Navegando por Palavras-chave "Low Birth Weight"

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    Avaliação do desenvolvimento motor de lactentes com baixo peso ao nascer e peso adequado ao nascer entre 6 e 12 meses de idade segundo a Escala de Desenvolvimento Motor de Alberta
    (Universidade Federal de São Paulo (UNIFESP), 2019-08-19) Godoy, Vanessa Cristina Waetge Pires De [UNIFESP]; Strufaldi, Maria Wany Louzada [UNIFESP]; Souza, Fabíola Isabel Suano de; http://lattes.cnpq.br/4205596362106074; http://lattes.cnpq.br/1532899000031715; http://lattes.cnpq.br/6486968030352002; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Low birth weight (LBW) is established by the World Health Organization (WHO) as a birth weight less than 2500 grams, regardless of the gestational age and it is considered as a major public health problem associated with a series of short and long-term consequences including the risk of delayed motor development. Objective: To describe the motor development according to the Alberta Infant Motor Scale (AIMS) in infants born with low birth weight and adequate birth weight (ABW). Method: a cross-sectional study carried out between April 2016 and April 2017 with infants between 6 and 12 months age born with less than 2500 grams and followed up at the HSP / HU UNIFESP Low Birth Weight Clinic and a group of infants born with adequate birth weight enrolled in a Primary Health Care Unit at São Paulo’s metropolitan region. Variables: maternal conditions (socioeconomic, gestational intercurrences), birth (weight, gestational age, intercurrences) and infants (environmental and anthropometry). All children were evaluated with the Alberta Infant Motor Scale (AIMS) and the motor development was graded as normal (percentile> 25), suspect (percentile between 5 and 25) or abnormal (percentile <5). Results: 38 children from the LBW group and 60 children from the ABW group were evaluated. Socioeconomic characteristics and mother’s education from both groups were similar. Suspected or abnormal motor skills were observed in 18 (47.4%) and 26 (43.3%) children in the LBW and ABW groups, respectively. The highest percentage of suspected and abnormal motor skills was found in the group between 9 and 12 months old, with 54.6% in the LBW group and 58.8% in the ABW group. Conclusion: High suspicious or abnormal rates were observed in all the evaluated situations, with higher percentages between 9 and 12 months age.
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    Avaliação do desenvolvimento neuropsicomotor de lactentes de 6 à 12 meses de idade nascidos com baixo peso de acordo com Teste de Triagem de Desenvolvimento de Denver II e Alberta Infant Motor Scale
    (Universidade Federal de São Paulo (UNIFESP), 2019-08-26) Paulo, Priscila Andrade [UNIFESP]; Strufaldi, Maria Wany Louzada [UNIFESP]; Resegue, Rosa Miranda [UNIFESP]; Souza, Fabíola Isabel Suano de [UNIFESP]; http://lattes.cnpq.br/4798758273124607; http://lattes.cnpq.br/4205596362106074; http://lattes.cnpq.br/1532899000031715; Universidade Federal de São Paulo (UNIFESP)
    Objective: To compare the developmental assessment according to two instruments, the Denver Developmental Screening Test II (DDST II) and the Alberta Infant Motor Scale (AIMS) in infants between 6 and 12 months age with low birth weight (LBW) and adequate birth weight (ABW). Method: Analytical cross-sectional study. Exclusion criteria: congenital malformations, chromosomal abnormalities, chronic non-progressive encephalopathy (NPE) and Apgar score at 5 min < 7. Variables: maternal, family and infant data (birth conditions, morbidity and nutritional status at the time of motor assessment). Results: Ninety-eight children participated in this study, 38 with LBW and 60 with ABW. A positive association was observed in the comparison between the two instruments in all children, according to Cramér's V analysis (p < 0.001). There were no statistically significant differences in DDST II and AIMS assessments in children with LBW and ABW, nor with the variables analyzed. In this sample, 14 (36.8%) and 18 (47.4%) of the children with LBW had suspect DDST II and suspect/abnormal AIMS, respectively. Between children with ABW, 12 (20.0%) had suspect DDST II and 26 (43.3%) had suspect/abnormal AIMS. It was observed high rates of motor alterations in both tests and in both groups. Conclusions: The present study suggests a similarity between both assessments, the DDST II and the AIMS in children with LBW and ABW. High rates of motor alterations were observed in both tests and in both groups.
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    Cost estimate of hospital stays for premature newborns in a public tertiary hospital in Brazil
    (Faculdade de Medicina / USP, 2011-01-01) Desgualdo, Claudia Maria [UNIFESP]; Riera, Rachel [UNIFESP]; Zucchi, Paola [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVES: To estimate the direct costs of hospital stays for premature newborns in the Interlagos Hospital and Maternity Center in São Paulo, Brazil and to assess the difference between the amount reimbursed to the hospital by the Unified Health System and the real cost of care for each premature newborn. METHODS: A cost-estimate study in which hospital and professional costs were estimated for premature infants born at 22 to 36 weeks gestation during the calendar year of 2004 and surviving beyond one hour of age. Direct costs included hospital services, professional care, diagnoses and therapy, orthotics, prosthetics, special materials, and blood products. Costs were estimated using tables published by the Unified Health System and the Brasindice as well as the list of medical procedures provided by the Brazilian Classification of Medical Procedures. RESULTS: The average direct cost of care for initial hospitalization of a premature newborn in 2004 was $2,386 USD. Total hospital expenses and professional services for all premature infants in this hospital were $227,000 and $69,500 USD, respectively. The costs for diagnostic testing and blood products for all premature infants totaled $22,440 and $1,833 USD. The daily average cost of a premature newborn weighing less than 1,000 g was $115 USD, and the daily average cost of a premature newborn weighing more than 2,500 g was $89 USD. Amounts reimbursed to the hospital by the Unified Health System corresponded to only 27.42% of the real cost of care. CONCLUSIONS: The cost of hospital stays for premature newborns was much greater than the amount reimbursed to the hospital by the Unified Health System. The highest costs corresponded to newborns with lower birth weight. Hospital costs progressively and discretely decreased as the newborns' weight increased.