Neurological assessment of preterm newborns with bronchopulmonary dysplasia / Avaliação neurologica de recem-nascidos pre-termo com displasia broncopulmonar

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

Preterm newborns corresponds to 7 to 10% of all births, but concentrates approximately 85% of all perinatal complications, with high risk of pulmonary injuries development, mainly bronchopulmonary dysplasia (BPD), and in the central nervous system. This study objective describes and compares preterm newborns neurological assessment with and without BPD. Preterm newborns with birth weight less than 1.500g and gestational age less than 32 weeks were evaluated by Dubowitz Method, with 40 weeks corrected gestational age, at Centro de Atenção Integral a Saúde da Mulher (CAISM) - UNICAMP. Dubowitz Neurological Assessment was used, consisting of 34 items, which 29 were evaluated, grouped in 6 categories: tone, tone patterns, reflexes, movements, abnormal signs and behavior. Newborn behavioral state was graded in 6 degrees defined by BRAZELTON (1973). From January 2005 to September 2007, twenty four newborns with average birth age of 28 weeks (+- 1,38) from BPD group and 31 weeks (+- 1,44) from control group were evaluated; Study?s group mean weight was 884g (+- 202g) and control?s group was 1.156g (+- 216g). Eighteen from 29 checked items were classified as homogeneous among groups (p = 1.00) and general score on two groups were not significantly different (p = 0.30). When analyzed in descriptive manner, the data showed greater abnormality percentage on the BPD group in eight items. The neurological assessment using Dubowitz Neurological method on preterm newborns with and without BPD does not show differences from 40 weeks corrected gestational age

ASSUNTO(S)

recem-nascidos bronchopulmonary dysplasia newborn displasia broncopulmonar

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