.: ORİJİNAL ARAŞTIRMA
One-year Neurodevelopmental Outcomes of Term and Preterm Infants at Risk: A Retrospective Study
Riskli Prematüre ve Zamanında Doğan Bebeklerin Bir Yıllık Nörogelişimsel Takibinin Sonuçları: Retrospektif Bir Çalışma
Turkiye Klinikleri J Health Sci. 2021;6(4):820-6
doi: 10.5336/healthsci.2020-79647
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: The aim of this study was to compare motor, cognitive and gross motor development of preterm and term infants with mild-moderate risk factors and typically developing peers. Material and Methods: Forty preterm and 20 term infants with mild to moderate risk factors and 25 typical peers as controls were included in this study. Alberta Infant Motor Scale (AIMS) and Bayley Scales of Infant and Toddler Development-II (BSDI-II) were used at 3., 6., 9., 12. months to assess their motor and cognitive development. Control group was assessed only at 12 months of age. Results: Between the 3. And 12. month of gestational age, within-groups measurements in both cognitive and motor (p<0.001) development scores of BSDI-II were significantly increased in preterm and term infants. At 12 month, the median motor-cognitive development score of BSDI-II of the preterm and term infants at risk and control group were similar (p>0.05). There was no differences in AIMS scores between preterm and term group (p>0.05). However, the AIMS scores in infants at risk was statistically lower than the control group at the age of 12 months (p<0.05). Also, there was a significantly positive correlation between the AIMS and motor-cognitive development score of the BSDI-II scale in infants at risk at 9 and 12 months of corrected age (p<0.05). Conclusion: In infants at risk, delay in gross motor development may be observed in the first year of their life compared to their typical peers. In terms of motor and cognitive development, we could comment that, infants at risk should be followed for a longer period.
Keywords: Premature; infant; development; risk
Objective: The aim of this study was to compare motor, cognitive and gross motor development of preterm and term infants with mild-moderate risk factors and typically developing peers. Material and Methods: Forty preterm and 20 term infants with mild to moderate risk factors and 25 typical peers as controls were included in this study. Alberta Infant Motor Scale (AIMS) and Bayley Scales of Infant and Toddler Development-II (BSDI-II) were used at 3., 6., 9., 12. months to assess their motor and cognitive development. Control group was assessed only at 12 months of age. Results: Between the 3. And 12. month of gestational age, within-groups measurements in both cognitive and motor (p<0.001) development scores of BSDI-II were significantly increased in preterm and term infants. At 12 month, the median motor-cognitive development score of BSDI-II of the preterm and term infants at risk and control group were similar (p>0.05). There was no differences in AIMS scores between preterm and term group (p>0.05). However, the AIMS scores in infants at risk was statistically lower than the control group at the age of 12 months (p<0.05). Also, there was a significantly positive correlation between the AIMS and motor-cognitive development score of the BSDI-II scale in infants at risk at 9 and 12 months of corrected age (p<0.05). Conclusion: In infants at risk, delay in gross motor development may be observed in the first year of their life compared to their typical peers. In terms of motor and cognitive development, we could comment that, infants at risk should be followed for a longer period.
Keywords: Premature; infant; development; risk
ÖZET
Amaç: Bu çalışmanın amacı, hafif veya orta derece risk faktörü olan prematüre ve zamanında doğan bebeklerin ve sağlıklı yaşıtlarının motor, bilişsel ve kaba motor gelişimlerini karşılaştırmaktır. Gereç ve Yöntemler: Bu çalışmaya, hafif ila orta derecede risk faktörleri olan 40 prematüre doğan, 20 zamanında doğan bebek ile 25 zamanında doğan ve risk faktörü olmayan bebek dâhil edildi. Alberta İnfant Motor Skalası (AIMS) ve Bayley Bebek ve Küçük Çocuklar İçin Gelişim Ölçeği-II (Bayley-II) 3, 6, 9 ve 12. aylarda riskli bebeklerin motor ve bilişsel gelişimlerini değerlendirmek için kullanıldı. Kontrol grubu sadece 12 aylıkken değerlendirildi. Bulgular: 3-12. Aylar arasında riskli bebeklerin grup içi Bayley-II motor ve kognitif gelişim puanları anlamlı derecede arttı (p<0,001). On ikinci ayda riskli bebeklerin Bayley-II ortanca motor-bilişsel gelişim skorlarıyla kontrol grubundaki bebeklerin skorları birbiriyle benzerdi (p>0,05). Prematüre ve zamanında doğan riskli bebekler arasında AIMS skorları açısından fark yoktu (p>0,05). Bununla birlikte, riskli bebeklerin 12. Aydaki AIMS skorları, kontrol grubuna göre istatistiksel olarak daha düşüktü (p<0,05). Ayrıca düzeltilmiş 9. ve 12. aylarda riskli bebeklerde AIMS skoru ile Bayley-II ölçeğinin motor-bilişsel gelişim puanları arasında anlamlı derecede pozitif korelasyon vardı (p<0,05). Sonuç: Riskli bebeklerde yaşamlarının ilk yılında, tipik gelişim gösteren yaşıtlarına kıyasla kaba motor gelişimde gecikmeler gözlenebilir. Motor ve bilişsel gelişim açısından risk altındaki bebeklerin daha uzun süre takip edilmesi önerilmektedir.
Anahtar Kelimeler: Prematüre; bebek; gelişim; risk
Amaç: Bu çalışmanın amacı, hafif veya orta derece risk faktörü olan prematüre ve zamanında doğan bebeklerin ve sağlıklı yaşıtlarının motor, bilişsel ve kaba motor gelişimlerini karşılaştırmaktır. Gereç ve Yöntemler: Bu çalışmaya, hafif ila orta derecede risk faktörleri olan 40 prematüre doğan, 20 zamanında doğan bebek ile 25 zamanında doğan ve risk faktörü olmayan bebek dâhil edildi. Alberta İnfant Motor Skalası (AIMS) ve Bayley Bebek ve Küçük Çocuklar İçin Gelişim Ölçeği-II (Bayley-II) 3, 6, 9 ve 12. aylarda riskli bebeklerin motor ve bilişsel gelişimlerini değerlendirmek için kullanıldı. Kontrol grubu sadece 12 aylıkken değerlendirildi. Bulgular: 3-12. Aylar arasında riskli bebeklerin grup içi Bayley-II motor ve kognitif gelişim puanları anlamlı derecede arttı (p<0,001). On ikinci ayda riskli bebeklerin Bayley-II ortanca motor-bilişsel gelişim skorlarıyla kontrol grubundaki bebeklerin skorları birbiriyle benzerdi (p>0,05). Prematüre ve zamanında doğan riskli bebekler arasında AIMS skorları açısından fark yoktu (p>0,05). Bununla birlikte, riskli bebeklerin 12. Aydaki AIMS skorları, kontrol grubuna göre istatistiksel olarak daha düşüktü (p<0,05). Ayrıca düzeltilmiş 9. ve 12. aylarda riskli bebeklerde AIMS skoru ile Bayley-II ölçeğinin motor-bilişsel gelişim puanları arasında anlamlı derecede pozitif korelasyon vardı (p<0,05). Sonuç: Riskli bebeklerde yaşamlarının ilk yılında, tipik gelişim gösteren yaşıtlarına kıyasla kaba motor gelişimde gecikmeler gözlenebilir. Motor ve bilişsel gelişim açısından risk altındaki bebeklerin daha uzun süre takip edilmesi önerilmektedir.
Anahtar Kelimeler: Prematüre; bebek; gelişim; risk
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