Neurological follow-up of small-for-gestational age newborn infants: a study of risk factors related to prognosis at one year of age

To examine the relative importance of some risk factors and neurological prognosis in the first year of life, 37 small-for-gestational age newborns were followed prospectively to 1 year of conceptional age. An abnormal neurological examination was found in 51.3% of the newborns and, at 12 months, 32...

Full description

Bibliographic Details
Main Authors: José Luiz D. Gherpelli, Helvetia Ferreira, Helenice P.F. Costa
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 1993-03-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1993000100009&lng=en&tlng=en
_version_ 1819039012726243328
author José Luiz D. Gherpelli
Helvetia Ferreira
Helenice P.F. Costa
author_facet José Luiz D. Gherpelli
Helvetia Ferreira
Helenice P.F. Costa
author_sort José Luiz D. Gherpelli
collection DOAJ
description To examine the relative importance of some risk factors and neurological prognosis in the first year of life, 37 small-for-gestational age newborns were followed prospectively to 1 year of conceptional age. An abnormal neurological examination was found in 51.3% of the newborns and, at 12 months, 32.5% were still considered abnormal. Only 8.1% of the group had severe neurological sequelae at 1 year of corrected age. The developmental tests showed little changes during the first year, with abnormality rates varying from 16.1 to 25%. The following risk factors were analyzed concerning their relation to neurological and developmental abnormalities: high-risk pregnancy, maternal hypertension, social class, pre-term birth, neonatal asphyxia and weight and height less than 2.5 percentile at the age of 1 year. The statistical analysis showed a high correlation between subnormal weight gain and neurological (p=0.000l) and developmental (p=0.001) abnormalities at 1 year. None of the other risk factors were statistically related to neurological prognosis at 1 year.
first_indexed 2024-12-21T08:46:26Z
format Article
id doaj.art-99ff95e84f3c4ee09d32b993c03d71da
institution Directory Open Access Journal
issn 1678-4227
language English
last_indexed 2024-12-21T08:46:26Z
publishDate 1993-03-01
publisher Academia Brasileira de Neurologia (ABNEURO)
record_format Article
series Arquivos de Neuro-Psiquiatria
spelling doaj.art-99ff95e84f3c4ee09d32b993c03d71da2022-12-21T19:09:49ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42271993-03-01511505810.1590/S0004-282X1993000100009S0004-282X1993000100009Neurological follow-up of small-for-gestational age newborn infants: a study of risk factors related to prognosis at one year of ageJosé Luiz D. Gherpelli0Helvetia Ferreira1Helenice P.F. Costa2Maternity-School Hospital of Vila Nova CachoeirinhaMaternity-School Hospital of Vila Nova CachoeirinhaMaternity-School Hospital of Vila Nova CachoeirinhaTo examine the relative importance of some risk factors and neurological prognosis in the first year of life, 37 small-for-gestational age newborns were followed prospectively to 1 year of conceptional age. An abnormal neurological examination was found in 51.3% of the newborns and, at 12 months, 32.5% were still considered abnormal. Only 8.1% of the group had severe neurological sequelae at 1 year of corrected age. The developmental tests showed little changes during the first year, with abnormality rates varying from 16.1 to 25%. The following risk factors were analyzed concerning their relation to neurological and developmental abnormalities: high-risk pregnancy, maternal hypertension, social class, pre-term birth, neonatal asphyxia and weight and height less than 2.5 percentile at the age of 1 year. The statistical analysis showed a high correlation between subnormal weight gain and neurological (p=0.000l) and developmental (p=0.001) abnormalities at 1 year. None of the other risk factors were statistically related to neurological prognosis at 1 year.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1993000100009&lng=en&tlng=enrecém-nascido pequeno para a idade gestacionalevolução neurológicaprognósticofatores de risco
spellingShingle José Luiz D. Gherpelli
Helvetia Ferreira
Helenice P.F. Costa
Neurological follow-up of small-for-gestational age newborn infants: a study of risk factors related to prognosis at one year of age
Arquivos de Neuro-Psiquiatria
recém-nascido pequeno para a idade gestacional
evolução neurológica
prognóstico
fatores de risco
title Neurological follow-up of small-for-gestational age newborn infants: a study of risk factors related to prognosis at one year of age
title_full Neurological follow-up of small-for-gestational age newborn infants: a study of risk factors related to prognosis at one year of age
title_fullStr Neurological follow-up of small-for-gestational age newborn infants: a study of risk factors related to prognosis at one year of age
title_full_unstemmed Neurological follow-up of small-for-gestational age newborn infants: a study of risk factors related to prognosis at one year of age
title_short Neurological follow-up of small-for-gestational age newborn infants: a study of risk factors related to prognosis at one year of age
title_sort neurological follow up of small for gestational age newborn infants a study of risk factors related to prognosis at one year of age
topic recém-nascido pequeno para a idade gestacional
evolução neurológica
prognóstico
fatores de risco
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1993000100009&lng=en&tlng=en
work_keys_str_mv AT joseluizdgherpelli neurologicalfollowupofsmallforgestationalagenewborninfantsastudyofriskfactorsrelatedtoprognosisatoneyearofage
AT helvetiaferreira neurologicalfollowupofsmallforgestationalagenewborninfantsastudyofriskfactorsrelatedtoprognosisatoneyearofage
AT helenicepfcosta neurologicalfollowupofsmallforgestationalagenewborninfantsastudyofriskfactorsrelatedtoprognosisatoneyearofage