Motor performance evaluation of newborns with gastroschisis after surgical correction
DOI:
https://doi.org/10.36311/jhgd.v31.12225Keywords:
gastroschisis, psychomotor performance, , risk factor, neonatal intensive careAbstract
Introduction: Gastroschisis is a congenital malformation that has risk factors for delayed neuropsychomotor development. That is why it is important to recognize early developmental changes in these newborns during hospitalization in the Neonatal Intensive Care Unit.
Objective: To evaluate the motor performance of newborns with gastroschisis after surgical correction.
Methods: An observational and retrospective study was carried out with newborns with gastroschisis, assessed by the Test of Infant Motor Performance at the Neonatal Intensive Care Center 2 of the Instituto da Criança e do Adolescente. The test allows the classification of the risk for developmental delay in 4 categories: within the average for age, low average, below average, and well below average. Maternal, neonatal, surgical, and motor assessment data were collected through electronic medical records.
Results: Motor assessment was performed on 17 newborns, where 88.23% were classified as “below average” for age. The mean maternal age was 20 years, and the average gestational age and birth weight were 36.38 weeks and 2343.9 grams, respectively, with the majority being female. Simple gastroschisis accounted for 64.71%, and primary closure was possible in 82.35%. The average hospital stay of 53.24 days, and sepsis was the most frequent complication (64.71%).
Conclusion: Newborns with gastroschisis remain hospitalized for a long time and are susceptible to complications. It was possible to identify the delay in the development of these newborns early during hospitalization, which allows intervention by physiotherapy before the delay worsens.
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Stolwijk LJ, Lemmers PM, Harmsen M, Groenendaal F, Vries LS de, Zee DC van der, et al. Neurodevelopmental outcomes after neonatal surgery for major noncardiac anomalies. Pediatrics [Internet]. 1o de fevereiro de 2016 [citado 27 de maio de 2021]; 137 (2). Disponível em: https://pediatrics.aappublications.org/content/137/2/e20151728
Minutillo C, Rao SC, Pirie S, McMichael J, Dickinson JE. Growth and developmental outcomes of infants with gastroschisis at one year of age: A retrospective study. Journal of Pediatric Surgery. agosto de 2013; 48 (8): 1688–96.
McPherson C, Grunau RE. Neonatal pain control and neurologic effects of anesthetics and sedatives in preterm infants. Clinics in Perinatology. março de 2014; 41 (1): 209–27.
van Manen M, Hendson L, Wiley M, Evans M, Taghaddos S, Dinu I. Early childhood outcomes of infants born with gastroschisis. Journal of Pediatric Surgery. agosto de 2013; 48 (8): 1682–7.
de Moura DR, Costa JC, Santos IS, Barros AJD, Matijasevich A, Halpern R, et al. Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort. Paediatric and Perinatal Epidemiology. maio de 2010; 24 (3): 211–21.
Trivedi A, Walker K, Loughran-Fowlds A, Halliday R, J. A. Holland A, Badawi N. The impact of surgery on the developmental status of late preterm infants – a cohort study. J Neonatal Surg [Internet]. 10 de janeiro de 2015 [citado 27 de maio de 2021]; 4 (1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4420401/
Bergholz R, Boettcher M, Reinshagen K, Wenke K. Complex gastroschisis is a different entity to simple gastroschisis affecting morbidity and mortality—A systematic review and meta-analysis. Journal of Pediatric Surgery. outubro de 2014; 49 (10): 1527–32.
Gischler SJ, Mazer P, Duivenvoorden HJ, van Dijk M, Bax NMA, Hazebroek FWJ, et al. Interdisciplinary structural follow-up of surgical newborns: a prospective evaluation. Journal of Pediatric Surgery. julho de 2009; 44 (7): 1382–9.
Laing S, Walker K, Ungerer J, Badawi N, Spence K. Early development of children with major birth defects requiring newborn surgery: Development of children with birth defects. Journal of Paediatrics and Child Health. março de 2011; 47 (3): 140–7.
