Neurodevelopmental Outcome of Newborns with Persistent Pulmonary Hypertension.

Background: Developmental disabilities have been reported in infants with persistent pulmonary hypertension of the newborn (PPHN) treated with inhaled nitric oxide (INO) or intravenous magnesium sulphate (MgSO4) and/or extracorporeal membrane oxygenation. This paper reports the rate of developmental...

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Publicado en:Malaysian Journal of Medical Sciences Vol. 18; no. 4; pp. 58 - 63
Autores principales: Rohana, Jaafar, Boo, Nem Yun, Chandran, Viji, Sarvananthan, Rajini
Formato: research tables/charts Journal Article
Publicado: Malaysian Journal of Medical Sciences Oct-Dec2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct-Dec2011
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      pub: Malaysian Journal of Medical Sciences
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        atl: Neurodevelopmental Outcome of Newborns with Persistent Pulmonary Hypertension.
      aug:
        au:
          Rohana, Jaafar
          Boo, Nem Yun
          Chandran, Viji
          Sarvananthan, Rajini
        affil: Department of Paediatrics, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia
      sug:
        subj:
          Hypertension, Pulmonary
          Human Development
          Outcomes Research
          Human
          Malaysia
          Infant
          Prospective Studies
          Scales
          Neuropsychological Tests
          Magnesium Sulfate
          Nitric Oxide
          Developmental Disabilities
          Equipment and Supplies
          Data Analysis Software
          Mann-Whitney U Test
          Male
          Female
          Infant: 1-23 months
          Male
          Female
      ab: Background: Developmental disabilities have been reported in infants with persistent pulmonary hypertension of the newborn (PPHN) treated with inhaled nitric oxide (INO) or intravenous magnesium sulphate (MgSO4) and/or extracorporeal membrane oxygenation. This paper reports the rate of developmental disabilities at 2 years of age in a cohort of survivors of PPHN treated with INO, MgSO4, or both during the neonatal period. Methods: Sixteen survivors of PPHN were prospectively followed up. These infants were treated with intravenous MgSO4 and/or INO during the neonatal period. Neurodevelopmental assessment was carried out at 2 years of age using the Bayley Scales of Infant Development 2nd Edition by a developmental psychologist. Eleven (68.8%) infants completed the 2-year follow-up. Results: The median mental developmental index (MDI) and physical developmental index scores were 85 (interquartile range, IQR = 27) and 87 (IQR = 33), respectively. Two infants (18.2%) had developmental disability (MDI scores <70). Conclusion: Survivors of PPHN are at risk of developmental disabilities. Early intervention programme and long-term follow-up should be integrated in the management of these infants.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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