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Updated: Aug 11, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Follow up of infants following discharge from the neonatal unit: structure and process
1Clinical Lecturer in Child Health, Department of Health Sciences, University of Leicester, Robert Kilpatrick Clinical Sciences Building, PO Box 65, Leicester, LE2 7LX, United Kingdom.
Insights
Follow-up care for high-risk infants is crucial for ongoing clinical support and monitoring long-term outcomes. While beneficial for early problem detection and treatment, the costs must be weighed against the obtained benefits.
Area of Science:
- Neonatal care
- Pediatric follow-up studies
- Infant health outcomes
Background:
- Post-discharge review of high-risk infants is a key responsibility for neonatologists and pediatricians.
- Clinical necessity drives these follow-up processes, offering opportunities for data collection on long-term infant health.
- Such data is vital for healthcare commissioning and evaluating the effects of new medical interventions.
Purpose of the Study:
- To highlight the importance of ongoing clinical care and outcome monitoring for high-risk infants after discharge.
- To underscore the dual role of infant follow-up in clinical care and health services research.
- To emphasize the need to balance the benefits of infant follow-up against its associated costs.
Main Methods:
- The abstract does not specify methods but discusses the general approach to reviewing high-risk infants.
- It implies a focus on clinical assessment and outcome monitoring post-discharge.
- The review process aims to identify potential issues and gather data on longer-term effects.
Main Results:
- Parents value early identification and intervention for their infants.
- Follow-up care facilitates the collection of crucial data for healthcare planning and treatment evaluation.
- The benefits of early intervention may improve outcomes in certain infant populations.
Conclusions:
- Ongoing clinical care and outcome monitoring for high-risk infants are essential.
- The value of infant follow-up extends beyond immediate clinical needs to encompass health services research.
- The cost-effectiveness of different follow-up models requires careful consideration of their benefits.
Abstract:
Reviewing high risk infants after discharge to provide ongoing clinical care and to monitor later outcomes is an important role for neonatologists and paediatricians. Clinical need is the primary reason for such follow up but the process does provide additional opportunities, for example collecting information on later outcomes is vital for health care commissioning, and to determine the longer term effects of new medical treatments. Parents welcome the early identification of any problems in their infant and the opportunity for early intervention may improve outcomes in some circumstances. However, depending on the model adopted, follow up can be costly and this expenditure must be justified by considering the benefits obtained.
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Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Attachment
Planning Nursing Care I
Fundamentals of Nursing Process I
Restorative Care
Fundamentals of Nursing Process II
