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in infants under 6 months of age and it has a risk to develop into
Objective To evaluate adverse effects of SDH on the development
of term infants.
Methods It was a prospective cohort study carried out on infants
below six months of age admitted to Sanglah Hospital due to
SDH. Control was healthy term infants born in Sanglah Hospital.
Mullen Scales test was performed at the age of 6 and 12 months.
Multivariate analysis was conducted to examine the relationship
between several independent variabels and developmental
Results Sixty six infants were enrolled in this study (33 infants
with SDH and 33 infants without SDH), 52 (79%) were male
and 14 (21%) were female. Mean age was 1.53 (SD 0.75) months
vs 1.70 (SD 0.73) months. The result of Mullen Scales test at the
age of 6 and 12 months showed that very low category was higher
in infants with the history of SDH than that in control group.
Multivariate logistic regression analysis showed that only SDH
correlated with Gross Motor and Cognitive Scale delay at the
age of 6 months and 12 months (Gross motor 6 months: P=0.01;
OR 13.07; 95%CI 2.04;83.84; Gross motor 12 months: P=0.00;
OR 23.58; 95%CI 2.87;193.84); (Cognitive 6 months: P=0.00;
OR 12.11; 95%CI 2.44;59.90; Cognitive 12 months: P=0.00; OR
26.67; 95%CI 3.25;218.86).
Conclusion Term infants with history of subdural haemorrhage
are associated with increased Gross Motor and Cognitive Scale
delay at the age of 6 and 12 months.
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