COVID-19 大流行对极低出生体重儿出院后早期干预利用和转介需求的影响。
Impact of the COVID-19 pandemic on early intervention utilization and need for referral after NICU discharge in VLBW infants.
机构信息
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.
出版信息
J Perinatol. 2024 Jan;44(1):40-45. doi: 10.1038/s41372-023-01711-7. Epub 2023 Jul 6.
OBJECTIVE
To examine the impact of COVID-19 pandemic on early intervention (EI) services in VLBW infants.
STUDY DESIGN
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.
RESULTS
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.
CONCLUSIONS
VLBW infants seen during COVID-19 had significantly higher odds of needing EI and significantly lower cognitive and language scores at 20 months CA.
目的
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。
研究设计
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。
结果
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。
结论
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。
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