Division of Neurodevelopmental Behavioral Pediatrics, Department of Pediatrics, University of Virginia, Charlottesville, Virginia.
Department of Pediatrics, Neurology and Developmental Medicine, Kennedy Krieger Institute, Johns Hopkins School of Medicine, Baltimore, Maryland.
Pediatrics. 2023 Jul 1;152(1). doi: 10.1542/peds.2023-062511.
To support decision-making in the primary care medical home, this clinical report links preterm birth and perinatal complications to early childhood developmental disability risks. It consolidates extensive contemporary outcome research from 2005 onward into an easy-to-use framework and stratifies prematurity and NICU experiences by degree of risk for developmental impairments. This framework informs and prioritizes point-of-care screening and surveillance strategies for pediatricians caring for children born preterm, guides additional assessment and referral for appropriate therapies, and offers opportunities for reassurance (when applicable) in office settings.
为了支持基层医疗家庭医疗中的决策制定，本临床报告将早产和围产期并发症与儿童早期发育障碍风险联系起来。它将 2005 年以来广泛的当代预后研究成果整合到一个易于使用的框架中，并根据发育障碍的风险程度对早产儿和新生儿重症监护病房的经历进行分类。该框架为儿科医生提供了信息和优先考虑的策略，用于对早产儿进行护理的点保健筛查和监测，指导进行额外的评估和适当治疗的转诊，并在办公室环境中提供（适用时）安心的机会。
