Abstract：
AIM:To determine the rates of early intervention (EI) service use in extremely preterm (EP, <28 weeks' gestation) or extremely low birthweight (ELBW, <1000 g) infants between 1991 and 2013, and identify biological or socio-economic factors associated with receiving EI. METHODS:Participants comprised consecutive EP or ELBW survivors born in 1991-1992, 1997 or 2005 in Victoria, Australia, and randomly selected, matched term-born controls. The main outcome measure was parent-reported EI participation up to 8 years of age. Neurodevelopmental outcomes and socio-economic risk factors were compared with EI participation to identify associations among the preterm groups. RESULTS:The rates of EI were higher in the preterm groups than the control groups overall (odds ratio 4.29, 95% confidence interval 3.28, 5.59, P < 0.001), and the rates of EI rose significantly over time - from 42% in the 1991-1992 preterm cohort to 64% in the 2005 preterm cohort. Among the preterm groups, post-natal corticosteroid therapy, cystic periventricular leukomalacia and surgery in the newborn period were all independently associated with increased odds of receiving EI. Increased severity of disability was associated with higher rates of EI. The majority (95%) of preterm children with a physical impairment received EI, compared with only 73% of children with a cognitive impairment alone. EI participation rates were independent of social risk. CONCLUSION:EI participation is high in the EP population, and rates of EI use have increased over time. Contrary to previous reports, social risk factors were not found to be associated with EI use.
journal_name
J Paediatr Child Healthjournal_title
Journal of paediatrics and child healthauthors
Mills IS,Doyle LW,Cheong JL,Roberts G,Victorian Infant Collaborative Study Group.doi
10.1111/jpc.13668subject
Has Abstractpub_date
2018-01-01 00:00:00pages
74-79issue
1eissn
1034-4810issn
1440-1754journal_volume
54pub_type
杂志文章abstract：OBJECTIVES:We observed a reduced incidence of necrotizing enterocolitis (NEC) despite increased survival of extremely premature infants over the last two decades. A different susceptibility pattern to NEC according to gestation has been proposed. We aim to examine the influence of perinatal risk factors for NEC in infa...
journal_title：Journal of paediatrics and child health
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journal_title：Journal of paediatrics and child health
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journal_title：Journal of paediatrics and child health
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doi：10.1111/j.1440-1754.1993.tb00530.x
更新日期：1993-10-01 00:00:00
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journal_title：Journal of paediatrics and child health
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更新日期：2002-02-01 00:00:00
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更新日期：2012-02-01 00:00:00
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doi：10.1046/j.1440-1754.2001.00587.x
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abstract：AIM:Medication adherence is poor in many young people with chronic illness. However, little research has examined medication adherence in clinic samples of young people receiving psychotropic medication, and whether factors such as disorder or drug type influence adherence. This study aimed to examine medication adhere...
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pub_type： 杂志文章
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更新日期：2011-06-01 00:00:00
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