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Is neurodevelopment impaired in Brazilian children with intestinal failure on prolonged parenteral nutrition? A single center study.
Miller, Cristina; Kieling, Renata R; Ziegler, Bruna; Giesta, Juliana M; Signorini, Alana V; Pires, Giovana Q; Feldens, Letícia; Ceza, Marília R; Adami, Marina R; Kieling, Carlos O; Goldani, Helena A S.
Afiliação
  • Miller C; Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. cmiller@hcpa.edu.br.
  • Kieling RR; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Ziegler B; Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Giesta JM; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
  • Signorini AV; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Pires GQ; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Feldens L; Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Ceza MR; Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Adami MR; Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Kieling CO; Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • Goldani HAS; Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Pediatr Surg Int ; 40(1): 120, 2024 May 04.
Article em En | MEDLINE | ID: mdl-38702423
ABSTRACT

PURPOSE:

To assess the neurodevelopment outcomes of children younger than 42 months of age with intestinal failure (IF) using prolonged parenteral nutrition (PN) followed by a Pediatric Multidisciplinary Intestinal Rehabilitation Program from a public tertiary hospital in Brazil.

METHODS:

Bayley III scale was administered in children aged 2 to 42 months with IF and receiving PN for more than 60 days. Composite scores in cognitive, motor, and language domains were analyzed. Developmental delay was defined as a performance 2 standard deviations (SD) below the average at the 3 domains. Association between Bayley III composite scores and clinical variables related to IF were tested.

RESULTS:

Twenty-four children with median (IQR) age of 17.5 months (9-28.5) were studied, 58.3% were male. Developmental delay was found in 34%, 33% and 27% of the patients in cognitive, motor, and language domains, respectively. There was no significant association between the Bayley-III composite scores and length of hospitalization, prematurity, and number of surgical procedures with anesthesia.

CONCLUSION:

The study demonstrated impairments in the cognitive, motor and language domains in approximately one-third of young patients with IF on prolonged PN.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nutrição Parenteral / Insuficiência Intestinal Limite: Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Pediatr Surg Int Assunto da revista: PEDIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nutrição Parenteral / Insuficiência Intestinal Limite: Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Pediatr Surg Int Assunto da revista: PEDIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha