Cognitive abilities of asphyxiated survivors beyond 5 years of age.
Indian Pediatr
; 1998 Jul; 35(7): 605-12
Article
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| IMSEAR
| ID: sea-10022
ABSTRACT
OBJECTIVE:
To evaluate the intellectual, psychoeducational and social maturity of a cohort of unimpaired asphyxiated survivors beyond 5 years of age.DESIGN:
Case control study on hospital based cohorts on a longitudinal follow up at High Risk and Well Baby Clinics of a teaching hospital.METHODS:
The demographic data of these children was recorded. A detailed physical examination was performed. The tests of cognition included the Stanford Binet and the Raven's Progressive matrices. Academic achievement was evaluated by the Wide range achievement test-Revised (WRAT-R). Assessment of visuo-motor integration was done by the Bender Gestalt Test. The proportion of children having soft neurological signs was determined. Vineland Social Maturity Scale was performed on all children.RESULTS:
Fifty-four asphyxiated and 57 matched control children participated in the study. Of the 54 asphyxiated children, 27 were tested at a mean age of 7.2 +/- 1.6 years (Group 1) and 27 were tested at a mean age of 10.9 +/- 1.52 years (Group 2). The asphyxiated children as a group performed in the normal range on tests of cognition and academic achievement but were significantly disadvantaged (p < 0.005) as compared to controls. A higher percentage of asphyxiated children had low scores on the Bender Gestalt Test as compared to controls but the difference was not significant. A significantly higher proportion of asphyxiated children of both the groups showed the presence of soft neurological signs as compared to controls. Approximately 11% of the asphyxiated children performed in the abnormal range in the Vineland Social Maturity Scale.CONCLUSION:
Cognitive abilities of asphyxiated children beyond the age of 5 years are impaired in comparison to controls, emphasizing the need for early detection and referral for special education.
Texte intégral:
1
Indice:
IMSEAR
Sujet Principal:
Performance psychomotrice
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Asphyxie néonatale
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Femelle
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Humains
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Mâle
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Nouveau-né
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Études cas-témoins
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Enfant
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Comportement de l'enfant
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Développement de l'enfant
Type d'étude:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
langue:
En
Texte intégral:
Indian Pediatr
Année:
1998
Type:
Article