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P286 Analysis of patients with neurodevelopmental disorders in primary paediatric practice in croatia
  1. Helena Živić
  1. Health facility Zagreb Centre

Abstract

Background and aims The aim was to analyse risk factors and neuromotor outcome in patients with neurodevelopmental disorders in our primary paediatric practice.

Methods Retrospective analysis was performed on 114 children (62 M and 52 F) with neurodevelopmental disorders. Descriptive statistical analysis was used.

Results Twentythree of these children (20,17%) were born from high-risk pregnancies, 26 children (22,8%) were born by Caesarean section. Sixteen patients (14%) were preterms, 19 patients (16,6%) had perinatal infection, 33 (28,9%) had jaundice and 15 (13,1%) had anaemia. All patients were examined by a neuro paediatrician and a physiatrist, mean age of the referral was 4,7 months, and underwent habilitation programs. Abnormal EEG was found in 7 patients (6%), 8 patients (7%) had convulsions. All patients had ultrasonography (USG) brain done, intraventricular/periventricular Grade I haemorrhage was found in 15 patients (13,15%), Grade II in 11 patients (9,65%), 1 patient had Grade III and 1 patient had Grade IV haemorrhage. Hearing and visual disorder was found in 1 patient (deafness and strabismus). Delayed speech development at the age of 2 was found in 5 children (4.38%). Neurodevelopmental outcome at the age of 2 was normal in 100 children (82.72%), delayed in 13 (11.4%), and 1 child had neurological syndrome that predicts cerebral palsy, the same child had strabismus and epilepsy.

Conclusion Our study showed that children with neurodevelopmental risk factors require early detection in primary paediatric care and monitoring. In the presence of neurodevelopmental disorder early habilitation programs are manadatory.

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