A descriptive research audit of the long term developmental outcomes of 30 infants with Hypoxic Ischemic Encephalopathy (HIE) who received hypothermia at a secondary Hospital in South Africa.
Introduction: Hypothermia is a neuroprotective strategy proven to reduce death and disability in children presenting with Hypoxic Ischemic Encephalopathy (HIE). Little evidence exists regarding the long term developmental outcomes of infants who received hypothermia within a secondary hospital in So...
| Publicado en: | South African Journal of Occupational Therapy Vol. 50; no. 2; pp. 35 - 44 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Occupational Therapy Association of South Africa
Aug2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145631140&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145631140 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00382337 25J6 jtl: South African Journal of Occupational Therapy issn: 00382337 maglogo: N pubinfo: dt: Aug2020 vid: 50 iid: 2 pid: 30274 pub: Occupational Therapy Association of South Africa artinfo: ui: 145631140 145631140 145631140 10.17159/2310-3833/2020/vol50no2a5 145631140 ppf: 35 ppct: 9 formats: fmt: @attributes: type: P tig: atl: A descriptive research audit of the long term developmental outcomes of 30 infants with Hypoxic Ischemic Encephalopathy (HIE) who received hypothermia at a secondary Hospital in South Africa. aug: au: Stark, Suzanne Van der Vyver, Desiree B. Gretschel, Pamela affil: Occupational Therapist, Carpe Diem School, George, South Africa sug: subj: Hypoxia-Ischemia, Brain, Neonatal Therapy Hypothermia, Induced Infant Development Child Development Secondary Health Care South Africa Human Descriptive Research South Africa Retrospective Design Cerebral Palsy Cognition Motor Skills Scales Infant Child, Preschool Female Male Fisher's Exact Test Descriptive Statistics Funding Source Infant: 1-23 months Child, Preschool: 2-5 years Female Male ab: Introduction: Hypothermia is a neuroprotective strategy proven to reduce death and disability in children presenting with Hypoxic Ischemic Encephalopathy (HIE). Little evidence exists regarding the long term developmental outcomes of infants who received hypothermia within a secondary hospital in South Africa. Method: Drawing on a descriptive research audit this paper describes the development (up to five years) of 30 infants with HIE who received hypothermia at the George hospital in South Africa. Developmental outcomes were measured at 3, 9, 12, 24 and 36 months using the Strive Towards Achieving Results Together (START) and at 48 and 60 months using the Early Childhood Developmental Criteria (ECDC). Summary data (variables considered risk factors) were collected retrospectively. The associations between this data and developmental outcomes are described. Results: Twenty children presented with typical development, eight presented with cerebral palsy (CP) and two were lost to follow up. A significant association between a severe HIE score and CP was found (p=0.0005). The children performed equally in fine motor, gross motor and cognitive abilities at four years with poorer outcomes in cognitive and fine motor abilities recorded at five years. The perceptual activity both age groups struggled with the most was directionality. . Conclusion: The results of the research audit support the need for long-term occupational therapy follow-up of children with HIE to monitor their development and provide specific interventions to promote their development and prevent barriers to learning. This paper also advocates the need for occupational therapists working in the public health sector to have access to standardised assessment tools which allow them to closely monitor the development of infants who present with HIE at birth. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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