Indicators of compliance for developmental follow-up of infants discharged from a regional NICU
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Vedika Nehra
Abstract
Aim: To identify factors associated with compliance of scheduled outpatient developmental follow-up appointments in an effort to better ensure future care.
Methods: This retrospective observational cohort study looked at patients born between January 7th 2006 and June 30th 2007 and discharged from a regional neonatal intensive care unit (RNICU). Discharge summaries were reviewed to attain information regarding 16 patient descriptives and 12 patient morbidities. Data were recorded and analyzed utilizing the statistical software SPSS 11.5.
Results: Children of older mothers were more likely to attend follow-up (compliant: 30 years vs. non-compliant: 27 years). Factors which significantly improved compliance with follow-up care were patient contact after discharge (compliant: 65% vs. non-compliant: 35%) and early intervention referral (compliant: 64% vs. non-compliant: 36%). Factors which significantly hindered compliance were maternal drug use during pregnancy (compliant: 11.8% vs. non-compliant: 88%), and patient transfer to outside NICUs [(transferred out: compliant: 3 (10.3%), non-compliant 25 (89.3%)].
Conclusions: Several factors associated with compliance have been identified. Direct patient contact after discharge positively correlated with improved follow-up attendance. The severity of patient disease in the NICU did not impact follow-up rates. As a result close attention needs to be paid to factors which influence compliance with outpatient follow-up for developmental screening.
©2009 by Walter de Gruyter Berlin New York
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Articles in the same Issue
- Expert panel recommendation
- Delivery mode for the extremely premature fetus: a statement of the prematurity working group of the World Association of Perinatal Medicine
- Review articles
- The infant incubator in the neonatal intensive care unit: unresolved issues and future developments
- Survival and major disability rate in infant born at 22–25 weeks of gestation
- Original articles – Obstetrics
- Gene expression profiling of maternal blood in early onset severe preeclampsia: identification of novel biomarkers
- Risk assessment for preeclampsia in women with gestational diabetes mellitus
- Maternal serum adiponectin multimers in patients with a small-for-gestational-age newborn
- Maternal serum adiponectin multimers in gestational diabetes
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