Effects of individualized developmental care in a randomized trial of preterm infants less than 32 weeks.
OBJECTIVE: The goal was to investigate the effects of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on days of respiratory support and intensive care, growth, and neuromotor development at term age for infants born at <32 weeks. METHODS: Infants were assigned randomly...
| Publicado en: | Pediatrics Vol. 124; no. 4; pp. 1021 - 1031 |
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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=105322769&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105322769 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: 105322769 105322769 2010434925 10.1542/peds.2008-1881 NLM19786441 105322769 ppf: 1021 ppct: 10 formats: tig: atl: Effects of individualized developmental care in a randomized trial of preterm infants less than 32 weeks. aug: au: Maguire CM Walther FJ Sprij AJ Le Cessie S Wit JM Veen S affil: Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, Netherlands. sug: subj: Infant, Premature Intensive Care, Neonatal Respiratory Therapy Chi Square Test Clinical Trials Data Analysis Software Funding Source Infant Warmers Infant, Newborn Kaplan-Meier Estimator Length of Stay Linear Regression Mann-Whitney U Test Netherlands Power Analysis Random Assignment T-Tests Treatment Outcomes Human Infant, Newborn: birth-1 month ab: OBJECTIVE: The goal was to investigate the effects of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on days of respiratory support and intensive care, growth, and neuromotor development at term age for infants born at <32 weeks. METHODS: Infants were assigned randomly, within 48 hours after birth, to a NIDCAP group or basic developmental care (control) group. The NIDCAP intervention consisted of weekly formal behavioral observations of the infants and caregiving recommendations and support for staff members and parents, as well as incubator covers and positioning aids. The control group infants were given basic developmental care, which consisted of only incubator covers and positioning aids. Outcome measures were respiratory support, intensive care, and weight of <1000 g. Growth parameters were measured weekly or biweekly and at term age. Neuromotor development was assessed at term age. RESULTS: A total of 164 infants met the inclusion criteria (NIDCAP: N = 81; control: N = 83). In-hospital mortality rates were 8 (9.9%) of 81 infants in the NIDCAP group and 3 (3.6%) of 83 infants in the control group. No differences in mean days of respiratory support (NIDCAP: 13.9 days; control: 16.3 days) or mean days of intensive care (NIDCAP: 15.2 days; control: 17.0 days) were found. Short-term growth and neuromotor development at term age showed no differences, even with correction for the duration of the intervention. CONCLUSIONS: NIDCAP developmental care had no effect on respiratory support, days of intensive care, growth, or neuromotor development at term age. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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