Factors associated with developmental delay in late preterm infants: the BRISA cohort.

IF 2.8 4区医学 Q1 PEDIATRICS

Jornal de pediatria Pub Date : 2025-05-14 DOI:10.1016/j.jped.2025.04.002

Paulo Ricardo Higassiaraguti Rocha, Gabriela Pap da Silva, Otávio Augusto Gratão, Marco Antonio Barbieri, Viviane Cunha Cardoso, Maria da Conceição Pereira Saraiva, Heloisa Bettiol

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引用次数: 0

Abstract

Objective: To investigate the association of sociodemographic characteristics, gestational factors, and birth outcomes with developmental delay from the second year of life in late preterm (LPT) infants.

Method: This study included 327 LPT infants from a cohort started in 2010. Developmental performance was assessed using the Bayley-III screening test. The covariates were obtained with questionnaires and from the maternity records. Hierarchical multiple logistic regression was used for analysis.

Results: Smoking during pregnancy was associated with fine motor and cognitive delays (OR = 2.27, 95 %CI 1.05-4.93 and OR = 2.22, 95 %CI 1.05-4.68, respectively). Living without a partner (OR = 2.98, 95 %CI 1.36-6.52) and intrauterine growth restriction of the child (OR = 2.63, 95 %CI 1.32-5.24) were associated with fine motor delay and neonatal intensive care unit admission with cognitive delay (OR = 2.11, 95 %CI 1.01-4.44).

Conclusions: These factors must be considered when implementing strategies for the diagnosis of possible developmental delays and when designing interventions for LPT children.

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晚期早产儿发育迟缓的相关因素：BRISA队列

目的：探讨晚早产儿（LPT） 2岁起发育迟缓与社会人口学特征、妊娠因素和出生结局的关系。方法：本研究从2010年开始的队列中纳入327例LPT婴儿。采用Bayley-III筛选试验评估发育表现。协变量通过问卷调查和产妇记录获得。采用层次多元逻辑回归进行分析。结果：怀孕期间吸烟与精细运动和认知延迟相关（OR = 2.27,95 %CI 1.05-4.93, OR = 2.22,95 %CI 1.05-4.68）。生活没有一个伙伴(或 = 2.98,95 %可信区间1.36 - -6.52),宫内生长受限的孩子(或 = 2.63 95 %可信区间1.32 - -5.24)与动作有关延迟和新生儿重症监护室承认与认知延迟(或 = 2.11 95 %可信区间1.01 - -4.44)。结论：在实施可能的发育迟缓诊断策略和设计LPT儿童干预措施时，必须考虑这些因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.