Perinatal characteristics and parents' perspective of health status of NICU graduates born at term.
Objective:Long-term outcomes of preterm infants have been extensively studied, but few studies have examined long-term outcomes of term infants who require neonatal intensive care unit (NICU). Our objectives were to assess perinatal characteristics and health status of preschool age term babies usin...
| Publicado en: | Journal of Perinatology Vol. 28; no. 5; pp. 368 - 377 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2008
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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=105740030&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105740030 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07438346 DZF jtl: Journal of Perinatology issn: 07438346 maglogo: Y pubinfo: dt: May2008 vid: 28 iid: 5 pid: 2579 pub: Springer Nature place: Dordrecht, <Blank> artinfo: ui: 105740030 105740030 2009915134 10.1038/jp.2008.9 NLM18288117 105740030 ppf: 368 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Perinatal characteristics and parents' perspective of health status of NICU graduates born at term. aug: au: Schiariti V Klassen AF Houbé JS Synnes A Lisonkova S Lee SK affil: Department of Pediatrics, Sunny Hill Health Centre, British Columbia Children's Hospital, University of British Columbia, Vancouver, BC, Canada Department of Health Care and Epidemiology, University of British Columbia, Vancouver, BC, Canada. sug: subj: Health Status Intensive Care Units, Neonatal Outcomes (Health Care) Bivariate Statistics British Columbia Chi Square Test Confidence Intervals Cross Sectional Studies Data Analysis Software Descriptive Statistics Female Funding Source Infant, Premature Logistic Regression Male Odds Ratio Questionnaires Retrospective Design Wilcoxon Rank Sum Test Human Female Male ab: Objective:Long-term outcomes of preterm infants have been extensively studied, but few studies have examined long-term outcomes of term infants who require neonatal intensive care unit (NICU). Our objectives were to assess perinatal characteristics and health status of preschool age term babies using data from a population-based study of NICU graduates.Study Design:Retrospective cross-sectional survey. All babies were born in 1996 to 1997 in BC (Canada). The Health Status Classification System Preschool (HSCS-PS) questionnaire was completed by parents at 42 months of age. HSCS-PS was grouped in four categories (neurosensory, learning, motor and quality of life). Logistic regression was used to identify perinatal risk factors associated with moderate/severe problems at 42 months of age.Result:Completed surveys were received for 261 term NICU survivors and 393 control children. Term infants represent 32% of all NICU admissions. Mean birth weight of NICU graduates was 3458 g (s.d.=600 g). Median length-of-stay in NICU was 5 days. At 42 months, the NICU group had significantly more problems on the HSCS-PS as compared to the full-term healthy infants in neurosensory, motor and learning/remembering. Moderate/severe health status problems were associated with congenital anomalies (odds ratio (OR), 3.2; confidence interval (CI): 1.3 to 7.8); smoking status (OR, 2.7, CI: 1.1 to 6.6) and SNAP score (OR, 1.04; CI: 1.0 to 1.1).Conclusion:Term babies admitted to NICUs may have significant health issues in childhood. Greater attention needs to be paid to long-term outcomes of term NICU graduates. Further study is warranted to address which NICU term survivors warrant secondary and/or tertiary-level neurodevelopmental follow-up.Journal of Perinatology (2008) 28, 368-376; doi:10.1038/jp.2008.9; published online 21 February 2008. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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