Fatores associados a agravos gastrointestinais no primeiro ano de prematuros tardios e moderados

• Jantsch, Leonardo Bigolin ^[1] ; Barzotto, Vanessa da Silva ^[1] ; Silva, Ethel Bastos da ^[1]
  1. [1] Universidade Federal de Santa Maria

     Universidade Federal de Santa Maria

     Brasil

     
• Localización: Rev Rene, ISSN-e 2175-6783, Vol. 21, Nº. 1, 2020
• Idioma: portugués
• DOI: 10.15253/2175-6783.20202143243
• Títulos paralelos:
  • Factors associated with gastrointestinal disorders in the first year of late and moderate premature infants
• Enlaces
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• Resumen
  • English

    Objective: to analyze the factors associated with the development of gastrointestinal disorders in the first year of life of late and moderate premature infants. Methods: longitudinal study, which followed infants born late and moderate, during the first year of life, via telephone, to develop gastrointestinal disorders, in the maternal perception. Data collected using the Likert scale, in the assessment of acute condition, and analyzed under comparison of frequency and odds ratios (p<5% and 95% Confidence Interval) between variables. Results: the most frequent gastrointestinal injuries in the assessment of the first months of life were colic and vomiting, which reduced the intensity, the closer to the infant’s first year of life, followed by the diarrheal condition that maintained constant intensity throughout the first year. Conclusion: the study has implications for the identification of risk factors, in view of the vulnerability of the premature population, still little described in the literature.

  • português

    Objetivo: analisar os fatores associados ao desenvolvimento de agravos gastrointestinais, no primeiro ano de vida de prematuros tardios e moderados. Métodos: estudo longitudinal, que acompanhou lactentes nascidos tardios e moderados, durante o primeiro ano de vida, via telefone, para desenvolvimento de agravos gastrointestinais, na percepção materna. Dados coletados por meio de escala likert, na avaliação da condição aguda, e analisados sob comparação de frequência e odds ratio (p<5% e Intervalo de Confiança 95%) entre as variáveis. Resultados: os agravos gastrointestinais mais frequentes na avaliação dos primeiros meses de vida foram a cólica e o vômito, que reduziram a intensidade, quanto mais perto do primeiro ano de vida do lactente, seguidos do agravo diarreia que manteve intensidade constante ao longo do primeiro ano. Conclusão: o estudo traz implicação para identificação dos fatores de risco, tendo em vista a vulnerabilidade da população de prematuros, ainda pouco descrita na literatura.

• Referencias bibliográficas
  • World Health Organization. Preterm birth [Internet]. 2015 [cited Jan 12, 2020]. Available from: http://www.who.int/mediacentre/factsheets/fs363/en/
  • Delnord M, Zeitlin J. Epidemiology of late preterm and early term births – an international perspective. Seminars Fetal Neonatal Med. 2019;...
  • Vanin LK, Zatti H, Soncini T, Nunes RD, Siqueira LBS. Maternal and fetal risk factors associated with late preterm infants. Rev Paul Pediatr....
  • Camilleri M, Park SY, Scarpato E, Staiano A. Exploring hypotheses and rationale for causes of infantile colic. Neurogastroenterol Motil. 2017;...
  • Flake ZA, Linn BS, Hornecker JR. Pratical selection of antiemetics in the ambulatory setting. Am Fam Physician [Internet]. 2015 [cited Jan...
  • Baird DC, Harker DJ, Karmes AS. Diagnosis and treatment of gastroesophageal reflux in infants and children. Am Fam Physician [Internet]. 2015...
  • Solé D, Silva LR, Cocco RR, Ferreira CT, Sarni RO, Oliveira LC, et al. Diagnóstico, tratamento e prevenção. Documento conjunto elaborado pela...
  • Tovar JA. Gastroesophageal reflux in newborns and premature infants. Rickham’s Neonatal Surgery. 2018; 577-93. doi:https://doi.org/10.1007/978-1-4471-4721-3_25
  • Tovar JA. Gastroesophageal reflux in the first year of life. Neonatal Surgery. 2019; 209-23. doi: http://dx.doi.org/10.1007/978-3-319-93534-8_15
  • Morais MB. Signs and symptoms associated with digestive tract development. J Pediatr. 2016; 92(3Suppl1):46-56. doi: https://doi.org/10.1016/j.jped.2016.02.008
  • Fekkes M, Theunissen N, Brugman E. Veen EGH, Verrips HM, Koopman T, et al. Development and psychometric evaluation of the TAPQOL: A health-related...
  • Kolimarala V, Beattie RM, BatraA. Gastro-oesophageal reflux in infancy. Paediatr Child Health. 2019; 29(9):377-83. doi: https://doi.org/10.1016/j.paed.2019.06.002
  • Leung AK, Hon KL. Gastroesophageal reflux in children: an updated review. Drugs Context. 2019; 8:212591. doi: http://dx.doi.org/10.7573/dic.212591
  • Beleza LO, Ribeiro LM, Paula RAP, Guarda LEDA, Vieira GB, Costa KSF. Profile of at-risk newborns attended by nurses in outpatient follow-up...
  • Pagliaro CL, Bühler KEB, Ibidi SM, Limongi SCO. Dificuldades de transição alimentar em crianças prematuras: revisão crítica de literatura....
  • Vasconcelos MJOB, Rissin A, Figueiroa JN, Lira PIC, Batista FM. Factors associated with diarrhea in children under five years old in the state...
  • Oliveira RKL, Oliveira BSB, Bezerra JC, Silva MJN, Melo FMS, Joventino ES Influence of socio-economic conditions and maternal knowledge in...
  • Marcon ACC, Vieira MC, Morais MB. Conhecimentos do pediatra sobre o manejo do lactente que chora excessivamente nos primeiros meses de vida....
  • Alexander CP, Zhu J, Paul IM, Kjerulff KH. Fathers make a difference: positive relationships with mother and baby in relation to infant colic....