[Perception of the transition process from pediatric to adult care in preterm and full-term infants].

IF 0.9 4区 医学 Q3 PEDIATRICS
Achim Fieß, Sandra Gißler, Alexander K Schuster, Julia Winter, Michael Urschitz, Norbert Pfeiffer, Eva Mildenberger, Alica Hartmann
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引用次数: 0

Abstract

The number of premature births is rising globally, and medical needs are often complex. The transition from pediatric to adult healthcare is a critical phase that, without adequate support, may lead to difficulties. Especially extremely preterm infants face long-term health challenges requiring specialized care. This retrospective study examined how mothers perceive the transition process of their preterm and term-born children. We analyzed whether perinatal factors such as low gestational age (GA) influence transition experiences and adult healthcare. Additionally, healthcare utilization and comorbidities were compared between preterm and term-born adults. The Gutenberg Prematurity Study (GPS) retrospectively analyzed 310 preterm and 296 term-born adults (aged 18-52), categorized into GA groups (≥37, 33-36, 29-32,≤28 weeks). Multivariable logistic regression assessed associations between perinatal factors, transition ratings, and healthcare utilization. Mothers of children born at≤28 and 29-32 weeks GA rated the transition to adult healthcare more negatively than mothers of term-born children. In addition, care five years after transition was also rated significantly worse for the≤28 weeks group. Extremely preterm adults had more GP visits and more comorbidities, such as hypertension. Transition programs should be tailored to the needs of preterm individuals, especially those born extremely preterm, to improve long-term care and address comorbidities early.

[对早产儿和足月婴儿从儿科到成人护理过渡过程的感知]。
全球早产儿数量正在上升,医疗需求往往很复杂。从儿科到成人保健的过渡是一个关键阶段,如果没有足够的支持,可能会导致困难。特别是极度早产儿面临需要专门护理的长期健康挑战。这项回顾性研究调查了母亲如何看待早产儿和足月婴儿的过渡过程。我们分析围产期因素如低胎龄(GA)是否影响转变经历和成人保健。此外,比较了早产儿和足月出生成人的医疗保健利用和合并症。古腾堡早产儿研究(GPS)回顾性分析了310例早产儿和296例足月出生成人(18-52岁),分为GA组(≥37周,33-36周,29-32周,≤28周)。多变量逻辑回归评估围产期因素、过渡评分和医疗保健利用之间的关联。出生年龄≤28周和29-32周的婴儿的母亲对向成人保健过渡的评价比足月婴儿的母亲更消极。此外,对于≤28周的组,移植后5年的护理也被评为明显更差。极度早产的成年人有更多的全科医生就诊和更多的合并症,如高血压。过渡方案应根据早产个体的需求,特别是那些极度早产的个体的需求进行调整,以改善长期护理并尽早解决合并症。
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来源期刊
Klinische Padiatrie
Klinische Padiatrie 医学-小儿科
CiteScore
1.10
自引率
0.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Das Forum für wissenschaftliche Information in der Kinderheilkunde ausgewählte Originalarbeiten aus allen Bereichen der Pädiatrie Visite: Ihr Forum für interessante Krankengeschichten und außergewöhnliche Kasuistiken aktuelle Fortschritte in Diagnostik und Therapie jährliche Schwerpunkthefte: Ergebnisse der pädiatrischen Onkologie plus Medizin und Markt topaktuelle Informationen aus der Industrie
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