Complicações no desenvolvimento motor, cognitivo e de linguagem em recém-nascidos prematuros: saúde baseada em evidência

Abstract

Introduction: Newborns are considered premature when they are born before 37 weeks of gestation and, consequently, the lower the gestational age, the greater the criteria for adverse biological conditions and possible abnormalities in the child's neurodevelopment. Objective: This study consists of a scoping review followed by a systematic review/meta-analysis that aims to assess the prevalence of complications in the motor, cognitive and language development of premature newborns. Inclusion criteria: Observational studies (case-control, cohort, cross-sectional), without language restrictions, in which the prevalence of complications in motor, cognitive and language development in a preterm newborn is verified. Methods: PubMed, Web of Science, Embase, CINAHAL, PsycINFO, LILACS, SCOPUS and The Cochrane Library will be searched for eligible studies. Two reviewers independently select studies, assess methodological quality, and extract data. A meta-analysis will be performed, if possible, and the Grading of Recommendations Assessment Development and Evaluation (GRADE). This study will use secondary data, so there is no need for submission to the ethics committee. Results: Previous results from a scoping review indicated that the main motor, cognitive and language complications in premature newborns were: delay in fine and gross motor development, followed by deficits in cognitive performance and behavioral deficiencies in childhood, in addition to of difficulties in acquiring, verbal comprehension, language expression and production of communicative gestures, however, it is expected to expand the scientific evidence that makes it possible to compile the complications of prematurity in the cognitive, motor and language development of newborns, through a systematic review and meta-analysis protocol in order to guide clinical practice, which will be developed later as following this study. The systematic review will be published in a journal after a peer review process, whose protocol was registered with a number (?) Conclusion: through this study it was possible to understand the impact of prematurity on the development of newborns and we seek to a based on a systematic review and metaanalysis protocol, to help professionals and investigators in their daily work in order to guide clinical practice.