OBJECTIVE: Determine the baseline incidence of birth asphyxia in neonatal intensive care unit (NICU) survivors in a developing country and the early neurodevelopmental outcomes of such infants. STUDY DESIGN: This cross-sectional, prospective study collected diagnostic and examination findings on all infants seen in the University of Zambia NICU follow-up clinic over a 4-week period. RESULT: Of the 182 infants, 42 (23%) had a clinical diagnosis of birth asphyxia. Of 42 infants with birth asphyxia, 13 (31%) had an abnormal neurologic examination during the clinic visit; in contrast, 13 of 141 infants without birth asphyxia (9%) had an abnormal examination (odds ratio 4.4, 95% confidence interval: 1.8, 10.4). CONCLUSION: Birth asphyxia survivors account for almost a quarter of NICU survivors in a developing country and half of those with an abnormal neurologic examination. Studies are necessary to determine the percent of birth asphyxia survivors who have permanent motor and cognitive disabilities.
OBJECTIVE: Determine the baseline incidence of birth asphyxia in neonatal intensive care unit (NICU) survivors in a developing country and the early neurodevelopmental outcomes of such infants. STUDY DESIGN: This cross-sectional, prospective study collected diagnostic and examination findings on all infants seen in the University of Zambia NICU follow-up clinic over a 4-week period. RESULT: Of the 182 infants, 42 (23%) had a clinical diagnosis of birth asphyxia. Of 42 infants with birth asphyxia, 13 (31%) had an abnormal neurologic examination during the clinic visit; in contrast, 13 of 141 infants without birth asphyxia (9%) had an abnormal examination (odds ratio 4.4, 95% confidence interval: 1.8, 10.4). CONCLUSION:Birth asphyxia survivors account for almost a quarter of NICU survivors in a developing country and half of those with an abnormal neurologic examination. Studies are necessary to determine the percent of birth asphyxia survivors who have permanent motor and cognitive disabilities.
Authors: Waldemar A Carlo; Shivaprasad S Goudar; Omrana Pasha; Elwyn Chomba; Jan L Wallander; Fred J Biasini; Elizabeth M McClure; Vanessa Thorsten; Hrishikesh Chakraborty; Dennis Wallace; Darlene L Shearer; Linda L Wright Journal: J Pediatr Date: 2012-11-16 Impact factor: 4.406
Authors: Waldemar A Carlo; Shivaprasad S Goudar; Omrana Pasha; Elwyn Chomba; Elizabeth M McClure; Fred J Biasini; Jan L Wallander; Vanessa Thorsten; Hrishikesh Chakraborty; Linda L Wright Journal: J Pediatr Date: 2011-11-17 Impact factor: 4.406
Authors: Jan L Wallander; Carla M Bann; Fred J Biasini; Shivaprasad S Goudar; Omrana Pasha; Elwyn Chomba; Elizabeth McClure; Waldemar A Carlo Journal: J Child Psychol Psychiatry Date: 2014-05-09 Impact factor: 8.982
Authors: Jan L Wallander; Carla Bann; Elwyn Chomba; Shivaprasad S Goudar; Omrana Pasha; Fred J Biasini; Elizabeth M McClure; Vanessa Thorsten; Dennis Wallace; Waldemar A Carlo Journal: Early Hum Dev Date: 2014-05-09 Impact factor: 2.079
Authors: Jan L Wallander; Elizabeth McClure; Fred Biasini; Shivaprasad S Goudar; Omrana Pasha; Elwyn Chomba; Darlene Shearer; Linda Wright; Vanessa Thorsten; Hrishikesh Chakraborty; Sangappa M Dhaded; Niranjana S Mahantshetti; Roopa M Bellad; Zahid Abbasi; Waldemar Carlo Journal: BMC Pediatr Date: 2010-04-30 Impact factor: 2.125