Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por eng |
| Título da fonte: | Fisioterapia e Pesquisa |
| DOI: | 10.1590/1809-2950/18039627012020 |
| Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/186938 |
Resumo: | Congenital heart defects (CHD) are among the main causes of morbidity and mortality in infants who has this impairment may present delays in neuropsychomotor development (NPMD). This study assesses the influence of CHD on NPMD of infants. This is an observational study assessing neuropsychomotor development performed by Bayley Scales of Infant and Toddler Development - BSID-III. The Brazilian Economic Classification Criteria was used to verify the socioeconomic status of the families and also the maternal and infants’ clinical conditions were verified in the medical discharge report and in the child’s health handbook. For the association between the quantitative and qualitative variables with the NPMD, the Spearman’s correlation coefficient and the likelihood ratio test were used. A total of 18 infants were assessed, with a predominance of females (72.2%). Most mothers (47.1%) had complete high school or incomplete higher education, with a mean age of 27.2±5.5 years. There was a correlation between the BSID-III scales and the quantitative variables analyzed: motor scale with weight (p=0.02 and r=0.54) and oxygen therapy (p=0.009 and r=−0.591); besides that, the qualitative variables correlation were: motor scale and socioeconomic condition (p=0.015), motor scale and Interatrial Communication - IAC (p=0.023) and language with IAC scales (p=0.038). CHD influences the delay of NPMD, mainly for motor aspect. Furthermore, weight, diagnosis of IAC, use of oxygen therapy and socioeconomic status were considered the main risk factors for the delay in NPMD. |
| id |
USP-9_65a28f009df1728272412413a98f66b4 |
|---|---|
| oai_identifier_str |
oai:revistas.usp.br:article/186938 |
| network_acronym_str |
USP-9 |
| network_name_str |
Fisioterapia e Pesquisa |
| spelling |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentesInfluence of congenital heart disease on the neuropsychomotor development of infantsInfluencia de la cardiopatía congénita en el desarrollo neuropsicomotor de los lactantesHeart DefectsCongenitalChild DevelopmentInfantCardiopatías CongénitasDesarrollo InfantilLactanteCardiopatias CongênitasDesenvolvimento InfantilLactenteCongenital heart defects (CHD) are among the main causes of morbidity and mortality in infants who has this impairment may present delays in neuropsychomotor development (NPMD). This study assesses the influence of CHD on NPMD of infants. This is an observational study assessing neuropsychomotor development performed by Bayley Scales of Infant and Toddler Development - BSID-III. The Brazilian Economic Classification Criteria was used to verify the socioeconomic status of the families and also the maternal and infants’ clinical conditions were verified in the medical discharge report and in the child’s health handbook. For the association between the quantitative and qualitative variables with the NPMD, the Spearman’s correlation coefficient and the likelihood ratio test were used. A total of 18 infants were assessed, with a predominance of females (72.2%). Most mothers (47.1%) had complete high school or incomplete higher education, with a mean age of 27.2±5.5 years. There was a correlation between the BSID-III scales and the quantitative variables analyzed: motor scale with weight (p=0.02 and r=0.54) and oxygen therapy (p=0.009 and r=−0.591); besides that, the qualitative variables correlation were: motor scale and socioeconomic condition (p=0.015), motor scale and Interatrial Communication - IAC (p=0.023) and language with IAC scales (p=0.038). CHD influences the delay of NPMD, mainly for motor aspect. Furthermore, weight, diagnosis of IAC, use of oxygen therapy and socioeconomic status were considered the main risk factors for the delay in NPMD.As cardiopatias congênitas (CC) estão entre as principais causas de morbimortalidade na primeira infância e os lactentes com essa condição podem apresentar atrasos no desenvolvimento neuropsicomotor (DNPM). O objetivo deste estudo foi avaliar a influência da CC no DNPM de lactentes. Trata-se de um estudo observacional com avaliação do desenvolvimento neuropsicomotor realizada pela Bayley Scales of Infant and Toddler Development (BSID-III). As condições maternas e clínicas dos lactentes foram verificadas no relatório de alta médica e na caderneta de saúde da criança, e a condição socioeconômica das famílias pelo Critério da Classificação Econômica Brasil. Para associar as variáveis clínicas e o