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Factors Influencing Acceptance Into Part C Early Intervention Among Low-Risk Graduates of Neonatal Intensive Care Units
Infants & Young Children ( IF 1.1 ) Pub Date : 2019-01-01 , DOI: 10.1097/iyc.0000000000000130
Kerry Miller , Christine Marvin , Matthew Lambert

Low-risk infants discharged from a neonatal intensive care unit (NICU) can include infants whose stay was due to late-term prematurity, suspicion of sepsis, breathing issues, and/or feeding challenges. This study aimed to identify the degree to which sociodemographic and medical factors contribute to low-risk NICU graduates being accepted into Part C early intervention services. Family sociodemographic and child medical factors were examined for 3,826 low-risk graduates of NICUs in 1 Midwestern state. These NICU graduates were compared with the general population of children birth to age 3 years in the state for rates of enrollment in Part C programs. Low-risk NICU graduates had significantly higher early intervention acceptance rates than children in the general population. Neonatal intensive care unit graduates residing in an urban area were more likely to be accepted into early intervention services than those residing in a rural area. The length of NICU stay also predicted acceptance into services; the likelihood of acceptance into early intervention programs increased for each additional day a child stayed in the NICU. Low-risk NICU graduates should be monitored routinely after discharge for developmental delays and the need for referral to Part C early intervention programs any time in the children's first 3 years of life.

中文翻译:

新生儿重症监护病房低危毕业生接受 C 部分早期干预的影响因素

从新生儿重症监护病房 (NICU) 出院的低风险婴儿可能包括因晚期早产、疑似败血症、呼吸问题和/或喂养困难而住院的婴儿。本研究旨在确定社会人口学和医学因素对低风险 NICU 毕业生被 C 部分早期干预服务接受的影响程度。对中西部 1 个州的 3,826 名新生儿重症监护病房的低风险毕业生进行了家庭社会人口学和儿童医疗因素的检查。这些新生儿重症监护病房毕业生与该州出生至 3 岁儿童的一般人群进行了 C 部分项目的入学率的比较。低风险 NICU 毕业生的早期干预接受率明显高于一般人群中的儿童。与居住在农村地区的新生儿相比,居住在城市地区的新生儿重症监护病房毕业生更有可能接受早期干预服务。NICU 住院时间也预测接受服务;儿童在新生儿重症监护病房住的每多一天,接受早期干预计划的可能性就会增加。低风险新生儿重症监护病房毕业生出院后应定期监测是否有发育迟缓以及是否需要在儿童出生后头 3 年的任何时间转诊至 C 部分早期干预计划。
更新日期:2019-01-01
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