Language and cognitive outcome for high-risk neonates at the age of 2-3 years-experience from an Arab Country
Language and cognitive outcome for high-risk neonates at the age of 2-3 years-experience from an Arab Country作者机构：Phoniatric UnitORL DepartmentFaculty of MedicineMansoura University Neonatal Intensive Care UnitMansoura University Children’s Hospital Phoniatric UnitORL DepartmentMansoura General Hospital
出 版 物：《World Journal of Clinical Pediatrics》 (世界临床儿科杂志)
年 卷 期：2017年第6卷第1期
页 面：24-33页
学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学]
主 题：High-risk neonates Prematurity Arabic language Cognition Child disability
摘 要：AIM To investigate the effect of different neonatal risk factors on different language parameters as well as cognitive abilities among Arabic speaking Egyptian children at the age of two to three years of life and to find out which risk factor(s) had the greatest impact on language and cognitive *** This retrospective cohort study was conducted on 103 children with age range of 2-3 years(median age 31 mo).They were 62 males and 41 females who were exposed to different high-risk factors in the perinatal period,with exclusion of metabolic disorders,sepsis/meningitis,congenital anomalies and chromosomal *** studied children were subjected to a protocol of language assessment that included history taking,clinical and neurological examination,audiological evaluation,assessment of language using modified preschool language scale-4,IQ and mental age assessment and assessment of social *** The studied children had a median gestational age of 37 wk,median birth weight of 2.5 *** distribution of the high-risk factors in the affected children were prematurity in 25 children,respiratory distress syndromein 25 children,hypoxic-ischemic encephalopathy in 15 children,hyperbilirubinemia in 10 children,hypoglycemia in 13 children,mixed risk factors in 15 *** results revealed that high-risk neonatal complications were associated with impairment of different language parameters and cognitive abilities(P 0.05).The presence of prematurity,in relation to other risk factors,increases the risk of language and cognitive delay significantly by 3.9 *** Arabic-speaking children aged 2-3 years who were exposed to high-risk conditions in the perinatal period are likely to exhibit delays in the development of language and impairments in cognitive *** most significant risk factor associated with language and cognitive impairments was prematurity.
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