Seguimiento neurológico de recién nacidos menores de 1.500 gramos a los dos años de edad

Preterm Infants’ Follow-Up Program at a Public Hospital in Buenos Aires: Two-Decade Study

“…In our research the percentage of rehospitalizations oscillated around 20%-40 % for the 1 st YOL downing to [35]. Alike results obtained Arce Casas et al (2003) [25].…”

“…Arce Casas, Iriondo-Sanz & Krauel-Vidal (2003) observed an important increase in the survival rate between 1988 and 1999 for <1000g infants, specifically 13% for <750g and 46% for 750-999g infants [25]. In the same way, our survival augmented 11% and 22% between 2Q and 3Q.…”

“…However, these had to cease because of insecurity issues in our patients´ neighborhoods. Lost to follow-ups lingered around 20% along the years, comparatively to other study which reported 16% [25]. Furthermore, during the 2 nd year of CA, there was a rise in the abandonment of the follow-up program during 2Q and 3Q.…”

“…The fact that no cerebral ecographies were performed during the first decade must be taken in consideration. Ecography is considered by many authors as a strong predictor for neurological sequelae [25]. In spite of the fact that the incidence of IVH may decrease, the risk in these population rises with the survival of smaller GA children.…”

“…Severe neurodevelopmental impairment decreased from 38% to 19% [33]. Arce Casas et al (2003) noted sequelae in 20.2 % of VLBWI at 2 years of age, 9 % of them being of severe nature [43]. Similarly, another research described an 11% incidence of severe and 24% of moderate disability [2].…”