Predictors of referral to the North Carolina Infant-Toddler Program among infants with birth defects and infants born extremely preterm or low birthweight.
Predictors of referral to the North Carolina Infant-Toddler Program among infants with birth defects and infants born extremely preterm or low birthweight.
复制标题
有出生缺陷的婴儿和极早产或低出生体重的婴儿转诊至北卡罗来纳州婴幼儿计划的预测因素。
DOI：
10.1002/bdr2.1590
复制
发表时间：
2019
影响因子：
2.1
通讯作者：
Meyer,RobertE
中科院分区：
文献类型：
--
作者：
Forestieri,NinaE;VanBuren,Eric;Simpson,BarbaraD;Meyer,RobertE
背景北卡罗莱纳的婴幼儿项目（NC ITP）为有发育迟缓风险的儿童提供从出生到三岁的早期干预（EI）服务。本研究通过出生缺陷婴儿和极早产（胎龄< 27周）或极低出生体重（<1，000 g）婴儿的临床和社会人口学特征检查转诊模式。将2012年至2014年北卡罗来纳州居民出生的回顾性队列与北卡罗来纳州出生缺陷监测计划和NC ITP记录的数据进行匹配。共确定了2，463名合格的出生缺陷婴儿和2，118名极早产或低出生体重婴儿。调整后的优势比和95%的置信区间从多变量逻辑回归模型被用来分析社会人口和临床因素的转诊差异。referencies导致在enrollment.ResultsAbout 70%的婴儿符合条件的出生缺陷和85%的极早产儿被称为NC ITP。地理区域、产妇种族/民族、医疗补助中的产妇和婴儿登记以及分娩时的医院护理水平与两个高危人群的转诊相关。在出生缺陷的婴儿中，母亲的年龄、教育程度和婚姻状况也与转诊有关，胎龄、出生体重和多重异常的存在也与转诊有关。转介的婴儿，超过80%，在每个组随后enrolled.ConclusionsMany的社会人口和临床因素检查与EI转介。这些发现可用于解决覆盖差距，提高高危婴儿的转诊和入学率。
BackgroundNorth Carolina's Infant‐Toddler Program (NC ITP) provides Early Intervention (EI) services from birth to age three for children at risk for developmental delays. This study examined referral patterns by clinical and sociodemographic characteristics among infants with birth defects and infants born extremely preterm (gestational age < 27 weeks) or extremely low birthweight (<1,000 g).MethodsA retrospective cohort of North Carolina resident births from 2012 to 2014 was matched to data from the North Carolina Birth Defects Monitoring Program and NC ITP records. A total of 2,463 infants with eligible birth defects and 2,118 extremely preterm or low birthweight infants were identified. Adjusted odds ratios and 95% confidence intervals from multivariable logistic regression models were used to analyze differences in referral by sociodemographic and clinical factors. Referrals resulting in enrollment were also examined.ResultsAbout 70% of infants with eligible birth defects and 85% of extremely premature infants were referred to the NC ITP. Geographic region, maternal race/ethnicity, maternal and infant enrollment in Medicaid, and hospital level of care at delivery were associated with referral among both at‐risk groups. Among infants with birth defects, maternal age, education, and marital status were also associated with referral, as well as gestational age, birthweight, and the presence of multiple anomalies. Of the infants with referrals, over 80% in each group were subsequently enrolled.ConclusionsMany of the sociodemographic and clinical factors examined were associated with EI referral. These findings can be used to address coverage gaps and improve referral and enrollment rates for at‐risk infants.