Serviços Personalizados
Journal
Artigo
Espanhol (pdf)
Artigo em XML
Referências do artigo
Tradução automática
Enviar este artigo por emailIndicadores
-
Citado por SciELO -
Acessos
Links relacionados
-
Similares em
SciELO
Compartilhar
Permalink
Vive Revista de Salud
versão impressa ISSN 2664-3243
Vive Rev. Salud vol.6 no.17 La Paz ago. 2023 Epub 08-Maio-2023
https://doi.org/10.33996/revistavive.v6i17.235
ARTICULO DE INVESTIGACION
El desarrollo psicomotor en niños menores de 5 años con cardiopatía congénita, Madre de Dios-Perú
Psychomotor development in children under 5 years of age with congenital heart disease, Madre of Dios-Peru
Desenvolvimento psicomotor em crianças menores de 5 anos com cardiopatia congênita, Madre de Dios-Peru
1
http://orcid.org/0000-0002-2581-6810
1
http://orcid.org/0000-0001-6339-3399
1
http://orcid.org/0000-0001-6424-4934
1
http://orcid.org/0000-0002-5255-6794
1Universidad Nacional Amazónica de Madre de Dios. Puerto Maldonado, Perú
A nivel mundial, la cardiopatía congénita en los niños es la malformación más común que puede tener un bebé al nacer. Objetivo. Analizar el comportamiento del desarrollo psicomotor de los niños menores a 5 años con cardiopatía congénita en la región de Madre de Dios, Perú. Materiales y métodos. Se consideró un enfoque cuantitativo, de tipo observacional analítica con diseño de cohorte prospectivo, con muestreo no probabilístico y una muestra de 6 infantes a quienes se aplicó el instrumento de recolección de información “observación del desarrollo psicomotor en niños con cardiopatía congénita”. Resultados. El género del paciente varón en promedio es de 33.33%, la edad en promedio de los pacientes con cardiopatía congénita es de 2 años; el tipo de cardiopatía congénita de los pacientes es atresia pulmonar y estenosis aortica, mostrando un desarrollo psicomotor promedio de nivel medio; el tipo de cirugía desarrollado en el paciente en promedio es de tipo definitivo; alcanzando de esta manera una estancia hospitalaria de 16 a 30 días en promedio y alcanzando un estado nutricional promedio de desnutrición severa. Además, la relación entre el tipo de cardiopatía congénita con el desarrollo psicomotor es positiva, toda vez que, ante un incremento del desarrollo psicomotor de los pacientes, entonces los casos de cardiopatía congénita incrementan (ρ de Pearson =0.6919). Conclusiones. Se determinó que, en los pacientes estudiados el desarrollo psicomotor es de nivel medio; la misma que está relacionado por el tipo de cardiopatía congénita que tiene, donde el 33.33% de los pacientes presentan atresia pulmonar y el 16.67% tiene estenosis aortica; lo que demuestra que la relación entre el tipo de cardiopatía congénita con el desarrollo psicomotor es positiva o directa.
Palabras clave: Desempeño psicomotor; Cardiopatías congénitas; Servicio social; Intervención Quirúrgica; Niños con discapacidad
Worldwide, congenital heart disease in children is the most common malformation that an infant may have at birth. Objective. To analyze the behavior of psychomotor development in children under 5 years of age with congenital heart disease in the region of Madre de Dios, Peru. Materials and methods. A quantitative, analytical observational approach with prospective cohort design was considered, with non-probabilistic sampling and a sample of 6 infants to whom the data collection instrument "observation of psychomotor development in children with congenital heart disease" was applied. Results. The average gender of the male patient is 33.33%; the average age of the patients with congenital heart disease is 2 years; the type of congenital heart disease of the patients is pulmonary atresia and aortic stenosis, showing an average psychomotor development of medium level; the type of surgery developed in the patient on average is of definitive type; thus reaching a hospital stay of 16 to 30 days on average and reaching an average nutritional status of severe malnutrition. In addition, the relationship between the type of congenital heart disease and psychomotor development is positive, since, with an increase in the psychomotor development of the patients, the cases of congenital heart disease increase (Pearson's ρ =0.6919). Conclusions. It was determined that, in the patients studied, psychomotor development is of medium level; the same is related to the type of congenital heart disease they have, where 33.33% of the patients present pulmonary atresia and 16.67% have aortic stenosis; which shows that the relationship between the type of congenital heart disease and psychomotor development is positive or direct.
