Individualized developmental care for a large sample of very preterm infants: health, neurobehaviour and neurophysiology.
Aim: To assess medical and neurodevelopmental effects of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) for a large sample of very early-born infants.Methods: One hundred and seven singleton inborn preterm infants, <29 weeks gestational age (GA), <1250 g birth weight, enro...
| Publicado en: | Acta Paediatrica Vol. 98; no. 12; pp. 1920 - 1927 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105278176&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105278176 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08035253 44C jtl: Acta Paediatrica issn: 08035253 maglogo: Y pubinfo: dt: Dec2009 vid: 98 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105278176 NLM19735497 2010520289 10.1111/j.1651-2227.2009.01492.x NLM19735497 PMC4097011 105278176 ppf: 1920 ppct: 7 formats: tig: atl: Individualized developmental care for a large sample of very preterm infants: health, neurobehaviour and neurophysiology. aug: au: McAnulty G Duffy FH Butler S Parad R Ringer S Zurakowski D Als H McAnulty, G Duffy, F H Butler, S Parad, R Ringer, S Zurakowski, D Als, H affil: Department of Psychiatry (Psychology), Children's Hospital Boston and Harvard Medical School, Boston, MA, USA sug: subj: Child Development Infant Care Methods Infant, Premature Infant, Very Low Birth Weight Intensive Care, Neonatal Methods Nursing Care Plans Analysis of Variance Female Gestational Age Health Status Human Infant, Newborn Male Neurophysiology Neuropsychology Program Evaluation Treatment Outcomes Clinical Trials Infant, Newborn: birth-1 month Female Male ab: Aim: To assess medical and neurodevelopmental effects of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) for a large sample of very early-born infants.Methods: One hundred and seven singleton inborn preterm infants, <29 weeks gestational age (GA), <1250 g birth weight, enrolled in three consecutive phases, were randomized within phase to NIDCAP (treatment, E) or standard care (C). Treatment extended from admission to the Newborn Intensive Care Unit to 2 weeks corrected age (wCA). Outcome included medical, neurobehavioural and neurophysiological status at 2 wCA, and growth and neurobehavioural status at 9 months (m) CA.Results: The C- and E-group within each of the three consecutive phases and across the three phases were comparable in terms of all background measures; they therefore were treated as one sample. The results indicated for the E-group significant reduction in major medical morbidities of prematurity as well as significantly improved neurodevelopmental (behaviour and electrophysiology) functioning at 2 wCA; significantly better neurobehavioural functioning was also found at 9 mCA.Conclusion: The NIDCAP is an effective treatment for very early-born infants. It reduces health morbidities and enhances neurodevelopment, functional competence and life quality for preterm infants at 2 w and 9 mCA. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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