Startseite Presence of neonatal intensive care services at birth hospital and early intervention enrollment in infants ≤1500 g
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Presence of neonatal intensive care services at birth hospital and early intervention enrollment in infants ≤1500 g

  • Semsa Gogcu , David Aboudi , Jordan Kase , Edmund LaGamma und Heather Lynn Brumberg EMAIL logo
Veröffentlicht/Copyright: 9. April 2020
Journal of Perinatal Medicine
Aus der Zeitschrift Journal of Perinatal Medicine Band 48 Heft 4

Abstract

Objective

To determine whether the receipt of therapeutic services of very-low-birth-weight (VLBW; ≤1500 g) neonates inadvertently delivered at community Level 2 and 3 neonatal intensive care units (NICUs) compared with those born at a well-baby nursery (WBN; Level 1) differed.

Methods

This is a retrospective study of neonates who were born at Level 1 (WBN), 2, 3, and 4 NICUs and discharged from a Level 4 hospital (n = 529). All infants were evaluated at the Regional Neonatal Follow-up Program at 12 ± 1 months corrected gestational age (CA) and assessed for use of therapeutic services including: early intervention (EI), occupational therapy (OT), physical therapy (PT), speech therapy (ST), and special education (SE).

Results

Compared to infants born at community Level 2 and 3 NICU hospitals, those outborn at a community Level 1 WBN had significantly higher utilization of EI (90% vs. 62%) and PT (83% vs. 61%) at 12 months CA. This association persisted when controlling for covariates. Infants who required EI had significantly lower Bayley-III cognitive scores at 3 years of age.

Conclusion

VLBW infants outborn at WBN (Level 1) hospitals required more outpatient therapeutic services than those born at hospitals with NICU facilities. These results suggest that delivering at the appropriate community hospital level of care might be advantageous for long-term outcomes.

Keywords: early intervention; neonatal intensive care unit; outborn; regionalization; very-low-birth-weight infant

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

  6. Conflicts of interest: The authors have no conflicts of interest relevant to this article to disclose.

  7. Clinical trials registration: Not Applicable.

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Received: 2019-10-23
Accepted: 2020-03-09
Published Online: 2020-04-09
Published in Print: 2020-04-28

©2020 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Editorial
  3. Women and children first: the need for ringfencing during the COVID-19 pandemic
  4. Review
  5. The decline of amniocentesis and the increase of chorionic villus sampling in modern perinatal medicine
  6. Original Articles – Obstetrics
  7. Fetal renal artery impedance in pregnancies affected by preeclampsia
  8. The effect of maternal position on fetal middle cerebral artery Doppler indices and its association with adverse perinatal outcomes: a pilot study
  9. Interpregnancy interval and the risk for recurrence of placental mediated pregnancy complications
  10. Short- and long-term outcomes of preterm spontaneous twin anemia-polycythemia sequence
  11. How do sustained birth tears after vaginal birth affect birth tear patterns in a subsequent birth?
  12. Disorders of placental villous maturation in fetal death
  13. Atrial septal aneurysm in pregnancy: echocardiography and obstetric outcomes
  14. Appropriate delivery method for cardiac disease pregnancy based on noninvasive cardiac monitoring
  15. Original Articles – Fetus
  16. Success rate of five fetal cardiac views using HDlive Flow with spatiotemporal image correlation at 18–21 and 28–31 weeks of gestation
  17. Fetal brain development in small-for-gestational age (SGA) fetuses and normal controls
  18. Can fetal fractions in the cell-free DNA test predict the onset of fetal growth restriction?
  19. Original Articles – Newborns
  20. Presence of neonatal intensive care services at birth hospital and early intervention enrollment in infants ≤1500 g
  21. The contribution of twins conceived by in vitro fertilization to preterm birth rate: observations from a quarter of century
  22. Burnout in neonatal intensive care unit nurses: relationships with moral distress, adult attachment insecurities, and proneness to guilt and shame
https://doi.org/10.1515/jpm-2019-0393
Schlagwörter für diesen Artikel
early intervention; neonatal intensive care unit; outborn; regionalization; very-low-birth-weight infant

Artikel in diesem Heft

  1. Frontmatter
  2. Editorial
  3. Women and children first: the need for ringfencing during the COVID-19 pandemic
  4. Review
  5. The decline of amniocentesis and the increase of chorionic villus sampling in modern perinatal medicine
  6. Original Articles – Obstetrics
  7. Fetal renal artery impedance in pregnancies affected by preeclampsia
  8. The effect of maternal position on fetal middle cerebral artery Doppler indices and its association with adverse perinatal outcomes: a pilot study
  9. Interpregnancy interval and the risk for recurrence of placental mediated pregnancy complications
  10. Short- and long-term outcomes of preterm spontaneous twin anemia-polycythemia sequence
  11. How do sustained birth tears after vaginal birth affect birth tear patterns in a subsequent birth?
  12. Disorders of placental villous maturation in fetal death
  13. Atrial septal aneurysm in pregnancy: echocardiography and obstetric outcomes
  14. Appropriate delivery method for cardiac disease pregnancy based on noninvasive cardiac monitoring
  15. Original Articles – Fetus
  16. Success rate of five fetal cardiac views using HDlive Flow with spatiotemporal image correlation at 18–21 and 28–31 weeks of gestation
  17. Fetal brain development in small-for-gestational age (SGA) fetuses and normal controls
  18. Can fetal fractions in the cell-free DNA test predict the onset of fetal growth restriction?
  19. Original Articles – Newborns
  20. Presence of neonatal intensive care services at birth hospital and early intervention enrollment in infants ≤1500 g
  21. The contribution of twins conceived by in vitro fertilization to preterm birth rate: observations from a quarter of century
  22. Burnout in neonatal intensive care unit nurses: relationships with moral distress, adult attachment insecurities, and proneness to guilt and shame
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