Riesgo de déficits en el desarrollo en los prematuros tardíos: evaluación a los 48 meses mediante el Ages & Stages Questionnaires®

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dc.contributor.authorDemestre, Xavier
dc.contributor.authorSchonhaut, Luisa
dc.contributor.authorMorillas, Jordi
dc.contributor.authorMartínez-Nadal, Silvia
dc.contributor.authorVila, Clara
dc.contributor.authorRaspall, Frederic
dc.contributor.authorSala, Pere
dc.date.accessioned2016-05-18T14:48:18Z
dc.date.available2016-05-18T14:48:18Z
dc.date.issued2016
dc.description.abstractINTRODUCTION: Lack of specific monitoring protocols hinders the knowledge of the impact of late prematurity on delayed psychomotor development. The objective of this study is to evaluate this at 48 months and compare it with those born at term. POPULATION AND METHODS: A retrospective cohort study was conducted on 90 late preterm (PT) and 89 term (AT) healthy children at 48 months, assessed by the Ages & Stages Questionnaires® (ASQ-3). Continuous variables described using mean and standard deviation compared with the t Student t test for independent samples. The categorical variables were described as frequencies and proportions, compared with the Chi-square test of independence. A cut-off was determined for the total score of ASQ-3 able to discriminate the risk of developmental deficit by a ROC analysis. A step-wise logistic regression model identified the associated risk factors. RESULTS: The mean scores for each domain and overall ASQ-3 score showed no differences between groups. However, when analyzing the probability density for the ASQ-3 total score of ≤251 points, 15 PT (16.6%) and 4 AT (4.5%) showed risk of psychomotor deficits, and late prematurity and lack of breastfeeding were significantly associated factors. CONCLUSIONS: There is an increased prevalence of risk of development deficit in the PT, which justifies considering this population at risk and establishing effective monitoring programs. It should be further investigated whether this risk corresponds to the entire population, or if there are biological factors or perinatal history that makes them more vulnerable.
dc.identifier.citationDemestre X, Schonhaut L, Morillas J, Martínez-Nadal S, Vila C, Raspall F, Sala P. Riesgo de déficits en el desarrollo en los prematuros tardíos: evaluación a los 48 meses mediante el Ages & Stages Questionnaires® [Development deficit risks in the late premature newborn: Evaluation at 48 months using the Ages & Stages Questionnaires®]. An Pediatr (Barc). 2016 Jan;84(1):39-45
dc.identifier.urihttp://hdl.handle.net/11447/271
dc.identifier.urihttp://dx.doi.org/10.1016/j.anpedi.2015.02.017
dc.language.isospa
dc.publisherAsociación Española de Pediatría. Published by Elsevier España, S.L.U
dc.subjectAges & Stages Questionnaires®
dc.subjectFollow up
dc.subjectLate preterm
dc.subjectPrematuro tardío
dc.subjectSeguimiento
dc.titleRiesgo de déficits en el desarrollo en los prematuros tardíos: evaluación a los 48 meses mediante el Ages & Stages Questionnaires®
dc.title.alternativeDevelopment deficit risks in the late premature newborn: Evaluation at 48 months using the Ages & Stages Questionnaires®
dc.typeArtículo

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