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Features of Physical and Psychomotor Development in Children with Brain Ischemia
Guldana O Shoibekova1, Mira N Turbekova2, Farida A Iskakova3
1Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Kazakhstan.
Insights
Brain ischemia in infants can lead to physical disharmony in 19.5% and psychomotor dysfunction in 35%. These developmental issues are linked to maternal factors and infant characteristics, impacting long-term child health.
Area of Science:
- Pediatrics
- Neurology
- Developmental Biology
Background:
- Infant brain ischemia is a significant cause of morbidity and mortality.
- Numerous factors influence the severity and consequences of brain ischemia in children.
- Understanding developmental outcomes is crucial for managing affected infants.
Purpose of the Study:
- To characterize the physical and psychomotor development of children following brain ischemia.
- To identify associations between brain ischemia and developmental outcomes.
- To explore prognostic factors influencing development post-ischemia.
Main Methods:
- Studied 246 full-term infants with mild to moderate brain ischemia (ICD-10 codes: 91.1-91.4).
- Assessed physical development using centile tables and psychomotor development via the Griffiths scale.
- Employed statistical analyses including Pearson chi-square, Kaplan-Meier method, and logistic regression.
Main Results:
- Prevalence of physical disharmony was 19.5%; psychomotor dysfunction was 35.0%.
- Significant association found between physical and psychomotor development (P ≤ 0.001).
- Factors influencing outcomes included female sex, advanced maternal age, lower birth weight, and complicated childbirth.
Conclusions:
- Brain ischemia is associated with significant rates of physical disharmony and psychomotor dysfunction.
- Developmental issues are interrelated with maternal and infant prognostic characteristics.
- Combined physical and psychomotor dysfunction occurred in 11.8% of cases.
Background:
Brain ischemia is one of the leading causes of morbidity and mortality in infants. Currently, many factors influence the degree of development of ischemia and the consequences affecting the child's body. The purpose of this study was to find the characteristics of the physical and psychomotor development of children with brain ischemia.
Methods:
Based on empirical data, physical (centile tables were used) and psychomotor development (Griffiths scale was used) were studied in 246 full-term children who suffered mild and moderate brain ischemia (ICD-10 codes: 91.1-91.4). There was a frequency of physical disharmony and psychomotor dysfunction, association with each other and the modeling of prognostic characteristics. The following methods were used for the analysis: Pearson chi-square calculation, Kaplan-Meier method and logistic regression.
Results:
The prevalence of physical disharmony in the studied population of children who had cerebral ischemia is 19.5%, and that of psychomotor dysfunction is 35.0%. The results of the analysis indicate the presence of an association between physical development and psychomotor development of children with cerebral ischemia (P ≤ 0.001; %95 CI OR 1.961-7.270). The disharmony of physical development in children with cerebral ischemia is higher in female children (OR = 2.061, CI = 1.002-4.236), and it grows with an increase in the childbearing age of the mother (OR = 1.090, 95% CI = 1.018-4.236) and decreases with a decrease in the birth weight of the child (OR = 0.189, 95% CI = 0.104-0.345). The probability of occurrence of psychomotor dysfunction is higher in children whose mothers had a complicated birth (OR = 2.065, 95% CI = 1.209-3.527).
Conclusion:
In children who have suffered brain ischemia, 1/5 of cases develop physical disharmony, and 1/3 of cases develop psychomotor dysfunction. These long-term consequences studied are interrelated with such prognostic characteristics as childbearing age and complicated childbirth in the mother, as well as the sex and weight of the child. The incidence of a combination of physical disharmony and psychomotor dysfunction in children who have suffered cerebral ischemia is 11.8%.
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