{"title":"社评:新生儿重症监护病房毕业生的随访:神经发育状况和残疾","authors":"Sudershan Kumari","doi":"10.1177/0973217920040201","DOIUrl":null,"url":null,"abstract":"Several studies during last two decade have reported an increasing survival rate of high-risk neonates discharged from neonatal intensive care units (NICU)(l-4). In developed countries this has been achieved mainly due to decreasing mortality of very low birth weight ( < l 500gm) and extremely low birth weight babies (<lOOOgm). These rates have been achieved with several interventions for better perinatal care and include: DAntenatal (prenatal steroids, management of preterm labour, bacterial vaginosis, intrauterine growth retardation, premature membrane rupture and other pregnancy complication). DLabour management for prevention of birth asphyxia, hypothermia, and drugs during labour and stabilization of neonate before transport to higher center. D Advances in technology for monitoring, intensive care, mechanical ventilation, postnatal surfactant, management of various systemic problems etc. Klausen et al (5) reported first population based follow up of NICU graduates at preschool age and observed that preschool children with conditions that require NICU care had poor health status and health related quality oflife in a range of domains compared to healthy children (physical abilities, development, temperament & behavior etc). However, despite technological advances for improved neonatal /perinatal care, rates of cerebral palsy and neurodevelopmental handicaps at follow up has not decreased as survival of more high risk has increased the absolute number of NICU survivals with neurological deficit(6). Some workers have reported a shift from higher to very low birth weight babies from industrialized countries where survival of micropremies is increasingly reported with regard to incidence of handicaps and neurosensory problems. In Indian context, we have problems of high birth rate, static incidence of low birth weight babies ( <2500gms; 2/3 are growth retarded) at 30% of","PeriodicalId":89856,"journal":{"name":"The e-journal of neonatology research","volume":"4 1","pages":"1-6"},"PeriodicalIF":0.0000,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Editorial: Follow up of NICU graduates: Neurodevelopmental Status and Handicaps\",\"authors\":\"Sudershan Kumari\",\"doi\":\"10.1177/0973217920040201\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Several studies during last two decade have reported an increasing survival rate of high-risk neonates discharged from neonatal intensive care units (NICU)(l-4). In developed countries this has been achieved mainly due to decreasing mortality of very low birth weight ( < l 500gm) and extremely low birth weight babies (<lOOOgm). These rates have been achieved with several interventions for better perinatal care and include: DAntenatal (prenatal steroids, management of preterm labour, bacterial vaginosis, intrauterine growth retardation, premature membrane rupture and other pregnancy complication). DLabour management for prevention of birth asphyxia, hypothermia, and drugs during labour and stabilization of neonate before transport to higher center. D Advances in technology for monitoring, intensive care, mechanical ventilation, postnatal surfactant, management of various systemic problems etc. Klausen et al (5) reported first population based follow up of NICU graduates at preschool age and observed that preschool children with conditions that require NICU care had poor health status and health related quality oflife in a range of domains compared to healthy children (physical abilities, development, temperament & behavior etc). However, despite technological advances for improved neonatal /perinatal care, rates of cerebral palsy and neurodevelopmental handicaps at follow up has not decreased as survival of more high risk has increased the absolute number of NICU survivals with neurological deficit(6). Some workers have reported a shift from higher to very low birth weight babies from industrialized countries where survival of micropremies is increasingly reported with regard to incidence of handicaps and neurosensory problems. In Indian context, we have problems of high birth rate, static incidence of low birth weight babies ( <2500gms; 2/3 are growth retarded) at 30% of\",\"PeriodicalId\":89856,\"journal\":{\"name\":\"The e-journal of neonatology research\",\"volume\":\"4 1\",\"pages\":\"1-6\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2004-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The e-journal of neonatology research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/0973217920040201\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The e-journal of neonatology research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/0973217920040201","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Editorial: Follow up of NICU graduates: Neurodevelopmental Status and Handicaps
Several studies during last two decade have reported an increasing survival rate of high-risk neonates discharged from neonatal intensive care units (NICU)(l-4). In developed countries this has been achieved mainly due to decreasing mortality of very low birth weight ( < l 500gm) and extremely low birth weight babies (
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