ASSOCIAÇÃO ENTRE QUALIDADE DOS GENERAL MOVEMENTS E SUPORTE VENTILATÓRIO DURANTE A HOSPITALIZAÇÃO EM RECÉM-NASCIDOS PRÉ-TERMO

Abstract

Introduction: For their survival, premature newborns often need to use invasive or noninvasive mechanical ventilation. As part of its deleterious effects, it can alter neuromuscular components that are capable of interfering with neuromotor development. The assessment of General Movements by the Prechtl method has been considered the gold standard tool to investigate neuromotor integrity in this population. However, the number of comparative studies that analyze the influence of mechanical ventilation on the neuromotor functionality of premature newborns is still limited, especially regarding the influence of ventilatory modalities. Objective: To verify the association between the quality of General Movements and ventilatory support in preterm newborns during hospitalization. Methodology: Cross-sectional observational study, data obtained through retrospective analysis of medical records of preterm newborns from 25 weeks to 36 weeks and 6 days of gestational age, who did or did not use IMV and NIV. With a final sample of 107 preterm newborns, data related to ventilatory support, GMA and BSA were collected. The variables were statistically tested using the Chi-square test, Fisher, z test with post-hoc with Bonferroni adjustments, when necessary. To present the strength of the associations, Cramer's V was used. Results: Presence of association between normal GMs and PR with absence of respiratory distress (p= 0,217). Presence of association between normal GMs and CPAP, CS/Ch GMs and TCPL/NIPPV (p= 0,005). Presence of association between normal GMs with hospitalization time less than or equal to 30 days, PR GMs with time greater than 30 days (p= 0). Conclusion: The use of NIV demonstrated an association with GMs, whereas IMV and GMs demonstrated no association.