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RÉSUMÉ
Introduction. Prematurity increases the likelihood of developmental delay, which refers to a condition where a child fails to meet developmental milestones at the expected age. Through this study, we set out to identify clinical and anthropometric measures that are associated with early neuromotor developmental outcomes in premature infants using the Infant Neurological International Battery (INFANIB) score. Methodology. This was a retrospective cohort study carried out at Douala Laquintinie Hospital (DLH) over a period of 3 years from January 2020 to December 2022. Developmental delay was defined as a transient or abnormal INFANIB score at 6 months of corrected age. Results. A total of 78 infants were retained for the study. Most infants were females (n=40, 51.28%) and were born through vaginal delivery (n=51, 65.38%). Median gestational age at birth was 32 weeks (Q1-Q3: 27-36). At birth, median weight and head circumference were 1810g (Q1-Q3: 1000-2400) and 30 cm (Q1-Q3: 28-31), respectively. Thirteen patients had icterus on admission (16.7%). INFANIB score at 6 months was abnormal in 42.3% (n=33) of patients. The head circumference at birth [aOR: 1.45 (0.9-2.33), p=0.046, b= -0.54] and the presence of icterus at birth [aOR: 31.41 (2.23-442.34), p=0.001, b= 1.35] were the two factors significantly associated with neuromotor developmental delay. Conclusion. Developmental delay was present in 42.3% of patients at 6 months. Head circumference at birth and icterus on admission were associated with developmental delay at 6 months. More robust and multicentric studies are needed to confirm these findings.
ABSTRACT
Introduction. La prématurité augmente la probabilité d'un retard de développement, c'est-à-dire le fait qu'un enfant n'atteigne pas les étapes de son développement à l'âge prévu. Cette étude a pour but d'identifier les mesures cliniques et anthropométriques qui sont associées aux résultats du développement neuromoteur précoce chez les enfants prématurés en utilisant le score Infant Neurological International Battery (INFANIB). Méthodologie. Il s'agit d'une étude de cohorte rétrospective menée à l'hôpital Laquintinie de Douala (DLH) sur une période de 3 ans allant de janvier 2020 à décembre 2022. Le retard de développement a été défini comme un score INFANIB transitoire ou anormal à 6 mois d'âge corrigé. Résultats. Au total, 78 nourrissons ont été retenus pour l'étude. La plupart des nourrissons étaient de sexe féminin (n=40, 51,28%) et étaient nés par voie basse (n=51, 65,38%). L'âge gestationnel médian à la naissance était de 32 semaines (Q1-Q3 : 27-36). À la naissance, le poids médian et le périmètre crânien étaient respectivement de 1810 g (Q1-Q3 : 1000-2400) et de 30 cm (Q1-Q3 : 28-31). Treize patients présentaient un ictère à l'admission (16,7 %). Le score INFANIB à 6 mois était anormal chez 42,3 % (n=33) des patients. Le périmètre crânien à la naissance [aOR : 1.45 (0.9-2.33), p=0.046, b= -0.54] et la présence d'un ictère à la naissance [aOR : 31.41 (2.23-442.34), p=0.001, b= 1.35] étaient les deux facteurs significativement associés au retard de développement neuromoteur. Conclusion. Un retard de développement était présent chez 42,3 % des patients à 6 mois. Le périmètre crânien à la naissance et l'ictère à l'admission étaient associés à un retard de développement à 6 mois. Des études plus solides et multicentriques sont nécessaires pour confirmer ces résultats.

Keywords

INFANIB neuromotor anthropometric outcome premature INFANIB neuromoteur anthropométrique devenir prématuré

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Eposse Ekoube Charlotte, Puepi Djike Yolande, Mbono Ritha Betoko, Mandeng Ma Linwa Edgar, Noukeu Njinkui Diomède, Moudze Béatrice, … Kedy Mangamba Koum Daniele-Christiane. (2024). Using the Infant Neurological International Battery (INFANIB) Score to Identify Clinical and Anthropometric Factors Associated with Early Neuromotor Developmental Outcomes in Premature Infants. HEALTH SCIENCES AND DISEASE, 25(3). https://doi.org/10.5281/hsd.v25i3.5392
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