:10.2223/jped.1815

Cited by 44 publications

(62 citation statements)

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“…The Denver developmental screening test (DDST) is one of the most common scales used for developmental evaluation of children with neurological disorders [28]. Amongst all the children screened, more than half of them had a developmental delay with moderate and severe delays predominating.…”

Section: Discussionmentioning

confidence: 99%

Causes of developmental delay in children of 5 to 72 months old at the child neurology unit of Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon)

Nguefack¹,

Kamga²,

Moifo³

et al. 2013

OJPed

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Background: According to the World Health Organization, about 5% of children world-wide of 14-year-old and under have a moderate to severe developmental disability, and up to 15% of children under 5-year-old are developmentally delayed. Purpose: To determine the prevalence, socio-demographic profile, aetiologies, and the clinical presentation of developmental delay in children less than 6-year-old at the child neurology unit in a university-affiliated hospital in Yaounde. Materials and methods: It was a crosssectional descriptive study carried out in Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon) from August to December 2012. Children aged between 5 -72 months with a developmental quotient less than 70 were enrolled. Developmental delay (DD) was diagnosed and classified using the Denver developmental screening test (DDST). Data concerning the child (age, gender, severity of DD), the mother (age, age at conception, educational level, marital status), history of pregnancy and delivery, perinatal and postnatal events, results of para-clinical explorations (EEG, CT-scan, genetic tests), the severity of DD and the probable or demonstrate cause of DD were recorded on a standardized questionnaire. The chisquare test was used to compare variables. Results: During the study period, 2171 children aged 5 -72 months consulted the paediatric department of the hospital, 296 were examined at the child neurology unit of which 153 had a developmental quotient less than 70, giving a hospital prevalence of 7.0% and a prevalence of 51.7% at the child neurology unit. The mean age was 26.6 ± 18.0 months and there were 56% males. The main reason for consulting was tonus disorder (43.8%) and the developmental area of parental concern was the motor domain (90.2%). Regarding the clinical presentation, 75.2% of our population were children with cerebral palsy. DD was severe, mild, moderate and profound respectively in 14.2%, 13.5%, 12.2%, and 11.1%. Gross DD represented 90.2% of all DD children. The causes of DD were hypoxic-ischemic encephalopathy (41.8%), epilepsy (13.7%), sequelae of meningitis (6.5%), sequelae of kernicterus (6.5%), and infectious embryofoetopathies (5.2%). Conclusion: Developmental delay is frequent in paediatric neurology, with perinatal disorders being the leading aetiologies in Cameroon. Prevention of perinatal hypoxic-ischemic encephalopathy risk factors needs to be reinforced.

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Section: Discussionmentioning

confidence: 99%

Causes of developmental delay in children of 5 to 72 months old at the child neurology unit of Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon)

Nguefack¹,

Kamga²,

Moifo³

et al. 2013

OJPed

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Section: Introductionmentioning

confidence: 99%

“…These conditions that increase the chances of the child presenting speech-language disorders and that can be avoided, controlled, or treated. Risk is deined as the chance of a child exposed to certain factors (environmental or biological) to acquire or develop speech-language disorders [5].Pre-, peri-, and post-natal events, such as prematurity, low birth weight, complications in pregnancy and childbirth, are considered biological risks for these disorders. Among the environmental risk factors, low socioeconomic status, schooling, and fragility in family ties are mentioned.…”

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confidence: 99%

“…Among the environmental risk factors, low socioeconomic status, schooling, and fragility in family ties are mentioned. There is often a concomitance of the two types of risk, causing a cumulative efect [5,6].For the identiication of risk factors, understanding as essential for the design of care processes for the population, the Protocol for the Identiication of Risk Factors for Language and Speech Disorders (PIFRAL) was proposed [7]. This protocol consists of a form with 29 items administered to parents/guardians of children (Annex A) and includes sociodemographic issues (age, gender, declared race and schooling of the child, age, schooling and profession of parents, place of residence), about the family information (number of siblings, birth order, twinning, time spent with the children, language used at home), on pre-, peri-, and post-natal periods, and temperament of the child [7].…”

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confidence: 99%

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Risk Factors for Speech-Language Pathologies in Children

