Follow-up protocol for newborns of birthweight less than 1500 g or less than 32 weeks gestation

Alonso, Carmen Rosa Pallás; González, Pilar; Moya, A. Jiménez; González, Begoña Loureiro; Peinador, Yolanda Martín; Faura, Javier Soriano; Valdivieso, María José Torres; Galiana, Gemma Ginovart

doi:10.1016/j.anpede.2017.12.002

Cited by 3 publications

(19 citation statements)

References 58 publications

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“…The results of a national survey analysing the characteristics of follow‐up programmes for VPT/VLBW children in Spain conducted during 2015 showed great heterogeneity in programme content, both between and within different neonatal levels of care. Remarkably, none of the follow‐up programmes fulfilled the recommendations regarding routine assessment by a paediatric specialist (such as an ophthalmologist or neurologist), included in the recently developed guidance document of the Spanish Neonatal Society . For clinicians running follow‐up programmes, the main perceived need was related to training.…”

Section: Discussionmentioning

confidence: 99%

“…The present study shows how the practices carried out in follow‐up clinics and their organisation are markedly heterogeneous and that for this reason, VPT/VLBW children in Spain are not receiving equitable care, despite the universality of the Spanish public health system. We expect that dissemination of the national protocol , enhancement of regionalisation, generalisation of the presence of a psychologist on follow‐up teams, and improvement in the training of professionals, will together not only standardise practice but will significantly increase the quality of survival and neurodevelopment of preterm infants. Therefore, we plan to conduct a new survey in the near future to determine whether implementation of the suggested areas for improvement has resulted in improved conditions in the care of VPT/VLBW children in Spain.…”

Section: Discussionmentioning

confidence: 99%

“…When the survey was conducted, guidance on standardised follow‐up care was unavailable and no minimum requirements had been established. The survey incorporated a series of specific questions about clinical assessments that were recommended in a recently issued Spanish national protocol . The degree of compliance with the recommended assessments was very low; in fact, no single centre met all recommendations.…”

Section: Discussionmentioning

confidence: 99%

“…Most questions referred to routine follow‐up visits, such as clinical visits performed for all children regardless of their health status. A set of questions aimed at obtaining baseline practice data on clinical assessments included in the recommendations were developed by the same panel that designed the survey, prior to the publication and dissemination of the guidance document. At the end of the questionnaire, respondents were asked to select and rank, from an 8‐item list, the main perceived needs related with setting‐up and running a follow‐up programme for VPT/VLBW children.…”

Section: Methodsmentioning

confidence: 99%

“…Until recently, Spain lacked specific national follow‐up guidelines for clinical practice. However, in 2017 the Spanish Neonatal Society, together with the Spanish Association of Primary Health Care Paediatrics, issued a detailed guidance document on the follow‐up of VPT/VLBW children . As part of the guidance development process, we launched a national survey to retrieve updated information regarding the characteristics of follow‐up programmes for VPT/VLBW in level II and level III NICUs in Spain.…”

Section: Introductionmentioning

confidence: 99%

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Spanish survey on follow‐up programmes for children born very preterm

et al. 2018

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Aim: To describe variations in practice between follow-up programmes for very preterm children born at less than 32 weeks' gestation or with very low birth weight of less than 1,500 g. Methods:A survey on follow-up practices was electronically distributed to level II and III units among hospitals of the Spanish National Health Service in 2016. The survey included 70 questions covering issues such as follow-up organisation and resources, routine assessments, relationships with other services and families, information management and training.Results: The response rate was 91.5% (141/154). Among respondents, 70.9% (100/ 141) reported that they do provide follow-up and 42% do so up to six years of age. Routine neurological and ophthalmological follow-up is not performed in 60% and 37% of hospitals, respectively, and a second hearing assessment is not given in 62%. Just 38% of units have psychologist. In 41% of hospitals, training in follow-up skills is not included in Paediatric Residency training programme.Conclusion: Although Spain has a nationwide health system that provides universal health coverage, we found that follow-up care for children born very preterm/very low birth weight is not equitable. Nearly half of paediatric residents receive no training in follow-up for this high-risk population.1042