DNPM foram utilizados o coeficiente de correlação de Spearman e o teste de razão de verossimilhança. Foram avaliados 18 lactentes, com predomínio do sexo feminino (72,2%). A maioria das mães (47,1%) possuía ensino médio completo ou superior incompleto, com média da idade de 27,2±5,5 anos. Houve correlação das escalas do BSID-III com as variáveis quantitativas analisadas: escala motora com o peso (p=0,02 e r=0,54) e com uso de oxigenoterapia (p=0,009 e r=−0,591); já para as variáveis qualitativas as associações foram entre: escala motora e condição socioeconômica (p=0,015), escala motora e comunicação interatrial - (CIA) (p=0,023) e escala da linguagem e CIA (p=0,038). A CC influenciou o DNPM, principalmente no aspecto motor. Além disso peso, diagnóstico de CIA, uso de oxigenoterapia e condição socioeconômica foram considerados como principais fatores de risco para o atraso no DNPM.Las cardiopatías congénitas (CC) se encuentran entre las principales causas de morbimortalidad en la primera infancia, y los lactantes con esta afección pueden tener retrasos en el desarrollo neuropsicomotor (DNPM). El presente estudio tuvo el objetivo de evaluar la influencia de las CC en el DNPM de los lactantes. Este es un estudio observacional en el cual se evaluó el desarrollo neuropsicomotor utilizando la Bayley scales of infant and toddler development (BSID-III). Las condiciones maternas y clínicas de los lactantes se obtuvieron en el informe de alta médica y en la libreta de salud del niño, y el estado socioeconómico de las familias en el Criterio de Clasificación Económica de Brasil. Para asociar las variables clínicas y el DNPM, se utilizaron el coeficiente de correlación de Spearman y la prueba de razón de probabilidad. Se evaluaron a 18 lactantes, con un predominio del sexo femenino (72,2%). La mayoría de las madres (47,1%) tenían la secundaria completa o la educación superior incompleta, con una edad promedio de 27,2±5,5 años. Hubo una correlación entre las escalas BSID-III y las variables cuantitativas analizadas: escala motora con el peso (p=0,02 y r=0,54) y con el uso de oxigenoterapia (p=0,009 y r=−0,591); para las variables cualitativas, las asociaciones fueron entre: escala motora y estado socioeconómico (p=0,015), escala motora y comunicación interauricular (CIA) (p=0,023) y escala de lenguaje y CIA (p=0,038). Las CC influyeron en el DNPM, principalmente en el aspecto motor. Además, el peso, el diagnóstico de CIA, el uso de oxigenoterapia y el estado socioeconómico fueron considerados los principales factores de riesgo para el retraso en el DNPM.Universidade de São Paulo. Faculdade de Medicina2020-02-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/18693810.1590/1809-2950/18039627012020Fisioterapia e Pesquisa; v. 27 n. 1 (2020); 41-47Fisioterapia e Pesquisa; Vol. 27 No. 1 (2020); 41-47Fisioterapia e Pesquisa; Vol. 27 Núm. 1 (2020); 41-472316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/fpusp/article/view/186938/172500https://www.revistas.usp.br/fpusp/article/view/186938/172501Copyright (c) 2020 Ítalo Ribeiro Paula, anaína Carla Silva Oliveira, Ana Carolina Ferreira Batista, Lizandra Caroline Santana Nascimento, Lúcio Borges de Araújo, Márcia Berbert Ferreira, Miria Benincasa Gomes, Vivian Mara Gonçalves de Oliveira Azevedohttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessPaula, Ítalo RibeiroOliveira, Janaína Carla SilvaBatista, Ana Carolina FerreiraNascimento, Lizandra Caroline Santana Araújo, Lúcio Borges deFerreira, Márcia Berbert Gomes, Miria Benincasa Azevedo, Vivian Mara Gonçalves de Oliveira2023-05-26T13:07:53Zoai:revistas.usp.br:article/186938Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-05-26T13:07:53Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
| dc.title.none.fl_str_mv |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes Influence of congenital heart disease on the neuropsychomotor development of infants Influencia de la cardiopatía congénita en el desarrollo neuropsicomotor de los lactantes |
| title |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes |
| spellingShingle |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes Paula, Ítalo Ribeiro Heart Defects Congenital Child Development Infant Cardiopatías Congénitas Desarrollo Infantil Lactante Cardiopatias Congênitas Desenvolvimento Infantil Lactente Paula, Ítalo Ribeiro Heart Defects Congenital Child Development Infant Cardiopatías Congénitas Desarrollo Infantil Lactante Cardiopatias Congênitas Desenvolvimento Infantil Lactente |
| title_short |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes |
| title_full |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes |
