Variation in follow-up for children born very preterm in Europe.
Background Children born very preterm (<32 weeks of gestation) face high risks of neurodevelopmental and health difficulties compared with children born at term. Follow-up after discharge from the neonatal intensive care unit is essential to ensure early detection and intervention, but data on polic...
| Publicado en: | European Journal of Public Health Vol. 34; no. 1; pp. 91 - 101 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Feb2024
|
| 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=175366347&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175366347 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Feb2024 vid: 34 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 175366347 175366347 175366347 10.1093/eurpub/ckad192 175366347 ppf: 91 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Variation in follow-up for children born very preterm in Europe. aug: au: Seppänen, Anna-Veera Barros, Henrique Draper, Elizabeth S Petrou, Stavros Andronis, Lazaros Kim, Sungwook Maier, Rolf F Pedersen, Pernille Gadzinowski, Janusz Pierrat, Véronique Sarrechia, Iemke Lebeer, Jo Ådén, Ulrika Toome, Liis Thiele, Nicole Heijst, Arno van Cuttini, Marina Zeitlin, Jennifer Group, The SHIPS Research affil: Université de Paris Cité, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Paediatric Epidemiology Research Team (EPOPé) , Paris, France sug: subj: After Care Health Policy Infant, Premature Europe Patient Discharge Intensive Care Units, Neonatal Healthcare Disparities Europe Child Health Human Europe Funding Source Questionnaires Parents Infant, Newborn Infant Child, Preschool Descriptive Statistics Mental Disorders Diagnosed in Childhood Risk Factors Risk Assessment Early Diagnosis Early Childhood Intervention Health Services Accessibility Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years ab: Background Children born very preterm (<32 weeks of gestation) face high risks of neurodevelopmental and health difficulties compared with children born at term. Follow-up after discharge from the neonatal intensive care unit is essential to ensure early detection and intervention, but data on policy approaches are sparse. Methods We investigated the characteristics of follow-up policy and programmes in 11 European countries from 2011 to 2022 using healthcare informant questionnaires and the published/grey literature. We further explored how one aspect of follow-up, its recommended duration, may be reflected in the percent of parents reporting that their children are receiving follow-up services at 5 years of age in these countries using data from an area-based cohort of very preterm births in 2011/12 (N = 3635). Results Between 2011/12 and 22, the number of countries with follow-up policies or programmes increased from 6 to 11. The policies and programmes were heterogeneous in eligibility criteria, duration and content. In countries that recommended longer follow-up, parent-reported follow-up rates at 5 years of age were higher, especially among the highest risk children, born <28 weeks' gestation or with birthweight <1000 g: between 42.1% and 70.1%, vs. <20% in most countries without recommendations. Conclusions Large variations exist in follow-up policies and programmes for children born very preterm in Europe; differences in recommended duration translate into cross-country disparities in reported follow-up at 5 years of age. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|