ABSTRACT
La pandemia causada por la enfermedad por coronavirus (COVID-19) ha causado interrupciones importantes en la provisión de servicios, la participación y el bienestar general de niños, niñas y jóvenes con discapacidades y sus familias en todo el mundo. COVID-19 ha tenido un impacto negativo en varias áreas de funcionamiento, bienestar general y derechos de las personas con discapacidades y sus familias en todo el mundo. El impacto en la salud mental de las personas con discapacidad, los cuidadores y los profesionales sigue siendo un problema importante a nivel mundial. (AU)
The coronavirus disease (COVID-19) pandemic has caused significant disruptions in the provision of services, participation, and overall well-being of children and youth with disabilities and their families all over the world. COVID-19 has had a negative impact on several areas of functioning, general well-being, and rights of people with disabilities and their families worldwide. The impact on the mental health of people with disabilities, their caregivers, and professionals continues to be a major issue globally (AU)
Subject(s)
Humans , Infant , Child, Preschool , Child , Adolescent , Disabled Children , Equity , Pandemics , COVID-19/complications , Human Rights , Argentina/epidemiology , CaregiversABSTRACT
OBJECTIVE: To describe the incidence trend and long-term visual outcomes of infants diagnosed with stages 3 to 4 retinopathy of prematurity (ROP) or laser-treated ROP born in British Columbia (Canada). STUDY DESIGN: Data from all (n=1384) neonates with birth weight (BW) <1250 g, admitted to British Columbia Children's Hospital between period 1 (January 1992 to December 1996) and period 2 (January 1997 to December 2001) were analyzed. Ophthalmologic records of infants with stages 3 to 4 ROP or laser-treated ROP were abstracted. chi(2)- and t-test were used to compare neonatal characteristics between periods. Logistic regression was used to identify risk factors associated with visual impairment (defined as visual acuity Subject(s)
Blindness/epidemiology
, Refractive Errors/epidemiology
, Retinopathy of Prematurity/epidemiology
, British Columbia/epidemiology
, Child
, Child, Preschool
, Hospitals, Pediatric
, Humans
, Incidence
, Infant, Extremely Low Birth Weight
, Infant, Newborn
, Infant, Premature
, Infant, Very Low Birth Weight
, Intensive Care Units, Neonatal
, Laser Therapy
, Retinopathy of Prematurity/therapy
, Retrospective Studies
ABSTRACT
OBJECTIVE: Long-term outcomes of preterm infants have been extensively studied, but few studies have examined long-term outcomes of term infants who require neonatal intensive care unit (NICU). Our objectives were to assess perinatal characteristics and health status of preschool age term babies using data from a population-based study of NICU graduates. STUDY DESIGN: Retrospective cross-sectional survey. All babies were born in 1996 to 1997 in BC (Canada). The Health Status Classification System Preschool (HSCS-PS) questionnaire was completed by parents at 42 months of age. HSCS-PS was grouped in four categories (neurosensory, learning, motor and quality of life). Logistic regression was used to identify perinatal risk factors associated with moderate/severe problems at 42 months of age. RESULT: Completed surveys were received for 261 term NICU survivors and 393 control children. Term infants represent 32% of all NICU admissions. Mean birth weight of NICU graduates was 3458 g (s.d.=600 g). Median length-of-stay in NICU was 5 days. At 42 months, the NICU group had significantly more problems on the HSCS-PS as compared to the full-term healthy infants in neurosensory, motor and learning/remembering. Moderate/severe health status problems were associated with congenital anomalies (odds ratio (OR), 3.2; confidence interval (CI): 1.3 to 7.8); smoking status (OR, 2.7, CI: 1.1 to 6.6) and SNAP score (OR, 1.04; CI: 1.0 to 1.1). CONCLUSION: Term babies admitted to NICUs may have significant health issues in childhood. Greater attention needs to be paid to long-term outcomes of term NICU graduates. Further study is warranted to address which NICU term survivors warrant secondary and/or tertiary-level neurodevelopmental follow-up.