Repositorio
Institucional

Martinez-Nadal, Silvia

Demestre, Xavier#Schonhaut, Luisa#Munoz, Sergio R.#Sala, Pere

Impact of neonatal morbidity on the risk of developmental delay in late preterm infants

ELSEVIER IRELAND LTD

EARLY HUMAN DEVELOPMENT

en

Background: Late preterm infants (LPI) have a higher risk of developmental delay (DD) than term-born infants. The association of perinatal complications with specific morbidity is not clear. Aim: (1) To compare the risk of DD at 4 years of age between LPI who have presence or absence of any morbidity associated with the prematurity at birth, called complicated (cLPI) or uncomplicated (uLPI), and term-born infants, (2) to determine maternal and perinatal factors associated with risk of DD, and (3) to analyze, in LPI, the association between perinatal morbidity and risk of DD. Methods: A retrospective cohort study including 163 LPI - 47 cLPI and 116 uLPI - and 158 term-born infants (Terms) was conducted. Parents completed the Ages & Stages Questionnaires (R) 3rd Spanish version (ASQ3). Risk of DD was defined as the presence of any ASQ3 domain scoring below the mean minus 2 SD. Association between risk of DD and maternal and perinatal factors was analysed using a multivariate logistic model. Incidence of risk of DD was analysed according to specific morbidity. Results: Compared to Terms, cLPI have a higher risk of DD in the communication domain. Respiratory pathology was associated with a higher risk in the communication domain. Caesarean delivery was the only maternal perinatal risk factor for DD, especially in gross motor domain. Conclusions: At the age of 4 years cLPI, especially those with respiratory morbidity, had a higher risk of communication delay. Caesarean delivery was the only perinatal risk factor associated with risk of DD.

Artículo original

10.1016/j.earlhumdev.2017.11.001

pdf

Late preterm# Neonatal morbidity# Ages and stages questionnaires# Follow-up# Preschoolers# Developmental delay

http://dx.doi.org/10.1016/j.earlhumdev.2017.11.001

Obstetrics & Gynecology# Pediatrics

Prematuro tardío# Morbilidad neonatal# Cuestionarios de edades y etapas# Hacer un seguimiento# Niños en edad preescolar# Retraso en el desarrollo

Pediatría

Otros Temas de Medicina Clínica

Otras Especialidades de la Psicología

WOS:000426235000007

Impact of neonatal morbidity on the risk of developmental delay in late preterm infants

Artículo original

version publicada

ELSEVIER IRELAND LTD

EARLY HUMAN DEVELOPMENT

Obstetricia y Ginecología# Pediatría

0378-3782

en

pdf

hibrida#verde

metadata

metadata

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