Division of Neonatology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
J Perinatol. 2012 Apr;32(4):293-8. doi: 10.1038/jp.2011.97. Epub 2011 Jul 14.
High-risk infant follow-up programs have the potential to act as multipurpose clinics by providing continuity of clinical care, education of health care trainees and facilitating outcome data research. Currently there are no nationally representative data on high-risk infant follow-up practices in the United States. The objective of this study is to collect information about the composition of high-risk infant follow-up programs associated with academic centers in the United States, with respect to their structure, function, funding resources and developmental assessment practices, and to identify the barriers to establishment of such programs.
Staff neonatologists, follow-up program directors and division directors of 170 Neonatal Intensive Care Units (NICU) associated with pediatric residency programs were invited to participate in an anonymous online survey from October 2009 to January 2010.
The overall response rate was 84%. Ninety three percent of the respondents have a follow-up program associated with their NICU. Birth weight, gestational age and critical illness in the NICU were the major criteria for follow-up care. Management of nutrition and neurodevelopmental assessments was the most common service provided. Over 70% have health care trainees in the clinic. About 75% of the respondents have the neurodevelopmental outcome data available. Most of the respondents reported multiple funding sources. Lack of personnel and funding were the most common causes for not having a follow-up program.
High-risk infant follow-up programs associated with academic centers in the United States are functioning as multidisciplinary programs providing clinical care, trainee education and facilitating outcomes research.
高危婴儿随访项目有潜力成为多功能诊所，提供临床护理的连续性、医疗保健培训生的教育，并促进结果数据研究。目前，美国没有关于高危婴儿随访实践的全国代表性数据。本研究的目的是收集与美国学术中心相关的高危婴儿随访计划的组成信息，包括其结构、功能、资金来源和发育评估实践，并确定建立此类计划的障碍。
2009 年 10 月至 2010 年 1 月期间，邀请了 170 个与儿科住院医师计划相关的新生儿重症监护病房（NICU）的工作人员新生儿科医生、随访项目主任和部门主任参与匿名在线调查。
总体回复率为 84%。93%的受访者在其 NICU 有随访计划。出生体重、胎龄和 NICU 中的危重病是随访护理的主要标准。营养管理和神经发育评估是最常见的服务。超过 70%的人在诊所中有医疗保健培训生。约 75%的受访者有神经发育结局数据。大多数受访者报告了多种资金来源。缺乏人员和资金是没有随访计划的最常见原因。
与美国学术中心相关的高危婴儿随访计划是多学科的，提供临床护理、培训生教育，并促进结果研究。
