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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Health, growth, and use of community services in NICU graduates at early school age

L L Lindeke1, M M Mills, M K Georgieff

  • 1School of Nursing, University of Minnesota, Minneapolis 55455, USA.

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
|July 7, 1999
PubMed

Insights

Children who received newborn intensive care, including very low birth weight (VLBW) infants, often have ongoing health concerns and increased use of community services into school age. Long-term follow-up is crucial for all high-risk infants.

Area of Science:

  • Neonatal care outcomes
  • Pediatric health services research
  • Child development studies

Background:

  • Neonatal intensive care unit (NICU) survivors face potential long-term health and developmental challenges.
  • Understanding the needs of prematurity survivors is critical for effective healthcare planning.

Purpose of the Study:

  • To assess health, growth, and community service utilization in children aged 6-8 years with a history of neonatal intensive care.
  • To compare outcomes among different birth weight groups: very low birth weight (VLBW), low birth weight (LBW), and normal birth weight (NBW).

Main Methods:

  • A mailed questionnaire was administered to parents of 81 children who received neonatal intensive care.
  • Children were categorized into VLBW (<1500g), LBW (1501-2500g), and NBW (>2500g) groups.
  • Descriptive statistics and one-way ANOVA were used to compare growth, health, and service use.

Main Results:

  • Both VLBW and NBW groups reported more ongoing health concerns compared to LBW.
  • Growth patterns were comparable across all birth weight groups.
  • VLBW and NBW children showed increased use of community-based services, with utilization rising during school age.

Conclusions:

  • Comprehensive follow-up systems are essential for early detection and referral of problems in high-risk infants.
  • Neonatal histories require continuous tracking throughout childhood.
  • Seriously ill term NBW infants are identified as being at risk for later morbidity, necessitating follow-up comparable to VLBW children.
Abstract

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