2020, Vol. 3, Issue 1, Part B
Neurodevelopmental outcome of At Risk Newborns at 18 month of Age (Using CDC-KIMS Model)
Author(s)
Dr. Gaurang Pabani and Dr. Triya Malde
Dr. Gaurang Pabani and Dr. Triya Malde
Abstract
Objectives: Present study was done with following objectives: Follow up of At risk NICU graduates for Growth and Neurodevelopmental outcome at 12 to 18 months of age using CDC-KIMS model, to study the risk stratification profile of these graduates and its impact on Neurodevelopmental impairment and to develop risk score from the risk stratification profile.Material and Methods: This is a prospective observational cohort study in neonates with risk factor for developing Neurodevelopmental impairment were followed up for a period of one and a half year to observe their neurodevelopmental outcome. The study was conducted at the High Risk Newborn follow up Clinic of the Department of Pediatrics, SSG hospital, Vadodara. Ninety patients completed 12 to 18 months follow up, who were analyzed in the final results. High Risk grading and stratification was done according to the CDC-KIMS model. All the perinatal details and their course in the NICU were noted in the predesigned Proforma.Results: The Male: Female ration observed in the total hospital admissions during our period of study was 1.3:1. There was a significant difference seen when the different risk groups were compared for their stay in NICU and total hospital stay. The mean length values did not show any significant difference (P > 0.05) between the risk groups at birth and on follow up at 3, 6, 9 and 12 months with 95% confidence limit. There is a significant chance (P< 0.05) of abnormal DASII and mild delay in the group having complex course / hypoxia, apnea, hypotension.Conclusion: CDC-KIMS model for neuron developmental follow up is user friendly. At the time of discharge At risk new born should stratified into mild, moderate and high risk group should have detailed initial assessment.
Objectives: Present study was done with following objectives: Follow up of At risk NICU graduates for Growth and Neurodevelopmental outcome at 12 to 18 months of age using CDC-KIMS model, to study the risk stratification profile of these graduates and its impact on Neurodevelopmental impairment and to develop risk score from the risk stratification profile.Material and Methods: This is a prospective observational cohort study in neonates with risk factor for developing Neurodevelopmental impairment were followed up for a period of one and a half year to observe their neurodevelopmental outcome. The study was conducted at the High Risk Newborn follow up Clinic of the Department of Pediatrics, SSG hospital, Vadodara. Ninety patients completed 12 to 18 months follow up, who were analyzed in the final results. High Risk grading and stratification was done according to the CDC-KIMS model. All the perinatal details and their course in the NICU were noted in the predesigned Proforma.Results: The Male: Female ration observed in the total hospital admissions during our period of study was 1.3:1. There was a significant difference seen when the different risk groups were compared for their stay in NICU and total hospital stay. The mean length values did not show any significant difference (P > 0.05) between the risk groups at birth and on follow up at 3, 6, 9 and 12 months with 95% confidence limit. There is a significant chance (P< 0.05) of abnormal DASII and mild delay in the group having complex course / hypoxia, apnea, hypotension.Conclusion: CDC-KIMS model for neuron developmental follow up is user friendly. At the time of discharge At risk new born should stratified into mild, moderate and high risk group should have detailed initial assessment.
Pages: 82-86 | Views: 1842 | Downloads: 904
How to cite this article:
Dr. Gaurang Pabani, Dr. Triya Malde. Neurodevelopmental outcome of At Risk Newborns at 18 month of Age (Using CDC-KIMS Model). Int J Paediatrics Geriatrics 2020;3(1):82-86. DOI: 10.33545/26643685.2020.v3.i1b.64
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