Analyzing Risk Factors for Brain Damages in a Group of Newborns with High Risk of Neurodevelopmental Sequelae: A Moroccan Study
Abstract: The aim of the study
is to identify risk factors for occurrence of perinatal brain injury
objectified in transfontanellar ultrasound (TFU) in a group of infants with
high risk of neurodevelopmental sequelae. It’s a retrospective study, conducted
at the neonatal intensive care unit of the Children's Hospital of Rabat, during
the period from 1 January to 31 December 2014. Were included newborns
hospitalized for a medical condition with intrauterine croissance retardation (ICUR)
more than 5 days and have survived. The neurological workup includes TFU made
between day 2 and day 5 of life. Data analysis was performed on SPSS 18.0
software. The level of significance was p <0.05. The percentage of newborns that developed
neurological damage to the TFU was 36%. Patients with abnormalities in the TFU
had a breakdown time, duration dependence of O2, duration of hospitalization
and a higher frequency of nosocomial infections than patients without
abnormality. The interest in the prevention of nosocomial infections is to try
to shorten the duration of invasive ventilation, favoring fast relay
noninvasive ventilation.
Keywords: brain injury;
newborns; prematurity, neurodevelopmental sequelae, trans-fontanellar
ultrasound
Author: S. Ait Malk, MA.
Radouani, Y. Taboz, H. Benkirane, H. Aguenaou, M. Mrabet, Amina Barkat
Journal Code: jppsikologiklinisgg160002
