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Toddler Developmental Delays After Extensive Hospitalization: Primary Care Practitioner Guidelines
Insights
Children hospitalized for extended periods may experience developmental delays. Early screening and intervention by primary care practitioners can mitigate risks for toddlers (1-3 years) after lengthy pediatric stays.
Area of Science:
- Pediatrics
- Developmental Psychology
Background:
- Lengthy pediatric hospitalizations, defined as 30 days or more, can impact a toddler's development.
- Neonatal and pediatric intensive care unit (NICU/PICU) graduates face heightened risks for developmental delays.
Purpose of the Study:
- To review factors associated with developmental delays in toddlers (1-3 years) following extensive hospitalizations.
- To raise awareness among healthcare providers about potential developmental impacts of prolonged pediatric stays.
Main Methods:
- A literature review was conducted examining physical, motor, cognitive, and psychosocial development.
- The review focused on children aged 1 to 3 years who experienced hospital stays of 30 days or longer.
Main Results:
- Extensive hospitalization, including non-critical stays, can disrupt toddler development.
- NICU/PICU graduates are particularly vulnerable to developmental delays post-discharge.
Conclusions:
- Primary care practitioners (PCPs) are crucial in identifying and managing developmental delays.
- Formal developmental screening tools and parent surveys can aid PCPs in early detection and intervention.
- PCPs play a key role in coordinating care and educating families on interventions for optimal toddler development.
Abstract:
This review investigated developmental delays toddlers may encounter after a lengthy pediatric hospitalization (30 days or greater). Physical, motor, cognitive, and psychosocial development of children aged 1 to 3 years was reviewed to raise awareness of factors associated with developmental delay after extensive hospitalization. Findings from the literature suggest that neonatal and pediatric intensive care unit (NICU/PICU) graduates are most at risk for developmental delays, but even non-critical hospital stays interrupt development to some extent. Primary care practitioners (PCPs) may be able to minimize risk for delays through the use of formal developmental screening tests and parent report surveys. References and resources are described for developmental assessment to help clinicians recognize delays and to educate families about optimal toddler development interventions. Pediatric PCPs play a leading role in coordinating health and developmental services for the young child following an extensive hospital stay.
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