Perfil dos recém-nascidos prematuros atendidos no seguimento ambulatorial em uma cidade do sul do Brasil
2021
Objective: To analyze the profile of premature newborns treated in an outpatient follow-up in a city in southern Brazil. Methods: Observational, retrospective study, through analysis of medical records. All preterm infants with a gestational age of less than 35 weeks were included and, after discharge, had regular follow-up until completing twelve months of corrected age, from January 2010 to December 2017. Results: A total of 9419 medical records were reviewed, however only 397 met the inclusion criteria. Premature infants monitored at the pediatric outpatient clinic had adequate growth compatible with Intergrowth-21st curves. In neonatal screening, the ear test showed the greatest change (10.3%), followed by the “teste do pezinho” (3.4%). The most prevalent comorbidity was cardiac change (51.1%). Extreme prematurity, low birth weight and having a score below 7 in the fifth minute were the risk factors most associated with the comorbidities found. Conclusion: The results suggest that preterm infants monitored at the university pediatric outpatient clinic have a growth compatible with the Intergrowth-21 curves, however, medium and long term follow-up is essential, especially in cases of extreme prematurity, low birth weight and apgar low for diagnosis and early intervention of morbidities.
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