Uztaro

Muturreko goiztiarrek neurogarapenari dagokionez duten zaurgarritasunaren inguruan literatura zientifikoa bada ere, gaur egun arte ez da horren deskribapenik egin gure inguru geografikoan. Haurren zailtasun eta beharrak garapeneko aldi bakoitzean aldatzen direla kontuan izanik, lan honen helburua muturreko goiztiarren jarraipen neuropsikologikoa egitea da. Bi urterekin garapen psikomotorra (Bayley- III) eta 6 urterekin adimen-maila (WISC-V) eta domeinu kognitibo zein sintoma sozioemozional desberdinak aztertu dira 23 haurretan. Bi urterekin domeinu zehatz batzuetan zailtasunak aurkeztu badira ere (hitzezko ekoizpenean eta motrizitate sendoan), eskola-adinean adimen-koziente arinki murriztua eta arreta mantenduan, funtzio exekutiboan eta hitzezko ulermenean zailtasunak behatu dira. Aldiz, ez da maila sozioemozionalean zailtasunik topatu. Emaitzek aditzera ematen dute muturreko goiztiarren zaurgarritasuna eta populazio horren jarraipena skolaadineraino egiteko beharra. Era berean, gure lurraldean tresna neuropsikologikoen baliozkotasunaren inguruan egin beharreko lana agerian uzten da.

Gako-hitzak: Muturreko goiztiartasuna -- Neurogarapena -- Ebaluazio neuropsikologikoa -- Luzetarako diseinua

[Title]

[Abstract]

Neurodevelopmental vulnerability of extrem preterms is described in the scientific literature, but to date no description has been made in our geographical territory. Given that children´s difficulties and needs change in each developmental stage, the aim of this work is to conduct a neuropsychological follow-up of extrem preterms. A sample of 23 children was assessed at 2 years old with the Bayley-III for psychomotor development assessment, and at 6 years old using tools to assess intelligence (WISC-V), and different cognitive domains and socioemotional symptoms. Although at 2 years old difficulties were shown in specific domains (expressive language and gross motricity), a slightly reduced IQ and difficulties in sustained attention, executive function and verbal comprehension were observed at school age. No socioemotional difficulties were found. The results show the vulnerability of extrem preterms and the need to monitor this population at least until school age. This research reveals the work to be done on the validity of neuropsychological tools in our territory.

Key words: Extremely preterm -- Neurodevelopment -- Neuropsychological assessment -- Longitudinal design