rome and Anemia

Fifty-nine children were enrolled in the Outpatient Health Care Package (OHCP) from 01/06/2008 to 31/03/2010. All children, except two, attended entirely the follow-up appointments; a satisfactory result, considering also that 30% of family were living outside the urban area and more than a third of the families was originated in a foreign country. At 3 months corrected age(CA) Haemoglobin mean values of 47 infants, all in iron treatment, were: 12.26 (10.1-14-1) g/dL; 25% had values between 10.1 and 12 g/dL. Mean values for Calcium were 10.75 (9.50-15.26) mg/dL Mean values for ALP were 393 (179-1075) UI/L, values >1000 UI/L were found in two infants who suspended Vitamin D treatment. At 3 months CA 50 infants performed ABR, 12 of these showing abnormalities. To date 9 infants repeated ABR at 6-9 months CA, 4 of these showed again abnormal results. Overall were found 4 ABR abnormalities among 47 children (8.5%). Outcome of 23 children at 12 months CA: no moderate or severe neurologic abnormalities were found, 4 children (17.4%) presented mild abnormalities, 2 were referred for rehabilitation. No QSM <80% was found (mean QSM 93.7%) in 10 children evaluated. One child presented growth retardation <5 degrees; 2 underwent laser treatment for ROP with normal vision, 7 (30.4%)had sistolic BP > or = 95 degrees; 6 (26%) were rehospitalized. This experience was positive: OHCP promoted a better compliance and standardization of follow-up. It would be desirable to prolong OHCP until school-age, including renal and cardiac functions monitoring.

Topics: Aftercare; Ambulatory Care; Anemia; Congenital Abnormalities; Follow-Up Studies; Growth Disorders; Hearing Loss, Sensorineural; Hospital Departments; Hospitals, University; Humans; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases; Intensive Care, Neonatal; International Cooperation; Outpatient Clinics, Hospital; Patient Compliance; Pediatrics; Retinopathy of Prematurity; Rome

Topics: Anemia; Bone and Bones; Greece; History, 16th Century; History, 17th Century; History, Ancient; Humans; Medicine in the Arts; Mummies; North America; Paleopathology; Rome

Topics: Adult; Anemia; Birth Weight; Cesarean Section; Female; Humans; Infant, Low Birth Weight; Infant, Newborn; Parity; Pregnancy; Pregnancy Complications, Hematologic; Rome