Improvement of short- and long-term outcomes for very low birth weight infants: Edmonton NIDCAP trial.
OBJECTIVE: Our objective was to determine the impact of Newborn Individualized Developmental Care and Assessment Program (NIDCAP)-based care on length of stay of very low birth weight (VLBW) infants. Secondary outcome measures were days of ventilation, incidence of chronic lung disease, and 18-month...
| Publicado en: | Pediatrics Vol. 124; no. 4; pp. 1009 - 1021 |
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| Autores principales: | , , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
American Academy of Pediatrics
Oct2009
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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=105322768&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105322768 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Oct2009 vid: 124 iid: 4 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 105322768 2010434924 10.1542/peds.2008-3808 NLM19786440 105322768 ppf: 1009 ppct: 12 formats: tig: atl: Improvement of short- and long-term outcomes for very low birth weight infants: Edmonton NIDCAP trial. aug: au: Peters KL Rosychuk RJ Hendson L Coté JJ McPherson C Tyebkhan JM affil: Faculty of Nursing, Perinatal Clinical Research Centre, University of Alberta, Edmonton, Canada. sug: subj: Infant, Very Low Birth Weight Intensive Care, Neonatal Canada Clinical Trials Confidence Intervals Developmental Disabilities Funding Source Infant, Newborn Intensive Care Units, Neonatal Length of Stay Lung Diseases Odds Ratio Outcomes (Health Care) Random Assignment Human Infant, Newborn: birth-1 month ab: OBJECTIVE: Our objective was to determine the impact of Newborn Individualized Developmental Care and Assessment Program (NIDCAP)-based care on length of stay of very low birth weight (VLBW) infants. Secondary outcome measures were days of ventilation, incidence of chronic lung disease, and 18-month neurodevelopmental outcomes. METHODS: This cluster-randomized, controlled trial took place in a large NICU in Canada, with follow-up evaluation at 18 months of age, from September 1999 to September 2004. One hundred VLBW singleton infants and 10 VLBW twin sets were assigned randomly to NIDCAP-based or control care, and 90% participated in follow-up assessments. The intervention was NIDCAP-based care (N = 56), that is, care by NIDCAP-educated staff members and behavioral observations. The control group (N = 55) received standard NICU care. Statistical analyses were adjusted for cluster randomization. Although the intervention was not blinded, the pediatricians making the decisions to discharge the infants were not involved in the study, and the follow-up staff members were blinded with respect to group. RESULTS: NIDCAP group infants had reduced length of stay (median: NIDCAP: 74 days; control: 84 days; P = .003) and incidence of chronic lung disease (NIDCAP: 29%; control: 49%; odds ratio: 0.42 [95% confidence interval: 0.18-0.95]; P = .035). At 18 months of adjusted age, NIDCAP group infants had less disability, specifically mental delay (NIDCAP: 10%; control: 30%; odds ratio: 0.25 [95% confidence interval: 0.08-0.82]; P = .017). CONCLUSION: NIDCAP-based care for VLBW infants improved short- and long-term outcomes significantly. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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