Early progressive mobility to improve neurodevelopment of infants with severe bronchopulmonary dysplasia at a level IV neonatal intensive care unit: a prospective cohort study.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2024-11-13 DOI:10.1038/s41372-024-02168-y

Heidi Morris, Kathleen Nilan, Meghan Burkhardt, Audrey Wood, Molly Passarella, Kathleen Gibbs, Sara B DeMauro

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引用次数: 0

Abstract

Objective: To measure the feasibility of early progressive mobility (EPM) in intubated infants with severe bronchopulmonary dysplasia (BPD) and compare neurodevelopmental skill acquisition of these infants before and after implementation of a clinical EPM program.

Study design: Single-center pre-post intervention prospective cohort study in a level IV Neonatal Intensive Care Unit (NICU) from 2019-2022. Bivariate tests compared EPM interventions and results of serial Test of Infant Motor Performance (TIMP) assessments in 32 intubated infants with severe BPD cared for during two epochs, before and after NICU-wide EPM implementation.

Results: Infants in epoch 2 experienced significantly more EPM interventions than infants in epoch 1. Infants in epoch 2 also had more advanced motor skills on the TIMP than infants in epoch 1. There were no unplanned extubations.

Conclusions: We demonstrated successful implementation of EPM in this high-risk population with evidence of beneficial impacts on early motor development.

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在四级新生儿重症监护病房对患有严重支气管肺发育不良的婴儿进行早期渐进式移动以改善其神经发育：一项前瞻性队列研究。

目的测量早期渐进移动（EPM）在患有严重支气管肺发育不良（BPD）的插管婴儿中的可行性，并比较这些婴儿在实施临床EPM计划前后的神经发育技能掌握情况：研究设计：2019-2022年在四级新生儿重症监护病房（NICU）进行的单中心干预前-后前瞻性队列研究。双变量检验比较了在整个新生儿重症监护病房实施 EPM 之前和之后两个时期内护理的 32 名插管重度 BPD 婴儿的 EPM 干预措施和序列婴儿运动表现测试（TIMP）评估结果：结果：与第一阶段相比，第二阶段的婴儿接受了更多的 EPM 干预措施。在 TIMP 测试中，第二阶段的婴儿也比第一阶段的婴儿拥有更先进的运动技能。没有发生意外拔管：我们证明在这一高风险人群中成功实施了 EPM，并有证据表明对早期运动发育有好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.