Aplicação do TIMP no ambiente hospitalar: uma realidade para intervenção precoce em prematuros
Application of TIMP in the hospital environment: a reality for early intervention in preterm infants
Cristiane Aparecida Moran, Giovana Pascoali Rodovanski, Maria Carolina Speck do Canto, Natasha Nicholson de Santa Maria, Evelim Leal de Freitas Dantas Gomes
Resumo
Introdução: O aumento da sobrevida dos RNPT está associado a maiores chances de atraso no desenvolvimento neuromotor, sendo crucial a identificação precoce desses riscos para otimizar intervenções e melhora prognóstica. Entretanto não é rotina em todos os hospitais. Objetivos: Fundamentar a necessidade de triagem precoce de RNs prematuros sem comorbidades por meio de uma avaliação validada e padronizada e que seja viáveln para esse fim. Métodos: Foi conduzido um estudo transversal e prospectivo com 108 recém-nascidos (55 RNT e 53 RNPT) em dois hospitais públicos brasileiros. Os recém-nascidos foram avaliados com a escala TIMP. Os RN foram divididos em dois grupos: G1 (RNPT) com idade gestacional inferior a 37 semanas de nascimento e G2 (RNT) com idade gestacional superior a 37 semanas de nascimento. Excluíram-se aqueles com síndromes genéticas ou alterações neurológicas graves. Resultados: Os RNPT apresentaram menores medidas antropométricas e APGAR. Quanto ao desempenho motor, a pontuação bruta do TIMP foi significativamente menor nos RNPT (45,01 ± 14,33) em comparação aos RNT (66,8 ± 22,2), com Z-score médio de -0,97 ± 0,65 para os RNPT e -0,24 ± 1,02 para os RNT, p<0,001. Conclusão: A avaliação precoce do desempenho motor em RNPT demonstrou ser essencial para a detecção de atrasos mesmo na ausência de comorbidades e a avaliação por meio da TIMP demonstrou ser uma ferramenta viável nesta triagem em unidades neonatais.
Palavras-chave
Abstract
Background: Increased survival of preterm infants is associated with greater chances of delayed neuromotor development, making early identification of these risks crucial to optimizing interventions and improving prognosis. However, it is not routine in all hospitals. Aim: To justify the need for early screening of premature newborns without comorbidities through a validated and standardized assessment that is viable for this purpose. Methods: A cross-sectional and prospective study was conducted with 108 newborns (55 newborns and 53 preterm infants) in two Brazilian public hospitals. Newborns were evaluated using the TIMP scale. The newborns were divided into two groups: G1 (PTRN) with a gestational age of less than 37 weeks of birth and G2 (RNT) with a gestational age of more than 37 weeks of birth. Those with genetic syndromes or severe neurological changes were excluded. Results: PTNBs had lower anthropometric and APGAR measurements. Regarding motor performance, the raw TIMP score was significantly lower in PTNB (45.01 ± 14.33) compared to RNT (66.8 ± 22.2), with an average Z-score of -0.97 ± 0 .65 for PTNBs and -0.24 ± 1.02 for RNTs, p<0.001. Conclusion: Early assessment of motor performance in preterm infants proved to be essential for detecting delays even in the absence of comorbidities and assessment using TIMP demonstrated to be a viable tool in this screening in neonatal units.
DOI da versão traduzida: https://doi.org/10.47066/2966-4837.2024.0009en
Keywords
Referências
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Submetido em:
16/10/2024
Aceito em:
23/01/2025
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