P180 – 2388: Main vital activity disorders in small premature infants with severe perinatal cerebral affection

Abstract

Objective Determination of vital activity disorder in small premature infants with severe perinatal cerebral affection. Methods The main vital activities were studied in 277 infants: 108 infant with extremely low birth weight (ELBW) and 169 – with very low birth weight (VLBW). Rehabilitation prognosis (RP) and compensation levels of vital activity disorder. Results 0 compensation level was found in 13% of infants with ELBW and in 9% infants with VLBW in the age of 3–4 years old: minimal mobility degree without ability even to rotate in the bed and partially attend themselves; severe dysarthria and aphasia, dementia more often occurred at double hemiplegia. RP is unfavorable. 1 compensation level was specific for 21% of infants with ELBW and in 18% infants with VLBW: insignificant mobility allowing verticalization and movement with physical assistance or walker support; on the background of rehabilitation over 45% of infants acquired partial skills of daily living but required constant care. Communication with infants was difficult due to motor, speech and cognitive disorders. RP is unfavorable. 24% of infants with ELBW and in 32% infants with VLBW had 2 compensation level: they were able to independent vertialization; mobility was provided by support on crutches or sticks; daily living was limited by muscle spasticity, paresis severity, pathologic position of arm joints or hyperkinesis. Over 63% of children had speech or cognitive disorders. RP is close to satisfactory. 19% of infants with ELBW and in 21% infants with VLBW had 3 compensation level: children walked with difficulties but independently; daily living was complete; fine differentiated movements in hands and fingers were difficult; dysarthria was observed. RP is favorable. Conclusion Main vital activity disorders in small premature infants with severe perinatal cerebral affection are the predictor of actual and potential disability.