RESUMO
BACKGROUND: Children adopted from Eastern Europe are at risk of prenatal alcohol exposure, consequently at risk of Fetal Alcohol Spectrum Disorders (FASD). To our knowledge, a systematic complete assessment of these disabilities among adoptees from Eastern Europe has not yet been reported. OBJECTIVE: To assess physical and neurodevelopmental status to identify FASD in children adopted from Eastern Europe. METHOD: Cross sectional study at International Adoption Clinic of a paediatric academic hospital. This evaluation was realized according to the 4-Digit Diagnostic Code (4-DDC). RESULTS: Twenty-nine children were evaluated. Five years after adoption, 7% (N=2) still presented growth delay and 24% (N=7) microcephaly. Facial evaluation demonstrated moderate Fetal Alcohol Syndrome (FAS) features in 7% (N=2) of children. Amiel-Tison Neurological Assessment was non optimal in 46% (N=13/28) of children. Visual-motor perception skills were mainly normal, but 14% (N=4) showed distal somatopraxic problems. Cognition, executive functioning, abstract reasoning and memory were normal. Full scale IQ was 105.5 +/- 13.3; verbal IQ < performance IQ (p<0.005), work memory < short memory (p<0.0001), receptive Assuntos
Adoção
, Desenvolvimento Infantil
, Deficiências do Desenvolvimento/etiologia
, Transtornos do Espectro Alcoólico Fetal/diagnóstico
, Consumo de Bebidas Alcoólicas/efeitos adversos
, Alcoolismo/complicações
, Criança
, Pré-Escolar
, Estudos Transversais
, Deficiências do Desenvolvimento/psicologia
, Europa Oriental
, Feminino
, Transtornos do Espectro Alcoólico Fetal/psicologia
, Hospitais Pediátricos
, Hospitais Universitários
, Humanos
, Inteligência
, Cooperação Internacional
, Masculino
, Testes Neuropsicológicos
, Gravidez
, Efeitos Tardios da Exposição Pré-Natal