Department of Physical Therapy and Human Movement Science, Northwestern University, Chicago, Illinois.
Department of Pediatrics, UCSF Benioff Children's Hospital, University of California, San Francisco, California.
Pediatr Neurol. 2022 Apr;129:14-18. doi: 10.1016/j.pediatrneurol.2022.01.004. Epub 2022 Jan 21.
Children with a history of acute provoked neonatal seizures are at high risk for disability, often requiring developmental services. The coronavirus disease 2019 (COVID-19) pandemic has led to widespread changes in how health care is delivered. Our objective was to determine the magnitude of service interruption of among children born between October 2014 and December 2017 and enrolled in the Neonatal Seizure Registry (NSR), a nine-center collaborative of pediatric centers in the United States.
This is a prospective cohort study of children with acute provoked seizures with onset ≤44 weeks' gestation and evaluated at age three to six years. Parents of children enrolled in the NSR completed a survey about their child's access to developmental services between June 2020 and April 2021.
Among 144 children enrolled, 72 children (50%) were receiving developmental services at the time of assessment. Children receiving services were more likely to be male, born preterm, and have seizure etiology of infection or ischemic stroke. Of these children, 64 (89%) experienced a disruption in developmental services due to the pandemic, with the majority of families (n = 47, 73%) reporting that in-person services were no longer available.
Half of children with acute provoked neonatal seizures were receiving developmental services at ages three to six years. The COVID-19 pandemic has led to widespread changes in delivery of developmental services. Disruptions in services have the potential to impact long-term outcomes for children who rely on specialized care programs to optimize mobility and learning.
有急性诱发性新生儿癫痫发作史的儿童存在残疾高风险，通常需要发育服务。2019 年冠状病毒病（COVID-19）大流行导致医疗保健的提供方式发生了广泛变化。我们的目的是确定 2014 年 10 月至 2017 年 12 月之间出生并参加美国九个儿科中心组成的新生儿癫痫登记处（NSR）的儿童的服务中断程度。
这是一项对急性诱发性癫痫发作且发病时间≤44 周并在 3 至 6 岁时进行评估的儿童的前瞻性队列研究。参加 NSR 的儿童的父母在 2020 年 6 月至 2021 年 4 月期间完成了一份关于其子女获得发育服务的调查。
在 144 名入组的儿童中，有 72 名儿童（50%）在评估时正在接受发育服务。接受服务的儿童更可能是男性、早产儿，且病因是感染或缺血性中风引起的癫痫发作。在这些儿童中，有 64 名（89%）因大流行而导致发育服务中断，大多数家庭（n=47，73%）报告说不再提供面对面服务。
一半的急性诱发性新生儿癫痫发作儿童在 3 至 6 岁时正在接受发育服务。COVID-19 大流行导致发育服务的提供方式发生了广泛变化。服务中断有可能影响依赖专门护理计划来优化运动和学习能力的儿童的长期预后。