Key words: Psychomotor performance; Congenital heart disease; Social service; Surgical intervention; Children with disabilities
Em todo o mundo, a doença cardíaca congênita em crianças é a malformação mais comum que um bebê pode ter ao nascer. Objetivo. Analisar o comportamento do desenvolvimento psicomotor em crianças com menos de 5 anos de idade com cardiopatia congênita na região de Madre de Dios, no Peru. Materiais e métodos. Foi considerada uma abordagem observacional quantitativa e analítica, com um projeto de coorte prospectivo, amostragem não probabilística e uma amostra de 6 bebês aos quais foi aplicado o instrumento de coleta de dados "observação do desenvolvimento psicomotor em crianças com cardiopatia congênita". Resultados. O sexo médio do paciente masculino é de 33,33%, a idade média dos pacientes com cardiopatia congênita é de 2 anos; o tipo de cardiopatia congênita dos pacientes é atresia pulmonar e estenose aórtica, apresentando um desenvolvimento psicomotor médio de nível médio; o tipo de cirurgia desenvolvida no paciente é, em média, do tipo definitiva; atingindo, assim, uma permanência hospitalar de 16 a 30 dias, em média, e atingindo um estado nutricional médio de desnutrição grave. Além disso, a relação entre o tipo de cardiopatia congênita e o desenvolvimento psicomotor é positiva, pois, com o aumento do desenvolvimento psicomotor dos pacientes, aumentam os casos de cardiopatia congênita (ρ de Pearson = 0,6919). Conclusões. Foi determinado que, nos pacientes estudados, o desenvolvimento psicomotor é de nível médio; isso está relacionado com o tipo de cardiopatia congênita que eles têm, onde 33,33% dos pacientes têm atresia pulmonar e 16,67% têm estenose aórtica; o que mostra que a relação entre o tipo de cardiopatia congênita e o desenvolvimento psicomotor é positiva ou direta.
Palavras-Chave: Desempenho psicomotor; Doença cardíaca congênita; Serviço Social; Intervenção cirúrgica; Crianças com deficiência
REFERENCIAS BIBLIOGRÁFICAS
1. Báez-Ferrer N, Avanzas P, Domínguez-Rodríguez A. Role of cardiopulmonary stress testing in patients with severe aortic stenosis. Rev Española Cardiol (English Ed. 2023 Jan;76(1):7-9. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1885585722002316 [ Links ]
2. Bonnet D. Genetics of congenital heart diseases. Press Medicale. 2017 Jun 1;46(6P1):612-9. Available from: https://europepmc.org/article/med/28583745 [ Links ]
3. De Backer J, Callewaert B, Muiño Mosquera L. Genetics in congenital heart disease. Are we ready for it? Rev Española Cardiol (English Ed. 2020 Nov 1;73(11):937-47. Available from: https://doi.org/10.1016/j.rec.2020.05.019 [ Links ]
4. Estefanero-Meza J, Pinto-Torres DA, Mamani-Huaman G, Moreno-Loaiza O. Insufficient cardiovascular surgeries in children with congenital heart defects in Arequipa, Peru. Rev Peru Med Exp Salud Publica 2013;30(4):716-7. Available from: http://www.scielo.org.pe/pdf/rins/v30n4/a30v30n4.pdf [ Links ]
5. Ferencz C, Boughman JA, Neill CA, Brenner JI, Perry LW. Congenital cardiovascular malformations: Questions on inheritance. J Am Coll Cardiol. 1989 Sep 1;14(3):756-63. Available from: https://doi.org/10.1016/0735-1097(89)90122-8 [ Links ]