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spanish survey on follow‐up programmes for children born very preterm

et al. 2018

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National protocol led to significant improvements in follow‐up programmes for very low birth weight or very preterm infants

et al. 2021

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Elementos qualificadores do seguimento de prematuros no campo da atenção primária à saúde [Components of quality preterm follow-up in primary health care] [Elementos calificadores del seguimiento de prematuros en el ámbito de la atención primaria de salud]

et al. 2022

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Objetivo: analisar evidências científicas na literatura sobre os elementos qualificadores do seguimento de prematuros no âmbito da atenção primária à saúde. Método: revisão integrativa da literatura, com inclusão de 27 artigos científicos, publicados entre 2011 e 2020, nas bases de dados PubMed/Medline, Scielo, Cinahl e Web of Science. Resultados: os elementos que qualificam o seguimento à saúde de crianças prematuras referem-se ao planejamento da alta hospitalar, organização do plano de cuidados no domicílio, seguimento por visita domiciliar e teleatendimento, promoção da saúde e prevenção de agravos, integração entre serviços de saúde e educação, acompanhamento especializado de complicações e suporte parental. Conclusão: a revisão trouxe elementos disparadores e convergentes para a gestão dos cuidados primários em saúde. Tais elementos requerem um modo oportuno e eficiente na organização das ações, para um processo de crescimento e desenvolvimento profícuo, com impacto na mortalidade, nas re-hospitalizações, nas situações vulneráveis e na qualidade de vida.ABSTRACTObjective: to examine the scientific evidence in the literature on the qualifying elements of primary health care follow-up of premature infants. Method: this integrative literature review included 27 scientific articles published between 2011 and 2020 in the PubMed/Medline, Scielo, Cinahl and Web of Science databases. Results: the components of quality preterm follow-up on the health of premature children include hospital discharge planning, home care plan organization, follow-up through home visits and telecare, health promotion and disease prevention, integration between health and education services, specialized follow-up of complications, and parental support. Conclusion: the review brought out triggering and converging elements for primary health care management. These elements require timely and efficient organization of measures, in order for productive process of growth and development with impact on mortality, re-hospitalization, vulnerable situations, and quality of life.RESUMENObjetivo: analizar las evidencias científicas de la literatura sobre los elementos calificadores del seguimiento de prematuros en el ámbito de la atención primaria a la salud. Método: revisión integrativa de la literatura, con inclusión de 27 artículos científicos, publicados entre 2011 y 2020, en bases de datos PubMed/Medline, Scielo, Cinahl y Web of Science. Resultados: los elementos que califican el seguimiento de la salud de prematuros se refieren a la planificación del alta hospitalaria, organización del plan de cuidados en el domicilio, seguimiento por visita domiciliaria y remoto, promoción de la salud y prevención de lesiones, integración entre servicios de salud y educación, seguimiento especializado de complicaciones y apoyo parental. Conclusión: la revisión trajo elementos disparadores y convergentes a la gestión de los cuidados primarios en salud. Estos elementos requieren un modo oportuno y eficiente en la organización de las acciones, para un proceso de crecimiento y desarrollo profesional, con impacto en la mortalidad, en las internaciones repetidas, en las situaciones vulnerables y en la calidad de vida.

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Follow-up protocol for newborns of birthweight less than 1500 g or less than 32 weeks gestation

Cited by 3 publications

References 58 publications

Spanish survey on follow‐up programmes for children born very preterm

Spanish survey on follow‐up programmes for children born very preterm

National protocol led to significant improvements in follow‐up programmes for very low birth weight or very preterm infants

Elementos qualificadores do seguimento de prematuros no campo da atenção primária à saúde [Components of quality preterm follow-up in primary health care] [Elementos calificadores del seguimiento de prematuros en el ámbito de la atención primaria de salud]

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