Hyun Sung Eun, Kwon Jeong-Yi, Hong Bo Young, Yoon Jin A, Choi Ja Young, Hong Jiyeon, Koh Seong-Eun, Ko Eun Jae, Kim Seung Ki, Song Min-Keun, Yi Sook-Hee, Cho AhRa, Kwon Bum Sun
Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Ann Rehabil Med. 2023 Jun;47(3):147-161. doi: 10.5535/arm.23038. Epub 2023 Jun 27.
The survival rate of children admitted in the neonatal intensive care unit (NICU) after birth is on the increase; hence, proper evaluation and care of their neurodevelopment has become an important issue. Neurodevelopmental assessments of individual domains regarding motor, language, cognition, and sensory perception are crucial in planning prompt interventions for neonates requiring immediate support and rehabilitation treatment. These assessments are essential for identifying areas of weakness and designing targeted interventions to improve future functional outcomes and the quality of lives for both the infants and their families. However, initial stratification of risk to select those who are in danger of neurodevelopmental disorders is also important in terms of cost-effectiveness. Efficient and robust functional evaluations to recognize early signs of developmental disorders will help NICU graduates receive interventions and enhance functional capabilities if needed. Several age-dependent, domain-specific neurodevelopmental assessment tools are available; therefore, this review summarizes the characteristics of these tools and aims to develop multidimensional, standardized, and regular follow-up plans for NICU graduates in Korea.
出生后入住新生儿重症监护病房（NICU）的儿童存活率正在上升；因此，对其神经发育进行适当评估和护理已成为一个重要问题。对运动、语言、认知和感觉知觉等各个领域进行神经发育评估，对于为需要立即支持和康复治疗的新生儿规划及时干预措施至关重要。这些评估对于确定薄弱环节以及设计有针对性的干预措施以改善婴儿及其家庭未来的功能结局和生活质量至关重要。然而，从成本效益的角度来看，对风险进行初步分层以选择那些有神经发育障碍风险的人也很重要。进行高效且可靠的功能评估以识别发育障碍的早期迹象，将有助于NICU的出院患儿在需要时接受干预并增强功能能力。有几种与年龄相关、针对特定领域的神经发育评估工具；因此，本综述总结了这些工具的特点，旨在为韩国的NICU出院患儿制定多维、标准化且定期的随访计划。
