Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA)
Abstract Aim To analyze the association between neonatal near miss and infant development at two years. Methods Data from two birth cohorts, one conducted in Ribeirão Preto (RP)/São Paulo and the other in São Luís (SL)/Maranhão, were used. The cognitive, motor and communication development of childr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Pediatrics |
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| Online Access: | https://doi.org/10.1186/s12887-023-03897-3 |
| _version_ | 1797863534300758016 |
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| author | Liliana Yanet Gómez Aristizábal Paulo Ricardo Higassiaraguti Rocha Susana Cararo Confortin Vanda Maria Ferreira Simões Heloisa Bettiol Marco Antonio Barbieri Antônio Augusto Moura da Silva |
| author_facet | Liliana Yanet Gómez Aristizábal Paulo Ricardo Higassiaraguti Rocha Susana Cararo Confortin Vanda Maria Ferreira Simões Heloisa Bettiol Marco Antonio Barbieri Antônio Augusto Moura da Silva |
| author_sort | Liliana Yanet Gómez Aristizábal |
| collection | DOAJ |
| description | Abstract Aim To analyze the association between neonatal near miss and infant development at two years. Methods Data from two birth cohorts, one conducted in Ribeirão Preto (RP)/São Paulo and the other in São Luís (SL)/Maranhão, were used. The cognitive, motor and communication development of children was evaluated using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). The following criteria were used for the definition of NNM: birth weight < 1,500 g, 5-min Apgar score < 7, gestational age < 32 weeks, and report of congenital malformations. The relationship between neonatal near miss and development was assessed using the weighted propensity score from the Inverse Probability of Treatment Weighting (IPTW). A directed acyclic graph was built to select the adjustment variables. Results A total of 1,050 mother-newborn dyads were evaluated in SL and 1,840 in RP. Regarding outcomes in SL and RP, respectively, 2.4% and 17.3% of the children were not competent in the cognitive domain, 12.1% and 13.3% in the receptive communication domain, 39.2% and 47.1% in the expressive communication domain, 20.7% and 12.6% in the fine motor domain, and 14.3% and 13.8% in the gross motor domain. The prevalence of neonatal near miss was 5.4% in SL and 4.3% in RP. Unadjusted analysis showed an association of neonatal near miss with fine motor development in SL and RP and with the cognitive, receptive communication, expressive communication, and gross motor domains only in RP. These associations remained after adjusted analysis. Conclusion Neonatal near miss is a risk factor for developmental delays. |
| first_indexed | 2024-04-09T22:37:02Z |
| format | Article |
| id | doaj.art-5a559681973046aa9dfca86005d0e300 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-04-09T22:37:02Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-5a559681973046aa9dfca86005d0e3002023-03-22T12:24:20ZengBMCBMC Pediatrics1471-24312023-03-012311910.1186/s12887-023-03897-3Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA)Liliana Yanet Gómez Aristizábal0Paulo Ricardo Higassiaraguti Rocha1Susana Cararo Confortin2Vanda Maria Ferreira Simões3Heloisa Bettiol4Marco Antonio Barbieri5Antônio Augusto Moura da Silva6Federal University of Maranhão (UFMA). Graduate Program in Collective HealthRibeirão Preto Medical School, University of São Paulo – USPFederal University of Maranhão (UFMA). Graduate Program in Collective HealthFederal University of Maranhão (UFMA). Graduate Program in Collective HealthRibeirão Preto Medical School, University of São Paulo – USPRibeirão Preto Medical School, University of São Paulo – USPFederal University of Maranhão (UFMA). Graduate Program in Collective HealthAbstract Aim To analyze the association between neonatal near miss and infant development at two years. Methods Data from two birth cohorts, one conducted in Ribeirão Preto (RP)/São Paulo and the other in São Luís (SL)/Maranhão, were used. The cognitive, motor and communication development of children was evaluated using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). The following criteria were used for the definition of NNM: birth weight < 1,500 g, 5-min Apgar score < 7, gestational age < 32 weeks, and report of congenital malformations. The relationship between neonatal near miss and development was assessed using the weighted propensity score from the Inverse Probability of Treatment Weighting (IPTW). A directed acyclic graph was built to select the adjustment variables. Results A total of 1,050 mother-newborn dyads were evaluated in SL and 1,840 in RP. Regarding outcomes in SL and RP, respectively, 2.4% and 17.3% of the children were not competent in the cognitive domain, 12.1% and 13.3% in the receptive communication domain, 39.2% and 47.1% in the expressive communication domain, 20.7% and 12.6% in the fine motor domain, and 14.3% and 13.8% in the gross motor domain. The prevalence of neonatal near miss was 5.4% in SL and 4.3% in RP. Unadjusted analysis showed an association of neonatal near miss with fine motor development in SL and RP and with the cognitive, receptive communication, expressive communication, and gross motor domains only in RP. These associations remained after adjusted analysis. Conclusion Neonatal near miss is a risk factor for developmental delays.https://doi.org/10.1186/s12887-023-03897-3Child developmentNeonatal near missBayley scalesBirth cohort |
| spellingShingle | Liliana Yanet Gómez Aristizábal Paulo Ricardo Higassiaraguti Rocha Susana Cararo Confortin Vanda Maria Ferreira Simões Heloisa Bettiol Marco Antonio Barbieri Antônio Augusto Moura da Silva Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA) BMC Pediatrics Child development Neonatal near miss Bayley scales Birth cohort |
| title | Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA) |
| title_full | Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA) |
| title_fullStr | Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA) |
| title_full_unstemmed | Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA) |
| title_short | Association between neonatal near miss and infant development: the Ribeirão Preto and São Luís birth cohorts (BRISA) |
| title_sort | association between neonatal near miss and infant development the ribeirao preto and sao luis birth cohorts brisa |
| topic | Child development Neonatal near miss Bayley scales Birth cohort |
| url | https://doi.org/10.1186/s12887-023-03897-3 |
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