Campbell SK, Zawacki L, Rankin KM, Yoder JC, Shapiro N, Li Z, et al. Concurrent validity of the TIMP and the Bayley III scales at 6 weeks corrected age. Pediatr Phys Ther. 2013; 25 (4): 395–401.
Chiquetti EMDS, Valentini NC, Saccani R. Validation and reliability of the test of infant motor performance for brazilian infants. Phys Occup Ther Pediatr. 2020; 40 (4): 470–85.
Redondo AC, Feferbaum R, Vieira RA, Moreira D de AR, Tannuri U, Carvalho WB de, et al. Characteristics of the clinical development of a newborn with gastroschisis in an intensive care unit in latin america. J Hum Growth Dev. 29 de agosto de 2016; 26 (2): 190–8.
Calderon MG, Santos EF de S, Abreu LC de, Raimundo RD. Increasing prevalence, time trend and seasonality of gastroschisis in São Paulo state, Brazil, 2005–2016. Scientific Reports. 10 de outubro de 2019; 9 (1): 14491.
Raymond SL, Hawkins RB, St Peter SD, Downard CD, Qureshi FG, Renaud E, et al. Predicting morbidity and mortality in neonates born with gastroschisis. J Surg Res. janeiro de 2020; 245: 217–24.
The long-term neurodevelopmental and psychological outcomes of gastroschisis: A cohort study. Journal of Pediatric Surgery. 1o de abril de 2016; 51 (4): 549–53.
Ferreira RC, Mello RR, Silva KS. Neonatal sepsis as a risk factor for neurodevelopmental changes in preterm infants with very low birth weight. J Pediatr (Rio J). junho de 2014; 90 (3): 293–9.
Uribe-Leitz M, McCracken CE, Heiss KF, Wulkan ML, Raval MV. The influence of infectious complications in gastroschisis on costs and length of stay. American journal of perinatology. 1o de janeiro de 2017; 34 (1): 62–9.
Carvalho NS, Helfer TM, Serni P de O, Terasaka OA, Boute T, Araujo Junior E, et al. Postnatal outcomes of infants with gastroschisis: a 5-year follow-up in a tertiary referral center in Brazil. Journal Of Maternal-Fetal & Neonatal Medicine [Internet]. 2016 [citado 27 de maio de 2021]; Disponível em: https://repositorio.unifesp.br/handle/11600/58532
Burnett AC, Gunn JK, Hutchinson EA, Moran MM, Kelly LM, Sevil UC, et al. Cognition and behaviour in children with congenital abdominal wall defects. Early Hum Dev. janeiro de 2018; 116: 47–52.
Giúdici L, Bokser VS, Maricic MA, Golombek SG, Ferrario CC. Babies born with gastroschisis and followed up to the age of six years faced long-term morbidity and impairments. Acta Paediatrica. 2016; 105 (6): e275–80.
Functional outcome at school age of children born with gastroschisis. Early Human Development. 1o de março de 2017; 106–107: 47–52.
Suominen J, Rintala R. Medium and long-term outcomes of gastroschisis. Seminars in Pediatric Surgery. outubro de 2018; 27 (5): 327–9.
Early neurodevelopmental outcomes of infants with intestinal failure. Early Human Development. 1o de outubro de 2016; 101: 11–6.
Herrero D, Gonçalves H, Siqueira AAF de, Abreu LC de. Escalas de desenvolvimento motor em lactentes:test of infant motor performance e aalberta infant motor scale. J Hum Growth Dev. 1o de abril de 2011; 21 (1): 122–32.
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Copyright (c) 2021 Gislaine Aparecida de Oliveira Mota, Glaucia Yuri Shimizu, Ana Lucia Capelari Lahoz, Carla Marques Nicolau, Lucia Cândida Soares de Paula, Maristela Trevisan Cunha, Clarice Tanaka
This work is licensed under a Creative Commons Attribution 4.0 International License.
