欧洲非常早产儿的随访情况的变化
Anna-Veera Seppänen1, Henrique Barros2, Elizabeth S Draper3
1Université de Paris Cité, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Paediatric Epidemiology Research Team (EPOPé), Paris, France.
European journal of public health
|November 18, 2023
概括
欧洲对非常早产婴儿的后续政策有很大的差异. 建议的更长的随访时间与5岁时报告的更高的服务率相关,特别是在高风险儿童中.
科学领域:
- 新生儿护理 新生儿护理
- 儿科卫生服务 儿科卫生服务
- 公共卫生政策 公共卫生政策
背景情况:
- 非常早产 (<32周孕期) 的儿童患神经发育和健康问题的风险增加.
- 从新生儿重症监护室出院后的随访对早期检测和干预至关重要.
- 对这些弱势儿童的后续政策方法的数据有限.
研究的目的:
- 调查11个欧洲国家 (2011-2022) 非常早产婴儿的后续政策和计划的特点.
- 探索推的随访时间和家长报告的随访率在5岁时之间的关联.
主要方法:
- 在11个欧洲国家使用了医疗保健信息员问卷和文献审查.
- 分析了来自2011/12年非常早产儿队列的5年后父母报告的随访数据 (N=3635).
主要成果:
- 在2011/12至2022年间,拥有后续政策/计划的国家数量从6个增加到11个.
- 政策在资格,持续时间和内容方面呈现异质性.
- 推的随访时间更长与5年后家长报告的随访率更高 (42.1%-70.1%对比<20%).
结论:
- 欧洲对非常早产婴儿的后续政策存在显著差异.
- 推后续持续时间的差异有助于5岁时报告的服务使用率的跨国差异.
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