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.
Abstract

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