Keywords
Neonatal Intensive Care Unit
Hospital stay
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Abstract
Objective: To evaluate the association between consequences on neuropsychomotor development according to length of stay and procedures performed on newborns in Neonatal Intensive Care Units. Methods: This is a systematic review, with the target audience being neonates who were admitted to the Neonatal Intensive Care Unit (NICU). The searches were carried out in 3 databases (VHL, Pubmed and Cochrane Library) using descriptors: neonates, NICU and neuropsychomotor development. The articles found were filtered by Rayyan Software and their methodological quality was assessed using the Newcastle-Ottawa Scale (NOS). Results: 8049 articles were identified, of which 23 were considered eligible for full evaluation, and 11 of these were included in the review. It was found that neonates hospitalized with low birth weight and/or low gestational age, with morbidities and subject to surgical procedures presented greater risks of compromised neurodevelopment. Final considerations: Studies have shown that newborns subject to periods of hospitalization in the NICU can have consequences on their neuropsychomotor development.
References
ANDERSON DE e PATEL AD. Infants born preterm, stress, and neurodevelopment in the neonatal intensive care unit: might music have an impact? Developmental Medicine and Child Neurology, 2018; 63(3): 256–266.
BARROS R, et al. Principais instrumentos para avaliação do desenvolvimento neuropsicomotor em crianças no brasil. Brazilian Journal of Development, 2020; 6(8): 60393–60406.
BEMBICH S, et al. Preterm Newborn Adaptive Responses to Daily Nursing during Neonatal Intensive Care Unit Stay, Associate with Neurodevelopment, 2 Years Later. American journal of perinatology, 2023; 40(13): 1454–1460.
BOLISETTY S, et al. Neurodevelopmental outcomes of extremely preterm infants in New South Wales and the Australian Capital Territory. Journal of paediatrics and child health, 2019; 55(8): 956-961.
CHO H, et al. Head growth during neonatal intensive care unit stay is related to the neurodevelopmental outcomes of preterm small for gestational age infants. Pediatrics & Neonatology, 2021; 62(6): 606-611.
CHUNG E, et al. Neurodevelopmental outcomes of preterm infants: a recent literature review. Translational Pediatrics, 2020; 9(1): 3.
CONG X, et al. The impact of cumulative pain/stress on neurobehavioral development of preterm infants in the NICU. Early Human Development, 2017; 108: 9–16.
COSTA I, et al. Impacto das Telas no Desenvolvimento Neuropsicomotor Infantil: uma revisão narrativa / Impact of Screens on Child Neuropsychomotor Development: a narrative review. Brazilian Journal of Health Review, 2021; 4(5): 21060–21071.
KLINGENBERG C, et al. Growth and neurodevelopment in very preterm infants receiving a high enteral volume-feeding regimen–a population-based cohort study. The Journal of Maternal-Fetal & Neonatal Medicine, 2019; 32(10): 1664-1672.
KRATIMENOSA P, et al. Association between hemoglobin concentrations at discharge from the neonatal intensive care unit with markers of neurodevelopmental outcomes in premature neonates. Journal of Neonatal-Perinatal Medicine, 2019; 12(2): 221-230.
KYRIAKIDOU M, et al. Neurodevelopmental Outcome in Extremely Low Birth Weight Infants at 2–3 Years of Age. Medicina, 2020; 56(12): 649.
MCGOWAN E, et al. Analysis of neonatal neurobehavior and developmental outcomes among preterm infants. JAMA Network Open, 2022; 5(7): 2222249.
PASCAL A, et al. Neurodevelopmental outcomes of very preterm and very-low-birthweight infants in a population-based clinical cohort with a definite perinatal treatment policy. European Journal of Paediatric Neurology, 2020; 28: 133-141.
PATRA K e GREENE M. Health care utilization after NICU discharge and neurodevelopmental outcome in the first 2 years of life in preterm infants. American journal of perinatology, 2018; 35(5): 441-447.
STROUSTRUP A, et al. Sources of Clinically Significant Neonatal Intensive Care Unit Phthalate Exposure. Journal of exposure science & environmental epidemiology, 2020; 30(1): 137.
SUNG S, et al. The impact of surgical intervention on neurodevelopmental outcomes in very low birth weight infants: a nationwide cohort study in Korea. Journal of Korean medical science, 2019; 34(43).
VAN D, et al. Neonatal stress, health, and development in preterms: A systematic review. Pediatrics, 2021; 148(4): 2021050414.
VLIEGENTHART R, et al. Duration of mechanical ventilation and neurodevelopment in preterm infants. Archives of Disease in Childhood-Fetal and Neonatal Edition, 2019; 104(6): 631-635.
YUE S, et al. Impact of Neonatal Intensive Care Unit (NICU) Environmental Stress on Neurodevelopment in Preterm Infants and Advances in Epigenetic Research. Chinese Journal of Contemporary Pediatrics, 2019; 21(11).
ZHAOA T, et al. Early-life factors associated with neurobehavioral outcomes in preterm infants during NICU hospitalization. Pediatric Research, 2022; 92(6): 1695-1704.