Long-Term Functioning and Participation Across the Life Course for Preterm Neonatal Intensive Care Unit Graduates
Long-Term Functioning and Participation Across the Life Course for Preterm Neonatal Intensive Care Unit Graduates
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DOI：
10.1016/j.clp.2018.05.009
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发表时间：
2018-09-01
影响因子：
2.1
通讯作者：
Msall, Michael E.
中科院分区：
文献类型：
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作者：
Carter, Frances A.;Msall, Michael E.
为了了解脆弱的早产儿和新生儿大脑的风险和弹性轨迹，临床医生必须超越生存，并在人口基础上严格检查儿童，青少年和成人在其生命过程中的功能结果。评估必须远远超出贝利评估和新生儿发病率的计数，如支气管肺发育不良，早产儿视网膜病变，超声脑损伤，败血症和坏死性小肠结肠炎。积极主动地为家庭提供支持，为儿童提供发展和教育支持，可以优化学业功能，并参与成人学习，身体和行为健康活动，社区生活，人际关系和就业。
To understand the trajectories of risk and resilience in the vulnerable preterm and neonatal brain, clinicians must go beyond survival and critically examine on a population basis the functional outcomes of children, adolescents, and adults across their life course. Evaluations must go well beyond Bayley assessments and counts of neonatal morbidities, such as bronchopulmonary dysplasia, retinopathy of prematurity, sonographic brain injury, sepsis, and necrotizing enterocolitis. Proactively providing support to families and developmental and educational supports to children can optimize academic functioning and participation in adult learning, physical and behavioral health activities, community living, relationships, and employment.