Long term neurodevelopmental outcome of preterm infants with periventricularintraventricular hemorrhage

Yıl 2012, Cilt: 3 Sayı: 3, 326 - 330, 01.09.2012

Erhan Bayram Meral Torun Bayram Yasemin Topcu Semra Hiz Ertan Kayserili

https://doi.org/10.5799/ahinjs.01.2012.03.0172

Öz

Objectives: To determine the neurodevelopmental morbidity of preterm infants with periventricular- intraventricular hemorrhage, at the age of 4. Materials and methods: The patients at the age of 4 were evaluated through neurologic examination and motor assessment by a pediatric neurologist and Denver II Developmental Screening Test by a psychologist. The results were compared with Denver II Developmental Screening Test results which had been made at 3-6 and 6-12 months. Results: Patients with grade ІІІ-ІV Periventricular-Intraventricular Hemorrhage had significantly lower Denver II Developmental Screening Test results at the age of 4, compared with grade І-ІІ Periventricular-Intraventricular Hemorrhage group. Similarly, ≤ 32 weeks patients had significantly lower Denver II Developmental Screening Test at the age of 4 when compared with > 32 weeks patients. Conclusions: Children who were born ≤ 32 gestational weeks and/or patients with grade ІІІ-ІV periventricular-intraventricular Hemorrhage have an increased risk of neurologic impairment. All premature infants should be evaluated by Denver II Developmental Screening Test in early childhood period of life.

Anahtar Kelimeler

Prematurity, periventricular hemorrhage, intraventricular hemorrhage

Periventriküler-intraventriküler kanaması bulunan prematür bebeklerin uzun dönem nörogelişimsel sonuçları

Öz

Amaç: Periventriküler-intraventriküler kanaması bulunan prematüre bebeklerin, 4 yaş, nörogelişimsel morbiditelerinin belirlenmesi. Gereç ve yöntem: Dört yaşındaki hastalar, nörolojik muayene ve motor değerlendirmeleri için bir çocuk nöroloğu tarafından ve Denver II Gelişimsel Tarama Testleri için bir psikolog tarafından değerlendirildi. Sonuçlar, 3-6 ay ve 6-12. ayda yapılan Denver II Gelişimsel Tarama Testleri sonuçları ile karşılaştırıldı. Bulgular: Evre III-IV periventriküler-intraventriküler kanaması bulunan olguların 4 yaşındaki Denver II Gelişimsel Tarama Testleri, evre I-II periventriküler-intraventriküler kanaması bulunan grupla karşılaştırıldığında belirgin olarak geri idi. Aynı şekilde, ≤ 32 hafta doğan olgular > 32 hafta doğanlarla karşılaştırıldığında, 4 yaşındaki Denver II Gelişimsel Tarama Testleri belirgin olarak geri saptandı. Sonuç: Sonuç olarak, ≤ 32 gestasyonel haftada doğan ve/veya evre III-IV periventriküler-intraventriküler kanaması olan olgularda nörolojik etkilenme riski artmaktadır. Bütün prematüre bebkler, erken çocukluk döneminde Denver II Gelişimsel Tarama Testi ile değerlendirilmelidir.

Anahtar Kelimeler

Prematürite, periventriküler kanama, İntraventriküler kanama

Kaynakça

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