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연구정보
[보건] Hybrid developmental follow-up for preterm infants in Brazil: A feasibility study
브라질 국외연구자료 연구보고서 - Early Human Development 발간일 : 2024-06-25 등록일 : 2024-06-26 원문링크
The increase in the survival rate of preterm newborns is associated with higher morbidity and a greater risk of cognitive and motor developmental delay. Early detection is crucial for planning and implementing timely interventions, offering greater opportunities for positive changes in infant development attributed to the neuroplasticity of the central nervous system during the first months of life.
Developmental screening and evaluation using standardized tools are essential to early detection. International clinical guidelines advocate the combined use of General Movements (GMs) assessment, Hammersmith Infant Neurological Examination (HINE), and magnetic resonance imaging (MRI) before six months of age to facilitate early detection of high-risk cerebral palsy (CP). While the utilization of these tools is common in high-income countries, their adoption remains restricted in low- and middle-income countries due to financial constraints and the requirement for staff training.
In Brazil, an additional challenge is the low participation rate in child developmental follow-up programs for at-risk preterm children. A Brazilian study revealed a high dropout rate (43.7 %) in a public service dedicated to the developmental follow-up of preterm newborns. The main reasons for withdrawal were associated with factors such as distance, travel time, transportation and food costs, and the unavailability of a responsible person to accompany the child to the appointment.
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