影响NICU治疗服务的接收和类型的因素
Christiana D Butera1, Shaaron E Brown2, Jennifer Burnsed3
1Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA 90033, USA.
Behavioral sciences (Basel, Switzerland)
|June 27, 2023
概括
新生儿重症监护室 (NICU) 对非常早产婴儿的治疗服务各不相同. 推预测因素包括医疗和发育因素,而不仅仅是初步评估,以确保最佳结果.
科学领域:
- 新生儿科学 新生儿科学
- 发育儿科 发育儿科
- 康复医学 康复医学 康复医学
背景情况:
- 优化非常早产婴儿的长期结果需要了解当前的新生儿重症监护室 (NICU) 治疗服务.
- 识别治疗转诊的预测因素对于有效干预这种脆弱人群至关重要.
研究的目的:
- 分析为非常早产婴儿提供的NICU治疗服务的类型和频率.
- 确定职业治疗,物理治疗和语言治疗的转诊预测因素.
主要方法:
- 追溯分析83名非常早产婴儿 (<32周妊娠年龄) 的医疗记录.
- 数据包括种族,新生儿医学指数,神经成像和治疗会话频率.
- 进行标准化评估:婴儿运动性能测试 (TIMP) 和一般运动评估 (GMA).
主要成果:
- 治疗会话的频率 (职业,身体,言语) 根据类型和出院周有很大差异.
- 通过基线GMA确定为患脑性麻高风险的婴儿接受了更多的治疗疗程.
- 基线GMA分数预测了职业治疗会话,但不是物理或语言治疗.
- 新生儿医学指数和TIMP得分没有预测整体治疗服务利用率.
结论:
- 推NICU治疗服务应基于医疗和发育风险因素的组合,以及治疗评估结果.
- 总体运动评估是预测非常早产婴儿需要职业治疗的宝贵工具.
- 需要进一步的研究来完善在NICU的综合治疗服务的转诊标准.
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