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Perinatal and neonatal risk factors for neurodevelopmental outcome in infants in Karaj.
Soleimani, Farin; Vameghi, Roshanak; Hemmati, Sahel; Hemmati, Sahel; Salman-Roghani, Reza.
Afiliación
  • Soleimani F; Pediatric Neurorehabilitation Research Center, Social Welfare and Rehabilitation Sciences University, Tehran, Iran.
Arch Iran Med ; 12(2): 135-9, 2009 Mar.
Article en En | MEDLINE | ID: mdl-19249882
BACKGROUND: Although it is well-known that the incidence of developmental delay in high-risk infants is higher than in low-risk ones, little is known about the risk factors among Iranian infants. The objective of this study was to determine the various pre-, peri-, and neonatal factors in developmental delay in participants and to compare the incidence of each factor with that of the normal population. METHODS: The Infant Neurological International Battery developmental assessment was employed as the diagnostic tool by a team of experts. Neurological examinations were performed and a questionnaire was completed as well. The subjects consisted of 6,150 infants divided into two groups respectively, with normal and abnormal scores for the evaluation over a period of 12 months in city of Karaj (Tehran Province). RESULTS: The mean age of the participants was 39 weeks. Factors associated with a significant increased risk of developmental delay in the studied population included postneonatal seizures (OR=5.54, 95%CI: 3.1 - 9.6), neonatal seizures (OR=4.37, 95%CI: 1.7 - 10.8), preterm delivery (OR=2.52, 95%CI: 1.3 - 4.7), and type II pneumonia (OR=2.39, 95%CI: 1.4 - 3.8). CONCLUSION: To increase the survival rate of neonates and effectiveness of early intervention, the above-mentioned risk factors could be considered as valuable clues. Routine neurodevelopmental screening for neonates and infants for early detection of neurodevelopmental delays is highly recommended. If economic limitations prevent mass-screening of neonates, at least high-risk infants should be routinely re-evaluated.
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Discapacidades del Desarrollo Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies / Screening_studies Límite: Female / Humans / Infant / Male / Newborn / Pregnancy País/Región como asunto: Asia Idioma: En Revista: Arch Iran Med Año: 2009 Tipo del documento: Article País de afiliación: Irán
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Discapacidades del Desarrollo Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies / Screening_studies Límite: Female / Humans / Infant / Male / Newborn / Pregnancy País/Región como asunto: Asia Idioma: En Revista: Arch Iran Med Año: 2009 Tipo del documento: Article País de afiliación: Irán