利用远程医疗克服从新生儿重症监护病房到入学阶段神经发育护理的障碍。

Using Telemedicine to Overcome Barriers to Neurodevelopmental Care from the Neonatal Intensive Care Unit to School Entry.

作者信息

Haffner Darrah N, Bauer Huang Sarah L

机构信息

Division of Pediatric Neurology, Department of Pediatrics, Nationwide Children's Hospital and the Ohio State University, 700 Children's Dr, Columbus, OH 43205, USA.

Department of Pediatric and Developmental Neurology, Department of Neurology, Washington University in Saint Louis School of Medicine, 660 S. Euclid Avenue, St. Louis, MO 63110, USA.

出版信息

Clin Perinatol. 2023 Mar;50(1):253-268. doi: 10.1016/j.clp.2022.10.006.

DOI:10.1016/j.clp.2022.10.006

PMID:36868709

Abstract

Dedicated Neonatal Intensive Care Unit (NICU) follow-up programs are recommended for ongoing surveillance for infants at high-risk for future neurodevelopmental impairment (NDI). Systemic, socioeconomic, and psychosocial barriers remain for referrals and the continued neurodevelopmental follow-up of high-risk infants. Telemedicine can help overcome these barriers. Telemedicine allows standardization of evaluations, increased referral rates, and reduced time to follow-up as well as increased therapy engagement. Telemedicine can expand neurodevelopmental surveillance and support all NICU graduates, facilitating the early identification of NDI. However, with the recent expansion of telemedicine during the COVID-19 pandemic, new barriers related to access and technological support have arisen.

摘要

建议设立专门的新生儿重症监护病房（NICU）随访项目，以便对未来有神经发育障碍（NDI）高风险的婴儿进行持续监测。对于高危婴儿的转诊及持续的神经发育随访，仍然存在系统性、社会经济和心理社会方面的障碍。远程医疗有助于克服这些障碍。远程医疗可以实现评估标准化，提高转诊率，缩短随访时间，并增加治疗参与度。远程医疗可以扩大神经发育监测范围，并为所有NICU毕业患儿提供支持，有助于早期识别NDI。然而，在新冠疫情期间远程医疗最近得到扩展的情况下，出现了与获取和技术支持相关的新障碍。