6. Hoess K, Goldmuntz E, Pyeritz RE. Genetic counseling for congenital heart disease: New approaches for a new decade. Curr Cardiol Rep. 2002;4(1):68-75. Available from: https://link.springer.com/article/10.1007/s11886-002-0129-y [ Links ]
7. Øyen N, Poulsen G, Boyd HA, Wohlfahrt J, Jensen PKA, Melbye M. Recurrence of congenital heart defects in families. Circulation. 2009;120(4):295-301. Available from: https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.109.857987 [ Links ]
8. Mendoza-Sánchez V, Hernández-Negrete LE, Cazarez-Ortiz M, González E, Guido-Campuzano MA. Neurodesarrollo en niños con cardiopatía congénita a los 30 meses de edad. Rev Mex Pediatría 2019;86(4):143-6. Available from: https://www.scielo.org.mx/pdf/rmp/v86n4/0035-0052-rmp-86-04-143.pdf [ Links ]
9. Rodríguez Rodríguez T, Nohaya Alonso A, González Vales N. Psychocardiological intervention in the cardiovascular rehabilitation of school children with congenital heart disease: A systematic review. Rehabilitacion 2022 Oct 1;cited 2023 Mar 21;56(4):353-63. Available from: https://pubmed.ncbi.nlm.nih.gov/35523617/ [ Links ]
10. Wang X, Li P, Chen S, Xi L, Guo Y, Guo A, et al. Influence of genes and the environment in familial congenital heart defects. Mol Med Rep. 2014 Feb;9(2):695-700. Available from: https://www.spandidos-publications.com/10.3892/mmr.2013.1847 [ Links ]
11. Copado Mendoza DY, Martínez García AJ, Acevedo Gallegos S. Importancia del diagnóstico prenatal de las cardiopatías congénitas. Perinatol y Reprod Humana. 2018 Sep 1;32(3):127-30. Available from: https://doi.org/10.1016/j.rprh.2018.08.001 [ Links ]
12. Tomassoni TL. Role of exercise in the management of cardiovascular disease in children and youth. Med Sci Sports Exerc. 1996;28(4):406-13. Available from: https://journals.lww.com/acsm-msse/Fulltext/1996/04000/Role_of_exercise_in_the_management_of.3.aspx [ Links ]
13. Inoue AS, Lopes AAB, Tanaka ACS, Feltrim MIZ, Galas FRBG, Almeida JP, et al. Impact of Preoperative Functional Capacity on Postoperative Outcomes in Congenital Heart Surgery: An Observational and Prospective Study. Arq Bras Cardiol. 2022;118(2):411-9. Available from: https://www.scielo.br/j/abc/a/VTMvDsydgwTXmqJyXkLwJsm/abstract/?lang=en [ Links ]
14. Castillo-Espínola A, Velázquez-Ibarra A, Zetina-Solórzano A, Bolado-García P, Gamboa-López G. Post-surgical morbidity in paediatric patients undergoing surgery for congenital heart disease in the UMAE of Yucatan, Mexico. Arch Cardiol Mex. 2018;88(1):1-8. Available from: http://dx.doi.org/10.1016/j.acmx.2016.10.004 [ Links ]
15. Tian J, An X, Niu L. Rehabilitation during congenital heart disease in pediatric patients. Minerva Pediatr. 2019;71(6):533-8. Available from: https://europepmc.org/article/med/27652994 [ Links ]
16. Rose V, Gold RJM, Lindsay G, Allen M. A possible increase in the incidence of congenital heart defects among the offspring of affected parents. J Am Coll Cardiol. 1985 Aug 1;6(2):376-82. Available from: https://doi.org/10.1016/S0735-1097(85)80175-3 [ Links ]
