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Risk factors associated with developmental abnormalities among high-risk children attended at a multidisciplinary

Rosa Resegue1, Rosana Fiorini Puccini, Edina Mariko Koga da Silva

  • 1Universidade Federal de São Paulo, Escola Paulista de Medicina, Embu, São Paulo, Brazil. rresegue@uol.com.br

Sao Paulo Medical Journal = Revista Paulista De Medicina
|April 22, 2008
PubMed

Insights

Low birth weight and perinatal asphyxia are key risk factors for child developmental abnormalities. Early identification and focused care for these infants are crucial for better developmental outcomes.

Area of Science:

  • Pediatrics
  • Developmental Pediatrics
  • Public Health

Background:

  • Child development disorders pose significant challenges to healthcare.
  • Identifying risk factors is crucial for effective early intervention and high-quality childcare.

Purpose of the Study:

  • To investigate the association between various risk factors and the incidence of developmental abnormalities in children.
  • To identify specific risk factors that predict developmental abnormalities in a high-risk pediatric population.

Main Methods:

  • Retrospective study conducted at a multidisciplinary reference center.
  • Analysis of 211 children followed for over three months, examining factors like low birth weight, perinatal asphyxia, and maternal age.
  • Statistical analysis included chi-squared tests and logistic regression for multivariate analysis.

Main Results:

  • Over half (52.6%) of the children studied exhibited developmental abnormalities.
  • Univariate analysis revealed significant links between developmental abnormalities and low birth weight, perinatal asphyxia, prolonged neonatal stay, prematurity, and maternal age.
  • Low birth weight, perinatal asphyxia history, and maternal age remained significant predictors in multivariate analysis.

Conclusions:

  • Low birth weight infants and those with neonatal complications require specialized developmental monitoring.
  • Low birth weight serves as a critical, easily assessable marker for guiding child development follow-up protocols.
Abstract

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