Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford School of Medicine, Stanford, CA, USA.
California Perinatal Quality Care Collaborative, Stanford, CA, USA.
J Perinatol. 2021 Jun;41(6):1347-1354. doi: 10.1038/s41372-020-00898-3. Epub 2020 Dec 12.
To determine the rates of high-risk infant follow-up (HRIF) attendance and the characteristics associated with follow-up among infants with hypoxic-ischemic encephalopathy (HIE) in California.
Using population-based datasets, 1314 infants with HIE born in 2010-2016 were evaluated. The characteristics associated with follow-up were identified through multivariable logistic regression.
73.9% of infants attended HRIF by age 1. Follow-up rates increased and variation in follow-up by clinic decreased over time. Female infants; those born to African-American, single, less than college-educated, or publicly insured caregivers; and those referred to high-volume or regional programs had lower follow-up rates. In multivariable analysis, Asian and Pacific Islander race/ethnicity had lower odds of follow-up; infants with college- or graduate school-educated caregivers or referred to mid-volume HRIF programs had greater odds.
Sociodemographic and program-level characteristics were associated with lack of follow-up among HIE infants. Understanding these characteristics may improve the post-discharge care of HIE infants.
确定加利福尼亚州患有缺氧缺血性脑病（HIE）的婴儿接受高危婴儿随访（HRIF）的比例，以及与随访相关的特征。
使用基于人群的数据集，评估了 2010 年至 2016 年期间出生的 1314 名患有 HIE 的婴儿。通过多变量逻辑回归确定与随访相关的特征。
73.9%的婴儿在 1 岁前接受了 HRIF。随访率随着时间的推移而增加，诊所之间的随访差异也在减少。女性婴儿；那些由非裔美国人、单身、未受过大学教育或公共保险照顾者抚养的婴儿；以及那些被转介到高容量或区域项目的婴儿，其随访率较低。在多变量分析中，亚洲和太平洋岛民种族/民族的随访几率较低；那些有大学或研究生学历的照顾者或被转介到中等容量 HRIF 项目的婴儿，其随访几率较高。
社会人口统计学和项目水平的特征与 HIE 婴儿缺乏随访有关。了解这些特征可能会改善 HIE 婴儿的出院后护理。
