[Developmental disorders in children and adolescents of the Los Ríos region, Valdivia, Chile, 2006-2008]

Rev Chil Pediatr. 2015 Sep-Oct;86(5):345-50. doi: 10.1016/j.rchipe.2015.04.028. Epub 2015 Jul 10.
[Article in Spanish]

Abstract

Objectives: To study possible findings of factors in the antenatal, perinatal or postnatal period, in the mother or the child that may have an influence on the appearance of a developmental disorder.

Patients and method: A Data Base of Clinical Histories from every patient with a developmental disorder (F80-F90 ICD10) was created. The patients attended the Child Psychiatric Unit at Hospital Regional of Valdivia, Chile, from August 2006 to December 2008. Total: 493 patientes (48.7% of the total of patients consulting);

Control group: 32 healthy patients.

Statistical method: odds ratio (95% confidence).

Results: The main risk factors for developing a developmental disorder (P<.005, 25% frequency in the consulting population) are: prematurity, male sex, mother with low education, early hospitalizations, and medical illnesses (all with a significant odds ratio). Also, having a mother with psychiatric illness doubles the risk of having a developmental disorder.

Conclusion: It requires an interdisciplinary collaborative work between neonatologists, obstetricians, child psychiatrists and the primary care to detect early children at risk.

Keywords: Adolescentes; Adolescents; Children; Developmental disorder; Niños; Posnatal; Postnatal; Prematurez; Prematurity; Prenatal; Trastorno del desarrollo.

MeSH terms

  • Adolescent
  • Adult
  • Case-Control Studies
  • Child
  • Chile / epidemiology
  • Developmental Disabilities / epidemiology*
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Infant, Newborn
  • Interdisciplinary Communication
  • Male
  • Mental Disorders / epidemiology*
  • Mothers*
  • Pregnancy
  • Risk Factors
  • Sex Factors
  • Young Adult