Impact of a multidisciplinary team systematic management on the neurodevelopmental outcomes of neonatal intensive care unit preterm infants

TIAN Yuan, ZHANG Yu-ming, CHEN Fei, FENG Jin-cai, ZHANG Chun-cao, HU Xiang-ying, YU Guang-jun

Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (3) : 294-297.

PDF(606 KB)
PDF(606 KB)
Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (3) : 294-297. DOI: 10.11852/zgetbjzz2018-26-03-18

Impact of a multidisciplinary team systematic management on the neurodevelopmental outcomes of neonatal intensive care unit preterm infants

  • TIAN Yuan1, ZHANG Yu-ming2, CHEN Fei3, FENG Jin-cai4, ZHANG Chun-cao1, HU Xiang-ying5, YU Guang-jun3
Author information +
History +

Abstract

Objective To analyze the impact of systematically follow-up and early intervention on the recent neurodevelopmental outcomes of neonatal intensive care unit (NICU) preterm infants in a multidisciplinary team (MDT) framework. Methods Retrospective analysis and intervention-controlled study were conducted.The developmental abnormalities ratio of the recorded preterm infants discharged from Shanghai Children's Hospital were analyzed and the outcomes were compared with those under systematically follow-up and early intervention The impact of MDT systematically follow-up and early intervention on the neurodevelopmental outcomes of NICU preterm infants were evaluated through a prospective intervention-controlled study. Results Totally 997 infants discharged from NICU were recorded and analyzed from Jan. 1999 to Jun.2016 Infants with systematically follow-up and early intervention had lower developmental abnormalities ratio (P<0.05).Intervention-controlled study further showed that infants in intervention group could be developed to the average scores. Conclusion Preterm infants discharged from NICU need systematically follow-up and effectively early intervention by specialist in a MDT framework to make sure a better outcome.

Key words

multidisciplinary cooperation / neonatal intensive care unit / preterm infants / systematic management

Cite this article

Download Citations
TIAN Yuan, ZHANG Yu-ming, CHEN Fei, FENG Jin-cai, ZHANG Chun-cao, HU Xiang-ying, YU Guang-jun. Impact of a multidisciplinary team systematic management on the neurodevelopmental outcomes of neonatal intensive care unit preterm infants[J]. Chinese Journal of Child Health Care. 2018, 26(3): 294-297 https://doi.org/10.11852/zgetbjzz2018-26-03-18

References

[1] 冯江,袁秀琴,朱军,等.中国2000-2010年5岁以下儿童死亡率和死亡原因分析[J].中华流行病学杂志,2012,33(6):558-562.
[2] Vohr B.Long-term outcomes of moderately preterm,late preterm,and early term infants[J].Clin Perinatol,2013,40(4):739-751.
[3] Spittle A,Orton J,Anderson PJ,et al.Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants[J].Cochrane Database Syst Rev,2015,11:D5495.
[4] 陈超,魏克伦,姚裕家,等.早产儿管理指南[J].中华儿科杂志,2006,44(3):188-191.
[5] Saigal S,Doyle L W.An overview of mortality and sequelae of preterm birth from infancy to adulthood[J].Lancet,2008,371(9608):261-269.
[6] 李小燕,王慧琴,柴竹青,等.早产儿出院后生长发育监测与随访[J].中国儿童保健杂志,2016,24(7):749-752.
[7] 汤淑斌,杜亚梅,胡春维,等.早期综合干预对早产儿早期发育商的影响[J].中国儿童保健杂志,2014,22(12):1331-1333.
[8] Malcolm WF.Beyond the NICU:comprehensive care of The high-risk infant[M].United States of Amercia:McGraw-Hill Educantion,2015.
[9] Als H,Duffy FH,Mcanulty G,et al.NIDCAP improves brain function and structure in preterm infants with severe intrauterine growth restriction[J].J Perinatol,2012,32(10):797-803.
[10] Benzies KM,Magill-Evans JE,Hayden KA,et al.Key components of early intervention programs for preterm infants and their parents:a systematic review and meta-analysis[J].BMC Pregnancy Childbirth,2013,13 (Suppl 1):10.
[11] 赵凯怡,赵芸,潘静子,等.极低出生体重儿和极早早产儿随访检测及预后影响因素分析[J].中华物理医学与康复杂志,2015,37(1):24-28.
[12] 成磊,冯升,陆春梅,等.早产儿出院后父母照顾体验质性研究的系统评价和Meta整合[J].中国循证医学杂志,2015,15(9):1090-1097.
PDF(606 KB)

Accesses

Citation

Detail

Sections
Recommended

/