17. Raissadati A, Nieminen H, Haukka J, Sairanen H, Jokinen E. Late Causes of Death After Pediatric Cardiac Surgery: A 60-Year Population-Based Study. J Am Coll Cardiol. 2016;68(5):487-98. Available from: https://www.jacc.org/doi/epdf/10.1016/j.jacc.2016.05.038 [ Links ]
18. Khoshhal S. Feasibility and effectiveness of three-dimensional echocardiography in diagnosing congenital heart diseases. Pediatr Cardiol. 2013 Oct;34(7):1525-31. Available from: https://link.springer.com/article/10.1007/s00246-013-0718-0 [ Links ]
19. Keith L, Berger GS. The relationship between congenital defects and the use of exogenous progestational “contraceptive” hormones during pregnancy: a 20-year review. Int J Gynecol Obstet. 1977;15(2):115-24. Available from: https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1002/j.1879-3479.1977.tb00659.x [ Links ]
20. Valentín Rodríguez A. Cardiopatías congénitas en edad pediátrica, aspectos clínicos y epidemiológicos. Rev Médica Electrónica 2018;40(2):1399-428. Available from: https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDREVISTA=269&IDARTICULO=84002&IDPUBLICACION=8063 [ Links ]
21. Uribe Rivera AK. Características epidemiológicas y clínicas de las cardiopatías congénitas en niños menores de 5 años del Hospital Almanzor Aguinaga Asenjo durante enero-diciembre 2012. 2015;15(1). Available from: http://www.scielo.org.pe/pdf/hm/v15n1/a07v15n1.pdf [ Links ]
22. Madeira S. Congenital heart disease: When simple becomes complex. Rev Port Cardiol 2022;41(2):179.e1-179.e2. Available from: https://doi.org/10.1016/j.repc.2021.10.008 [ Links ]
23. Acevedo Gallegos S, Martínez Menjivar NA, Gallardo Gaona JM, Velázquez Torres B, Camarena Cabrera DM, Copado Mendoza DY, et al. Efectos de los esteroides como inductores de maduración pulmonar en restricción del crecimiento intrauterino. Revisión sistemática. Perinatol y Reprod Humana. 2018 Sep;32(3):118-26. Available from: https://doi.org/10.1016/j.rprh.2018.07.003 [ Links ]
24. Quispe Mamani JC, Quilca Soto Y, Calcina Álvarez DA, Yapuchura Saico CR, Ulloa Gallardo NJ, Aguilar Pinto SL, et al. Moral Risk in the Behavior of Doctors of the Comprehensive Health Insurance in the Province of San Román, Puno-Peru, 2021. Front Public Heal. 2022 Feb 17;9. Available from: https://doi.org/10.3389/fpubh.2021.799708 [ Links ]
25. Olórtegui A, Adrianzén M. Incidencia estimada de las cardiopatías congénitas en niños menores de 1 año en el Perú. An la Fac Med. 2013;68(2):113. Available from: http://www.scielo.org.pe/pdf/afm/v68n2/a03v68n2.pdf [ Links ]
26. Delgado Montenegro L, Cortez Vásquez A, Ibáñez Prentice E. Aplicación de metodología Buchanan para la construcción de un sistema experto con redes bayesianas para apoyo al diagnóstico de la tetralogía de Fallot en el Perú. Ind Data 2016;18(1):135. Available from: https://www.redalyc.org/pdf/816/81642256016.pdf [ Links ]
27. Alvarez-Manassero D, Manassero-Morales G. Cráneo en trébol y fisura facial bilateral. Rev Chil Pediatría. 2015 Sep 1;86(5):357-60. Available from: https://doi.org/10.1016/j.rchipe.2015.07.017 [ Links ]
