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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Investigation of neurodevelopment delay etiology: resources and challenges]
Luiza Helena Acerbi Caram1, Carolina Araújo Rodrigues Funayama, Cleide Iris Spina
1Departamento de Neurologia Psiquiatria e Psicologica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Hospital das Clinicas, Campus-14048-900 Ribeirão Preto SP, Brazil.
Insights
This study on childhood development delay highlights that environmental and genetic factors are key causes. Specialist evaluation and better healthcare information flow are crucial for accurate diagnosis in young children.
Area of Science:
- Pediatrics
- Infantile Neurology
- Clinical Genetics
Context:
- Study conducted in a tertiary healthcare setting.
- Involved 73 children aged 1-47 months.
- Data collected between 1999-2001.
Purpose:
- To assess the diagnostic investigation of developmental delay.
- To identify contributing factors and causes in young children.
- To evaluate the role of various diagnostic methods.
Summary:
- Six groups identified: motor disturbances, dysmorphisms, malnutrition, macrocephaly, microcephaly, and motor delay.
- Brain imaging was vital for motor disturbances and macrocephaly.
- Physical examination and maternal data were key for other groups.
- Identified causes in 66% of cases: 38.4% environmental, 24.6% genetic.
Impact:
- Emphasizes the importance of specialist evaluation in diagnosing developmental delays.
- Highlights the need for improved information exchange within healthcare networks.
- Provides insights into the etiology of developmental delays in early childhood.
Abstract:
To verify the reach of development delay investigation, we brought the experience in the pediatrics, infantile neurology and clinical genetics diagnoses, with resources of a tertiary health care, in 73 children, from 1 to 47 months age, between 1999 and 2001, attending a Stimulation Program of the Association of Parents and Friends of Exceptional Children of Batatais-SP. With a transversal and prospective method, six groups were identified: motor disturbances, dysmorphisms, malnutrition, macrocephaly, microcephaly and motor delay. In the analysis of the contribution of the antecedents, physical or laboratory exams to the diagnosis, it stands out the brain image in the groups "motor disturbances" and "macrocephaly"; and for the remaining groups, the physical examination and maternal data. The causes were detected in 48 (66%), being 38.4% of environmental and 24.6% genetics origin. It is emphasized the specialist evaluation, and the need of appropriate flow of information in the net of health.
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