[The neurological and psychomotor evolution at 2 years of age of newborn infants who underwent assisted ventilation].
It is important to evaluate the development of neonates submitted to assisted ventilation since it is one of the most commonly used procedures in patients with respiratory failure. A group of 50 neonates who had been submitted to assisted ventilation were studied and compared to another group of 50 children with the same inclusion criteria, except for the fact that they had not needed ventilation. They were each evaluated since birth and thereafter every two months during their first year of life and every three months in the second year. The Amiel Tison Neurological Assessment was used to evaluate the children during the first year while the Mayo Clinic General Neurological Exploration adapted for nursing children was applied during the following year. In assessing psychomotor development, the Brunette Lezine Scale, standardized for Mexican children, was used. For practical purposes, a sample of the results obtained during the second year are presented while some pertinent variables are commented on. For those included in the ventilated group, results show a higher frequency of hyaline membrane disease (27 cases), intraventricular hemorrhage (19), pneumonia (18), and arterious duct persistence (13). The control group showed the following frequencies, respectively: 0, 4, 5, and 4 cases. The ventilation group was found to have a statistically significant higher relative risk rate (P less than 0.05) and a higher risk for neurologic sequelae (P less than 0.001) when compared to the control group. Asphyxia and hemorrhaging were factors associated and present in the ventilated group (P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
Fernández-Carrocera
L A
LA
Departamento de Seguimiento Pediátrico, Instituto Nacional de Perinatología, México, D.F.
Cano-González
R
R
Ortigosa-Corona
E
E
Barroso-Aguirre
J
J
Udaeta-Mora
E
E
D002657:Child Development; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009422:Nervous System Diseases / Q000453:epidemiology*; D009460:Neurologic Examination; D011446:Prospective Studies; D011596:Psychomotor Disorders / Q000453:epidemiology*; D011597:Psychomotor Performance; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D012307:Risk Factors
Evolución neurológica y psicomotora a los dos años de vida de recién nacidos que fueron sometidos a ventilación asistida.