Molini-Avejonas¹,

Ferreira²,

Amato³

2017

Advances in Speech-Language Pathology

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Risk factors are understood to encompass "aspects of individual behavior or lifestyle, environmental exposure, hereditary or congenital characteristics that are associated with a health related condition". These are conditions that increase the chances of the child presenting speech-language disorders and that can be avoided, controlled, or treated. Risk is deined as the chance of a child exposed to certain factors (environmental or biological) to acquire or develop speech-language disorders. The objectives of the present study were: to identify the risk factors for speech-language disorders in children up to ive years of age and to verify the relationship between risk factors and speech-language diagnostic hypotheses. The aspects of being male gender, prematurity, shyness, being an only child or youngest child, presenting deleterious oral habits, having a family history of speechlanguage disorders, and use of licit or illicit drugs during pregnancy seem to be the factors that should draw the atention of the health professionals in child development.Therefore, the monitoring of children who have these risk factors should be performed in order to promote the necessary stimulation and the construction of healthy environments.Keywords: risk factors, language development, child development, language development disorders, speech disorders IntroductionSpeech therapy, as a communication science, has a broad perspective on health systems and services at the three levels of care (primary, secondary, and tertiary). Practices in the aspects of language, voice, hearing, and oral motricity should be addressed to people and social © 2017 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.groups, not only with a clinical perspective, but also through the development of promotion, prevention, atention, and health education actions, which are aligned with the indicators of quality of life and health of the population for which the care proposal [1] will be elaborated.To this end, rather than planning models for identifying the prevalence and incidence of language disorders in children, one must identify the risk factors for these disorders. In the national literature, it is possible to ind studies with this theme, but often associated with a speciic pathology, such as stutering and phonological disorders [2,3].Risk factors are understood to encompass "aspects of individual behavior or lifestyle, environmental exposure, hereditary, or congenital characteristics that are associated with a health related condition" (Health Sciences Descriptors, DECS) [4]. These conditions that increase the chances of the child presenting speech-language disorders and that can be avoided, controlled, or treated. Risk is deined as the chance of a child exposed to certain factors (environmental or biological)...

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“…Systematic evaluation of motor changes and associated morbidities in neonates in the Neonatal Intensive Care Unit (NICU) may provide important information about neurodevelopmental outcomes 1 and may accelerate the initiation of intervention and facilitate the future development of these children 2 . The number of adverse morbidities in the peri-and neonatal periods increases the risk of delayed developmental changes between 18 and 24 months of corrected age 3 .…”

Section: Introductionmentioning

confidence: 99%

Factors Related to Motor Developmental Delay of Newborns

Silva

Neves

Frônio

et al. 2014

J. Hum. Growth Dev.

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Artigo baseado em dissertação de mestrado cujos resultados, discussão e resultados serão apresentados em forma de artigos sendo este um deles. Defesa em 2011. Instituição UFJF. INTRODUCTIONSystematic evaluation of motor changes and associated morbidities in neonates in the Neonatal Intensive Care Unit (NICU) may provide important information about neurodevelopmental outcomes 1 and may accelerate the initiation of intervention and facilitate the future development of these children 2 . The number of adverse morbidities in the peri-and neonatal periods increases the risk of delayed developmental changes between 18 and 24 months of corrected age 3 . Studies demonstrate that newborns from the NICU, mainly the extremely preterm newborns, may have delay in their neuromotor and cognitive development due to their biological characteristics (such as gestational age and birth weight) 4,5 or interventions and complications in the peri-and neonatal periods [6][7][8] . Identifying factors which may increase an infant's risk of delay would allow clinicians to focus on children with higher risk and would also allow the enforcement of preventive measures aiming at avoiding the occurrence of such factors.Evaluations of the practices carried out in the maternal and infant units are widely discussed in developed countries. In developing countries, systematic evaluation is just beginning, and data is available through databases such as the Vermont Oxford Network and the Brazilian Net of Neonatal Research 9 .Studies about the relationship between the delay in developmental motor and events observed during the neonatal period usually involve clinical assessments carried out after hospital discharge. In such cases, the links identified might suffer from the interference of factors that took place between discharge from the NICU and the assessment: socioeconomic and stimulation conditions. Assessing the newborns before hospital discharge may prevent these effects.A development evaluation at the time of discharge from the NICU couldbe used by hospital service to evaluate the discharge conditions of its users and to improve services quality, preventing risk factors to motor development delay in newborns. The aim of this study is to verify the . ABSTRACT Introduction: Studies on the association between motor developmental delay and events observed during the neonatal period are performed after discharge. In such cases, the associations found may be interfered by factors occurring between discharge from the NICU and evaluation. Evaluate newborns before hospital discharge can prevent these effects.The purpose of this study is to identify factors related to motor developmental delay of newborns when being discharged from Neonatal Intensive Care Unit. The method chosen to carry out this investigation was a prospective cohort, populationbased and analytic-descriptive study, and 178 newborns were assessed through the Test of Infant Motor Performance. Binomial logistic regression has been developed for analyzing the associated factors. Among th...

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Early diagnosis of abnormal development of preterm newborns: assessment instruments

Cited by 44 publications

References 87 publications

Causes of developmental delay in children of 5 to 72 months old at the child neurology unit of Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon)

Causes of developmental delay in children of 5 to 72 months old at the child neurology unit of Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon)

Risk Factors for Speech-Language Pathologies in Children

Factors Related to Motor Developmental Delay of Newborns

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