Factors Influencing Receipt and Type of Therapy Services in the NICU.
Factors Influencing Receipt and Type of Therapy Services in the NICU.
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DOI：
10.3390/bs13060481
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发表时间：
2023-06-07
影响因子：
2.6
通讯作者：
Dusing, Stacey C.
中科院分区：
文献类型：
--
作者：
Butera, Christiana D.;Brown, Shaaron E.;Burnsed, Jennifer;Darring, Jodi;Harper, Amy D.;Hendricks-Munoz, Karen D.;Hyde, Megan;Kane, Audrey E.;Miller, Meagan R.;Stevenson, Richard D.;Spence, Christine M.;Thacker, Leroy R.;Dusing, Stacey C.
了解目前新生儿重症监护病房(NICU)治疗服务的类型和频率以及转诊治疗服务的预测因素是支持早产儿积极长期结果的关键第一步。这项研究从纵向临床试验中招募了83名极早产儿(<；32周，平均胎龄26.5±2.0周；38名男性)。从病历中提取种族、新生儿医学指数、神经成像和治疗次数。采用婴幼儿运动功能测试和一般运动能力评定。作业治疗、物理治疗和语言治疗的每周平均疗程按类型有显著差异，但差异的大小和方向取决于出院周。根据基线一般运动评估分数，脑瘫高风险婴儿比脑瘫低风险婴儿接受更多的治疗。基线一般运动评估与作业治疗的平均次数有关，而与物理治疗或语言治疗的治疗无关。新生儿医学指数评分和婴儿运动能力测试评分不能预测综合治疗服务。医疗和发育风险因素以及治疗评估的结果应成为转诊新生儿重症监护病房治疗服务的基础。
Understanding the type and frequency of current neonatal intensive care unit (NICU) therapy services and predictors of referral for therapy services is a crucial first step to supporting positive long-term outcomes in very preterm infants. This study enrolled 83 very preterm infants (<32 weeks, gestational age mean 26.5 ± 2.0 weeks; 38 male) from a longitudinal clinical trial. Race, neonatal medical index, neuroimaging, and frequency of therapy sessions were extracted from medical records. The Test of Infant Motor Performance and the General Movement Assessment were administered. Average weekly sessions of occupational therapy, physical therapy, and speech therapy were significantly different by type, but the magnitude and direction of the difference depended upon the discharge week. Infants at high risk for cerebral palsy based on their baseline General Movements Assessment scores received more therapy sessions than infants at low risk for cerebral palsy. Baseline General Movements Assessment was related to the mean number of occupational therapy sessions but not physical therapy or speech therapy sessions. Neonatal Medical Index scores and Test of Infant Motor Performance scores were not predictive of combined therapy services. Medical and developmental risk factors, as well as outcomes from therapy assessments, should be the basis for referral for therapy services in the neonatal intensive care unit.
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DOI：
10.3109/01942638.2012.729556
发表时间：
2013-01-01
影响因子：
2.1
作者：
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通讯作者：
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影响因子：
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作者：
Khurana S;Kane AE;Brown SE;Tarver T;Dusing SC
通讯作者：
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