| title_fullStr |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes |
| title_full_unstemmed |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes |
| title_sort |
Influência da cardiopatia congênita no desenvolvimento neuropsicomotor de lactentes |
| author |
Paula, Ítalo Ribeiro |
| author_facet |
Paula, Ítalo Ribeiro Paula, Ítalo Ribeiro Oliveira, Janaína Carla Silva Batista, Ana Carolina Ferreira Nascimento, Lizandra Caroline Santana Araújo, Lúcio Borges de Ferreira, Márcia Berbert Gomes, Miria Benincasa Azevedo, Vivian Mara Gonçalves de Oliveira Oliveira, Janaína Carla Silva Batista, Ana Carolina Ferreira Nascimento, Lizandra Caroline Santana Araújo, Lúcio Borges de Ferreira, Márcia Berbert Gomes, Miria Benincasa Azevedo, Vivian Mara Gonçalves de Oliveira |
| author_role |
author |
| author2 |
Oliveira, Janaína Carla Silva Batista, Ana Carolina Ferreira Nascimento, Lizandra Caroline Santana Araújo, Lúcio Borges de Ferreira, Márcia Berbert Gomes, Miria Benincasa Azevedo, Vivian Mara Gonçalves de Oliveira |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
Paula, Ítalo Ribeiro Oliveira, Janaína Carla Silva Batista, Ana Carolina Ferreira Nascimento, Lizandra Caroline Santana Araújo, Lúcio Borges de Ferreira, Márcia Berbert Gomes, Miria Benincasa Azevedo, Vivian Mara Gonçalves de Oliveira |
| dc.subject.por.fl_str_mv |
Heart Defects Congenital Child Development Infant Cardiopatías Congénitas Desarrollo Infantil Lactante Cardiopatias Congênitas Desenvolvimento Infantil Lactente |
| topic |
Heart Defects Congenital Child Development Infant Cardiopatías Congénitas Desarrollo Infantil Lactante Cardiopatias Congênitas Desenvolvimento Infantil Lactente |
| description |
Congenital heart defects (CHD) are among the main causes of morbidity and mortality in infants who has this impairment may present delays in neuropsychomotor development (NPMD). This study assesses the influence of CHD on NPMD of infants. This is an observational study assessing neuropsychomotor development performed by Bayley Scales of Infant and Toddler Development - BSID-III. The Brazilian Economic Classification Criteria was used to verify the socioeconomic status of the families and also the maternal and infants’ clinical conditions were verified in the medical discharge report and in the child’s health handbook. For the association between the quantitative and qualitative variables with the NPMD, the Spearman’s correlation coefficient and the likelihood ratio test were used. A total of 18 infants were assessed, with a predominance of females (72.2%). Most mothers (47.1%) had complete high school or incomplete higher education, with a mean age of 27.2±5.5 years. There was a correlation between the BSID-III scales and the quantitative variables analyzed: motor scale with weight (p=0.02 and r=0.54) and oxygen therapy (p=0.009 and r=−0.591); besides that, the qualitative variables correlation were: motor scale and socioeconomic condition (p=0.015), motor scale and Interatrial Communication - IAC (p=0.023) and language with IAC scales (p=0.038). CHD influences the delay of NPMD, mainly for motor aspect. Furthermore, weight, diagnosis of IAC, use of oxygen therapy and socioeconomic status were considered the main risk factors for the delay in NPMD. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020-02-02 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/186938 10.1590/1809-2950/18039627012020 |
| url |
https://www.revistas.usp.br/fpusp/article/view/186938 |
| identifier_str_mv |
10.1590/1809-2950/18039627012020 |
| dc.language.iso.fl_str_mv |
por eng |
| language |
por eng |
| dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/186938/172500 https://www.revistas.usp.br/fpusp/article/view/186938/172501 |
| dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-sa/4.0 info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
https://creativecommons.org/licenses/by-sa/4.0 |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
| publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
| dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; v. 27 n. 1 (2020); 41-47 Fisioterapia e Pesquisa; Vol. 27 No. 1 (2020); 41-47 Fisioterapia e Pesquisa; Vol. 27 Núm. 1 (2020); 41-47 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
| instname_str |
Universidade de São Paulo (USP) |
| instacron_str |
USP |
| institution |
USP |
| reponame_str |
Fisioterapia e Pesquisa |
| collection |
Fisioterapia e Pesquisa |
| repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
| repository.mail.fl_str_mv |
||revfisio@usp.br |
| _version_ |
1822183998811537408 |
| dc.identifier.doi.none.fl_str_mv |
10.1590/1809-2950/18039627012020 |