Growth and development in infants with a history of hypoxic-ischemic encephalopathy

Introduction: Hypoxic-ischemic encephalopathy (HIE) represents one of the main causes of childhood mortality and disability, with important repercussions on the areas that make up integral growth and development. Objective: To analyze the relationship between physical growth patterns and development...

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Detalles Bibliográficos
Autores: Hernández Real, Miguel Ángel, Muñoz Ledo Rábago, Patricia, Sánchez Jesús, María Magdalena, Mandujano Valdés, Mario Antonio, Figueroa Olea, Miriam, Rodríguez Flores, María Bartola
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:México
Institución:UNIVERSIDAD AUTÓNOMA DE NUEVO LEÓN
Repositorio:Revista Salud Pública y Nutrición
Idioma:español
OAI Identifier:oai:respyn.uanl.mx:article/787
Acceso en línea:https://respyn.uanl.mx/index.php/respyn/article/view/787
Access Level:acceso abierto
Palabra clave:Hypoxic ischemic encephalopathy
Therapeutic hypothermia
Child growth and development
Encefalopatía hipóxico-isquémica
Hipotermia terapéutica
Crecimiento y desarrollo infantil
Descripción
Sumario:Introduction: Hypoxic-ischemic encephalopathy (HIE) represents one of the main causes of childhood mortality and disability, with important repercussions on the areas that make up integral growth and development. Objective: To analyze the relationship between physical growth patterns and development during the first 24 months in infants with a history of HIE treated with therapeutic hypothermia (HT). Material and methods: Case review study in a non-random sample of 50 infants with a history of HIE treated with HT. Growth was evaluated through the WHO (2006) and INTERGROWTH-21st standards. To measure development, the Gesell Scale was used, obtaining odds ratios to analyze the association between the variables. Results: Growth alterations and delays in child development were a frequent condition throughout the follow-up in the study cases. Statistically significant associations were observed between intrauterine growth restriction (OR=5.00; 95% CI: 1.36-18.34), the trends of decrease in the growth line in the weight for age indicator (OR=10.0; 95% CI: 1.78- 56.15) and the prevalence of moderate and severe developmental delay. Conclusion: Infants with growth impairment have a higher prevalence of moderate and severe developmental delays during the first months of life.