Risk determinants in early intervention use during the first postnatal year in children born very preterm

Pritchard, Margo A ., Colditz, Paul B., Cartwright, David, Gray, Peter H., Tudehope, David and Beller, Elaine (2013) Risk determinants in early intervention use during the first postnatal year in children born very preterm. BMC Pediatrics, 13 1: 201.1-201.5. doi:10.1186/1471-2431-13-201

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Author Pritchard, Margo A .
Colditz, Paul B.
Cartwright, David
Gray, Peter H.
Tudehope, David
Beller, Elaine
Title Risk determinants in early intervention use during the first postnatal year in children born very preterm
Journal name BMC Pediatrics   Check publisher's open access policy
ISSN 1471-2431
Publication date 2013-12-05
Sub-type Article (original research)
DOI 10.1186/1471-2431-13-201
Open Access Status DOI
Volume 13
Issue 1
Start page 201.1
End page 201.5
Total pages 5
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2014
Language eng
Subject 2735 Pediatrics, Perinatology, and Child Health
Abstract Background: Early interventions (EI) are recognised for their potential risk-reduction capacity. Although developmental delay is common in children born very preterm reports continue to suggest poor uptake of EI services. This study examined the risk determinants of EI in Australian children born less than 32 weeks gestation during the first year of life.Methods: As part of a multi-centre-randomised-trial, 195 children were prospectively studied during their first year of life and EI use, type of follow-up, perinatal, social and parental psychosocial risk factors were collected using questionnaires. Child neurodevelopmental disability-status was assessed at 12-months (cerebral palsy, blind, deaf, developmental quotient 1standard deviation (SD) below mean). The associations between EI and variables were examined using Pearson's chi-squared test (χ2) and regression techniques.Results: A total of 55% of children received EI, 51% attended post discharge neonatal intensive care unit (NICU) and the remainder attended exclusive primary health care. Risk factors included, 50% perinatal, 19% social and 34% psychosocial and at 12-months 23% were categorised as disabled. Low social risk and NICU follow-up attendance were significantly associated with EI use but only perinatal risk (OR 3.1, 95% CI 1.7, 5.6, p = <0.01) and disability (OR 2.2, 95% CI 1.1, 4.7, p = 0.04) independently predicted EI use.Conclusions: It is reassuring that children with perinatal risk receive EI, opportunity remains to improve EI uptake in families with social and parental psychosocial risk during the first year of life.
Keyword Early intervention
Neurodevelopment
Preterm infant
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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