远程医疗，NICU 出院婴儿随访的工具？一项试点项目的经验。
Telemedicine, a tool for follow-up of infants discharged from the NICU? Experience from a pilot project.
机构信息
Department of Neonatology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Mail Code-M31, Cleveland, OH, 44195, USA.
出版信息
J Perinatol. 2020 Jun;40(6):875-880. doi: 10.1038/s41372-020-0593-5. Epub 2020 Jan 20.
OBJECTIVE
Follow-up of infants from the NICU by neonatologist is limited to premature and complicated infants although parents of infants with advanced gestation may have concerns as well. We compared parental questions of infants < 35 weeks gestation (group A), during virtual telemedicine visits, to ≥35 week infants (group B).
STUDY DESIGN
In a retrospective cohort study, questions asked by parents were extracted from the electronic medical record of all infants post discharge from the NICU, after their pediatrician visit.
RESULTS
Gestation and birth weight of infants in group A were significantly lower than group B but their stay was longer. There were no significant differences in the number of parents who had questions, between the groups (A 68.1% vs B 67.3%, p = 0.91, 95% CI 0.46-1.99, OR = 0.96).
CONCLUSIONS
Telemedicine is a feasible tool for follow-up of NICU infants post discharge. Parents of infants with advanced gestation and weight may benefit from NICU follow-up.
目的
新生儿重症监护病房（NICU）的新生儿由新生儿科医生进行随访，但仅限于早产儿和复杂病例的婴儿，尽管胎龄较大婴儿的父母也可能有担忧。我们比较了在虚拟远程医疗访问中，胎龄<35 周（A 组）和胎龄≥35 周（B 组）婴儿的父母的问题。
研究设计
在一项回顾性队列研究中，从所有新生儿重症监护病房（NICU）出院后儿科就诊后的电子病历中提取了父母提出的问题。
结果
A 组婴儿的胎龄和出生体重明显低于 B 组，但住院时间较长。两组有问题的父母数量没有显著差异（A 组 68.1%，B 组 67.3%，p=0.91，95%置信区间 0.46-1.99，OR=0.96）。
结论
远程医疗是新生儿重症监护病房出院后随访新生儿的一种可行工具。胎龄和体重较大的婴儿的父母可能受益于新生儿重症监护病房的随访。
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