Influence of congenital heart disease on the neuropsychomotor development of infants
DOI:
https://doi.org/10.1590/1809-2950/18039627012020Keywords:
Heart Defects, Congenital, Child Development, InfantAbstract
Congenital heart defects (CHD) are among the main causes of morbidity and mortality in infants who has this impairment may present delays in neuropsychomotor development (NPMD). This study assesses the influence of CHD on NPMD of infants. This is an observational study assessing neuropsychomotor development performed by Bayley Scales of Infant and Toddler Development - BSID-III. The Brazilian Economic Classification Criteria was used to verify the socioeconomic status of the families and also the maternal and infants’ clinical conditions were verified in the medical discharge report and in the child’s health handbook. For the association between the quantitative and qualitative variables with the NPMD, the Spearman’s correlation coefficient and the likelihood ratio test were used. A total of 18 infants were assessed, with a predominance of females (72.2%). Most mothers (47.1%) had complete high school or incomplete higher education, with a mean age of 27.2±5.5 years. There was a correlation between the BSID-III scales and the quantitative variables analyzed: motor scale with weight (p=0.02 and r=0.54) and oxygen therapy (p=0.009 and r=−0.591); besides that, the qualitative variables correlation were: motor scale and socioeconomic condition (p=0.015), motor scale and Interatrial Communication - IAC (p=0.023) and language with IAC scales (p=0.038). CHD influences the delay of NPMD, mainly for motor aspect. Furthermore, weight, diagnosis of IAC, use of oxygen therapy and socioeconomic status were considered the main risk factors for the delay in NPMD.
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Copyright (c) 2020 Ítalo Ribeiro Paula, anaína Carla Silva Oliveira, Ana Carolina Ferreira Batista, Lizandra Caroline Santana Nascimento, Lúcio Borges de Araújo, Márcia Berbert Ferreira, Miria Benincasa Gomes, Vivian Mara Gonçalves de Oliveira Azevedo
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