Department of Pediatrics, Rush University Children's Hospital, Rush University Medical Center, Chicago, IL, USA.
Department of Health Systems Management, Rush University Medical Center, Chicago, IL, USA.
J Perinatol. 2024 Jan;44(1):40-45. doi: 10.1038/s41372-023-01711-7. Epub 2023 Jul 6.
To examine the impact of COVID-19 pandemic on early intervention (EI) services in VLBW infants.
208 VLBW infants seen in NICU follow-up (FU) pre-COVID-19 were compared to 132 infants seen during COVID-19 at 4, 8 and 20 months corrected age (CA) in terms of enrollment in Child and Family Connections (CFC; intake agency for EI), EI therapies, need for CFC referral and Bayley scores.
Infants seen during COVID-19 at 4, 8 and 20 months CA were 3.4 (OR, 95% CI 1.64, 6.98), 4.0 (1.77, 8.95) and 4.8 (2.10, 11.08) times more likely to need CFC referral at FU based on severity of developmental delay. Infants followed during COVID-19 had significantly lower mean Bayley cognitive and language scores at 20 months CA.
VLBW infants seen during COVID-19 had significantly higher odds of needing EI and significantly lower cognitive and language scores at 20 months CA.
研究 COVID-19 大流行对极低出生体重儿（VLBW）早期干预（EI）服务的影响。
将 208 名在 COVID-19 之前于新生儿重症监护病房（NICU）随访（FU）期间接受检查的 VLBW 婴儿与在 COVID-19 期间于 4、8 和 20 个月校正年龄（CA）时接受检查的 132 名婴儿进行比较，比较内容为儿童和家庭联系（CFC；EI 摄入机构）的入组、EI 治疗、是否需要 CFC 转介以及贝利评分。
在 COVID-19 期间于 4、8 和 20 个月 CA 时接受检查的婴儿在 FU 时需要 CFC 转介的可能性分别是未接受检查的婴儿的 3.4 倍（95%CI，1.64，6.98）、4.0 倍（1.77，8.95）和 4.8 倍（2.10，11.08），这与发育迟缓的严重程度有关。在 COVID-19 期间接受随访的婴儿在 20 个月 CA 时的贝利认知和语言评分明显较低。
在 COVID-19 期间接受检查的 VLBW 婴儿需要 EI 的可能性明显更高，在 20 个月 CA 时的认知和语言评分明显更低。
