NEUROPSYCHOMOTOR DEVELOPMENT BEFORE AND AFTER OPEN-HEART SURGERY IN INFANTS

被引:3
作者
da Rocha, Tais Sica [1 ]
Guardiola, Ana [2 ]
Piva, Jefferson Pedro [5 ]
Ricachinevski, Claudia Pires [3 ]
Nogueira, Aldemir [4 ]
机构
[1] Pediat Univ Fed Rio Grande Sul, Porto Alegre, RS, Brazil
[2] Univ Fed Ciencias Saude Porto Alegre, Porto Alegre, RS, Brazil
[3] Complexo Hosp Santa Casa Porto Alegre, Hosp Crianca Santo Antonio, Unidade Terapia Intens, Porto Alegre, RS, Brazil
[4] Complexo Hosp Santa Casa Porto Alegre, Serv Cirurgia Cardiaca, Porto Alegre, RS, Brazil
[5] Univ Fed Rio Grande do Sul, BR-90046900 Porto Alegre, RS, Brazil
关键词
cardiac surgery; developmental delay; Denver II test; FLOW CARDIOPULMONARY BYPASS; VENTRICULAR SEPTAL-DEFECT; CIRCULATORY ARREST; CARDIAC-SURGERY; NUTRITIONAL-STATUS; ARTERIAL SWITCH; CHILDREN; DISEASE; GROWTH; TETRALOGY;
D O I
10.1590/S0004-282X2009000300016
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
There are few Brazilian studies on neuropsychomotor follow-up after open-heart surgery with circulatory bypass in infants. Twenthy infants had neurodevelopmental outcomes (neurological exam and Denver II test) assessed before open-heart surgery, after intensive care unit discharge and 3-6 months after hospital discharge. Heart lesions consisted of septal defects in 11 cases (55%). The mean circulatory bypass time was 67 +/- 23.6 minutes. Fifteen infants had altered neurological examination and also neurodevelopment delay before surgery. After 6 months it was observed normalization in 6 infants. When Denver II test indexes were analysed, it was observed an improvement in all domains except personal-social. Although those infants were in risk of new neurological findings, an early improvement on neuropsychomotor indexes were seen.
引用
收藏
页码:457 / 462
页数:6
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