28. Castillo Lam JE, Elías Adauto OE, Huamán Benancio GP. Cardiopatías congénitas asociadas a los síndromes cromosómicos más prevalentes: revisión de la literatura. Arch Peru Cardiol y Cirugía Cardiovasc. 2021;2(3):187-95. Available from: https://repositorio.essalud.gob.pe/bitstream/handle/20.500.12959/1913/Cardiopatías congénitas asociadas a los síndromes cromosómicos más prevalentes revisión de la literatura.pdf?sequence=1&isAllowed=y [ Links ]
29. Miranda-Chávez I, Ilarraza-Lomelí H, Rius MD, Figueroa-Solano J, de Micheli A, Buendía-Hernández A. Rehabilitación cardiaca en cardiopatías congénitas. Arch Cardiol Mex. 2012;82(2):153-9. Available from: https://www.scielo.org.mx/pdf/acm/v82n2/v82n2a12.pdf [ Links ]
30. Valenzuela IE. Activos y contexto económico : Factores relacionados con la pobreza en el Perú. Banco Cent Reserv. 2013;013:30. Available from: https://www.bcrp.gob.pe/docs/Publicaciones/Documentos-de-Trabajo/2013/documento-de-trabajo-13-2013.pdf [ Links ]
31. Asner GP, Llactayo W, Tupayachi R, Luna ER. Elevated rates of gold mining in the Amazon revealed through high-resolution monitoring. Proc Natl Acad Sci U S A. 2013 Nov 12;110(46):18454-9. Available from: https://www.pnas.org/doi/abs/10.1073/pnas.1318271110 [ Links ]
32. Fournier E, Batteux C, Mostefa-Kara M, Valdeolmillos E, Maltret A, Cohen S, et al. Cardiac tomography-echocardiography imaging fusion: a new approach to congenital heart disease. Rev Española Cardiol (English Ed. 2023 Jan 1;76(1):10-8. Available from: https://www.sciencedirect.com/science/article/abs/pii/S188558572200072X [ Links ]
33. Torres-Romucho CE, Uriondo-Ore VG, Ramirez-Palomino AJ, Arroyo-Hernández H, Loo-Valverde M, Protzel-Pinedo A, et al. Factores asociados a la supervivencia al año de vida en neonatos con cardiopatía congénita severa en un Hospital Nacional de Perú. Rev Peru Med Exp Salud Publica 2019;36(3):433-41. Available from: http://www.scielo.org.pe/pdf/rins/v36n3/1726-4642-rins-36-03-433.pdf [ Links ]
34. Gutiérrez EV, Velásquez LR, Morales VG, Cruz LBS, Guevara CG. Incidencia y tratamiento de las cardiopatías congénitas en San Miguel del Padrón. Rev Cuba Med Gen Integr. 2012;28(3):220-34. Available from: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=37897 [ Links ]
35. Monroy-Muñoz IE, Pérez-Hernández N, Vargas-Alarcón G, Ortiz-San Juan G, Buendía-Hernández A, Calderón-Colmenero J, et al. Cambiando el paradigma en las cardiopatías congénitas. Gac Med Mex 2013;149:212-9. Available from: https://www.anmm.org.mx/GMM/2013/n2/GMM_149_2013_2_212-219.pdf [ Links ]
36. Pajarito J, Ancines J, Aguilar J, De la Hoz M, Peñata C, Ríos N, et al. Rasgos del desempeño motor en niños con cardiopatía congénita de 0 a 3 años, del Hospital Cardiovascular del Niño de Cundinamarca. 2011;31-7. Available from: https://revmovimientocientifico.ibero.edu.co/article/view/294/262 [ Links ]
37. Mendoza Cruz M, Ochoa Roca TZ, Ramírez Ramos A, Hechavarría Barzaga K, González Cuello R. Factores relacionados a cardiopatías congénitas en menores de 18 años de la Policlínica René Ávila Reyes. 2011;15(3). Available from: https://pesquisa.bvsalud.org/portal/resource/pt/cum-47791 [ Links ]
Recibido: 24 de Marzo de 2023; Aprobado: 11 de Abril de 2023; Publicado: 08 de Mayo de 2023
Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons
