Health of children adopted from the former Soviet Union and Eastern Europe - Comparison with preadoptive medical records
Health of children adopted from the former Soviet Union and Eastern Europe - Comparison with preadoptive medical records
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DOI：
10.1001/jama.278.11.922
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发表时间：
1997-09-17
影响因子：
120.7
通讯作者：
Miller, LC
中科院分区：
文献类型：
--
作者：
Albers, LH;Johnson, DE;Miller, LC
背景。-在前苏联和东欧国家出生的儿童现在是美国国际收养的主要来源，但在收养之前，关于这些儿童的信息往往很少。分析从东欧和前苏联收养的儿童的收养前医疗报告，并将这些报告与他们抵达美国后的评估进行比较。案例系列。主题和设置。-共有56名从东欧和前苏联收养的儿童在两个国际收养诊所接受了评估。其中47名儿童可获得术前病历。在47份来自儿童出生国的医疗报告中，有43份（91%）包括多种不熟悉的神经系统诊断。国际收养诊所的评估经常显示生长延迟（44%的儿童体重z评分小于或等于-1，68%的儿童身高，43%的儿童头围）。孤儿院儿童每5个月有1个月的线性生长滞后（r=-0.48，P
Context.-Children born in the countries of the former Soviet Union and Eastern Europe are now a main source of international adoptions in the United States, but often little information is available about these children prior to adoption.Objective.-To analyze the preadoptive medical reports of children adopted from Eastern Europe and the former Soviet Union and to compare these reports with their evaluations after arrival in the United States.Design.-Case series.Subjects and Setting.-A total of 56 children adopted from Eastern Europe and the former Soviet Union were evaluated in 2 international adoption clinics. Preadoptive medical records were available for 47 of these children.Results.-There were 43 (91%) of 47 medical reports available from the children's birth countries that included multiple unfamiliar neurologic diagnoses. Evaluations in the International Adoption Clinics frequently revealed growth delays (z score less than or equal to-1 for weight in 44% of children, height in 68%, and head circumference in 43%). Children had 1 month of linear growth lag for every 5 months in an orphanage (r=-0.48, P