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Neurodevelopmental evaluation of newborns who underwent hypothermia with a diagnosis of hypoxic ischemic encephalopathy based on the Bayley-III scale.
Deveci, Mehmet Fatih; Güven Baysal, Senay; Alagöz, Meral; Gökçe, Ismail Kürsad; Gümüs Dogan, Derya; Özdemir, Ramazan.
Afiliación
  • Deveci MF; Neonatal Intensive Care Unit, Sanliurfa Training and Research Hospital, Sanliurfa, Turkiye.
  • Güven Baysal S; Developmental Pediatrics Unit, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkiye.
  • Alagöz M; Division of Neonatology, Department of Pediatrics, Inönü University School of Medicine, Malatya, Turkiye.
  • Gökçe IK; Division of Neonatology, Department of Pediatrics, Inönü University School of Medicine, Malatya, Turkiye.
  • Gümüs Dogan D; Division of Developmental Pediatrics, Department of Pediatrics, Inönü University Faculty of Medicine, Malatya, Turkiye.
  • Özdemir R; Division of Neonatology, Department of Pediatrics, Inönü University School of Medicine, Malatya, Turkiye.
Turk J Med Sci ; 53(6): 1786-1793, 2023.
Article en En | MEDLINE | ID: mdl-38813516
ABSTRACT
Background/

aim:

Hypoxic ischemic encephalopathy (HIE) is one of the common causes of mortality and morbidity in newborns. Despite therapeutic hypothermia, an important treatment with proven efficacy, the morbidity and mortality rates remain high. The aim of this study was to neurodevelopmentally evaluate patients who underwent therapeutic hypothermia. Material and

method:

Included herein were patients who underwent hypothermia between 2018 and 2020. Their medical files were reviewed retrospectively, and their demographic and clinical information was recorded. Patients whose contact information was available were called to the developmental pediatrics outpatient clinic for a neurodevelopmental evaluation. The Bayley Scales of Infant and Toddler Development 3rd Edition (Bayley-III) was used as the evaluation tool. Laboratory values and clinical parameters of the patients were further analyzed.

Results:

It was found that 42 patients underwent hypothermia in 3 years, of whom 14 (33.3%) had died. Of the 28 patients who were discharged, 20 children could be reached, and a neurodevelopmental evaluation was performed. Developmental delay in the cognitive area was detected in 11 (55%) patients, delay in the language area was found in 9 (45%) patients, and delay in the motor area was found in 11 (55%) patients. The correlation and regression analysis results determined that the time to start cooling was the most effective common factor in all 3 fields of scoring.

Conclusion:

The time to start cooling is related to the neurodevelopmental outcomes of patients with HIE. The earlier cooling is started, the better the neurodevelopmental results. Despite therapeutic hypothermia, the neurodevelopmental development of infants may be adversely affected. These patients should be followed-up neurodevelopmentally for a long time.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipoxia-Isquemia Encefálica / Hipotermia Inducida Límite: Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: Turk J Med Sci Año: 2023 Tipo del documento: Article Pais de publicación: Turquía
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipoxia-Isquemia Encefálica / Hipotermia Inducida Límite: Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: Turk J Med Sci Año: 2023 Tipo del documento: Article Pais de publicación: Turquía