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Social disparities negatively impact neonatal follow-up clinic attendance of premature infants discharged from the neonatal intensive care unit.
Journal of Perinatology ( IF 2.4 ) Pub Date : 2020-03-23 , DOI: 10.1038/s41372-020-0659-4 Corinne Swearingen 1 , Pippa Simpson 2 , Erwin Cabacungan 3 , Susan Cohen 3
Journal of Perinatology ( IF 2.4 ) Pub Date : 2020-03-23 , DOI: 10.1038/s41372-020-0659-4 Corinne Swearingen 1 , Pippa Simpson 2 , Erwin Cabacungan 3 , Susan Cohen 3
Affiliation
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OBJECTIVE
Neonatal neurodevelopmental follow-up clinic provides continued surveillance and assessment of high-risk premature infants. We hypothesized that attrition is associated with race and social factors.
STUDY DESIGN
We performed a retrospective cohort study of neonates born at 26-32 weeks gestation who were admitted to a level IV neonatal intensive care unit. Maternal and neonatal characteristics and follow-up attendance were collected. Statistical analysis was performed with significance set at p value < 0.05.
RESULTS
In total, 237 neonates met study criteria. There was a 62% loss to follow-up over 2 years. Factors associated with loss to follow-up included older gestational age, African American race, and maternal cigarette smoking. Protective factors included older maternal age, a neonatal diagnosis of bronchopulmonary dysplasia, and longer hospital length of stay.
CONCLUSIONS
Social disparities negatively impact neonatal follow-up clinic attendance. Efforts to identify and target high-risk populations must be started during initial hospitalization before infants are lost to follow-up.
中文翻译：
社会差异对从新生儿重症监护室出院的早产儿的新生儿随访门诊出勤率产生负面影响。
目的 新生儿神经发育随访诊所提供对高危早产儿的持续监测和评估。我们假设减员与种族和社会因素有关。研究设计 我们对入住 IV 级新生儿重症监护病房的孕 26-32 周出生的新生儿进行了一项回顾性队列研究。收集母婴特征及随访出勤情况。进行统计分析，显着性设置为 p 值 < 0.05。结果 总共有 237 名新生儿符合研究标准。超过 2 年的随访丢失率为 62%。与失访相关的因素包括胎龄较大、非裔美国人种族和母亲吸烟。保护因素包括母亲年龄较大、新生儿诊断为支气管肺发育不良、和更长的住院时间。结论 社会差异对新生儿随访门诊出勤率产生负面影响。在婴儿失访之前，必须在初次住院期间开始努力识别和瞄准高危人群。
更新日期：2020-04-24
中文翻译：
社会差异对从新生儿重症监护室出院的早产儿的新生儿随访门诊出勤率产生负面影响。
目的 新生儿神经发育随访诊所提供对高危早产儿的持续监测和评估。我们假设减员与种族和社会因素有关。研究设计 我们对入住 IV 级新生儿重症监护病房的孕 26-32 周出生的新生儿进行了一项回顾性队列研究。收集母婴特征及随访出勤情况。进行统计分析，显着性设置为 p 值 < 0.05。结果 总共有 237 名新生儿符合研究标准。超过 2 年的随访丢失率为 62%。与失访相关的因素包括胎龄较大、非裔美国人种族和母亲吸烟。保护因素包括母亲年龄较大、新生儿诊断为支气管肺发育不良、和更长的住院时间。结论 社会差异对新生儿随访门诊出勤率产生负面影响。在婴儿失访之前，必须在初次住院期间开始努力识别和瞄准高危人群。
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