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International Adoption of Children with Special Needs in Spain

International adoption has declined in recent years, although the adoption of children with special needs has arisen. We aim to describe our experience in the international adoption of children with special needs and to analyze the concordance between the pathologies included in pre-adoption reports...

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Autores principales: Hernanz Lobo, Alicia, Berzosa Sánchez, Arantxa, Escolano, Lucía, Pérez Muñoz, Sara, Gerig, Nathalia, Sainz, Talía, Mellado Peña, María Jose, García López Hortelano, Milagros
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137135/
https://www.ncbi.nlm.nih.gov/pubmed/37189939
http://dx.doi.org/10.3390/children10040690
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author Hernanz Lobo, Alicia
Berzosa Sánchez, Arantxa
Escolano, Lucía
Pérez Muñoz, Sara
Gerig, Nathalia
Sainz, Talía
Mellado Peña, María Jose
García López Hortelano, Milagros
author_facet Hernanz Lobo, Alicia
Berzosa Sánchez, Arantxa
Escolano, Lucía
Pérez Muñoz, Sara
Gerig, Nathalia
Sainz, Talía
Mellado Peña, María Jose
García López Hortelano, Milagros
author_sort Hernanz Lobo, Alicia
collection PubMed
description International adoption has declined in recent years, although the adoption of children with special needs has arisen. We aim to describe our experience in the international adoption of children with special needs and to analyze the concordance between the pathologies included in pre-adoption reports and the diagnosis made upon arrival. We conducted a retrospective descriptive study including internationally adopted children with special needs evaluated at a reference Spanish unit between 2016 and 2019. Epidemiological and clinical variables were collected from medical records, and pre-adoption reports were compared to established diagnoses following their evaluation and complementary tests. Fifty-seven children were included: 36.8% females, a median age of 27 months [IQR:17–39], mostly coming from China (63.2%) and Vietnam (31.6%). The main pathologies described in the pre-adoption reports were congenital surgical malformations (40.3%), hematological (22.6%), and neurological (24.6%). The initial diagnosis that motivated the international adoption via special needs was confirmed in 79% of the children. After evaluation, 14% were diagnosed with weight and growth delay, and 17.5% with microcephaly, not previously reported. Infectious diseases were also prevalent (29.8%). According to our series, the pre-adoption reports of children with special needs appear accurate, with a low rate of new diagnoses. Pre-existing conditions were confirmed in almost 80% of cases.
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spelling pubmed-101371352023-04-28 International Adoption of Children with Special Needs in Spain Hernanz Lobo, Alicia Berzosa Sánchez, Arantxa Escolano, Lucía Pérez Muñoz, Sara Gerig, Nathalia Sainz, Talía Mellado Peña, María Jose García López Hortelano, Milagros Children (Basel) Article International adoption has declined in recent years, although the adoption of children with special needs has arisen. We aim to describe our experience in the international adoption of children with special needs and to analyze the concordance between the pathologies included in pre-adoption reports and the diagnosis made upon arrival. We conducted a retrospective descriptive study including internationally adopted children with special needs evaluated at a reference Spanish unit between 2016 and 2019. Epidemiological and clinical variables were collected from medical records, and pre-adoption reports were compared to established diagnoses following their evaluation and complementary tests. Fifty-seven children were included: 36.8% females, a median age of 27 months [IQR:17–39], mostly coming from China (63.2%) and Vietnam (31.6%). The main pathologies described in the pre-adoption reports were congenital surgical malformations (40.3%), hematological (22.6%), and neurological (24.6%). The initial diagnosis that motivated the international adoption via special needs was confirmed in 79% of the children. After evaluation, 14% were diagnosed with weight and growth delay, and 17.5% with microcephaly, not previously reported. Infectious diseases were also prevalent (29.8%). According to our series, the pre-adoption reports of children with special needs appear accurate, with a low rate of new diagnoses. Pre-existing conditions were confirmed in almost 80% of cases. MDPI 2023-04-05 /pmc/articles/PMC10137135/ /pubmed/37189939 http://dx.doi.org/10.3390/children10040690 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hernanz Lobo, Alicia
Berzosa Sánchez, Arantxa
Escolano, Lucía
Pérez Muñoz, Sara
Gerig, Nathalia
Sainz, Talía
Mellado Peña, María Jose
García López Hortelano, Milagros
International Adoption of Children with Special Needs in Spain
title International Adoption of Children with Special Needs in Spain
title_full International Adoption of Children with Special Needs in Spain
title_fullStr International Adoption of Children with Special Needs in Spain
title_full_unstemmed International Adoption of Children with Special Needs in Spain
title_short International Adoption of Children with Special Needs in Spain
title_sort international adoption of children with special needs in spain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137135/
https://www.ncbi.nlm.nih.gov/pubmed/37189939
http://dx.doi.org/10.3390/children10040690
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