Does quality of developmental care in NICUs affect health-related quality of life in 5-y-old children born preterm?
Background: Preterm birth and Neonatal Intensive Care Unit (NICU) stay are early adverse experiences, which may affect health-related quality of life (HRQoL) even in the absence of prematurity-related morbidities. The aim of this multicenter longitudinal study was to examine the relation between qua...
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| Veröffentlicht in: | Pediatric research 2016-12, Vol.80 (6), p.824-828 |
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| creator | Montirosso, Rosario Giusti, Lorenzo Del Prete, Alberto Zanini, Rinaldo Bellù, Roberto Borgatti, Renato |
| description | Background:
Preterm birth and Neonatal Intensive Care Unit (NICU) stay are early adverse experiences, which may affect health-related quality of life (HRQoL) even in the absence of prematurity-related morbidities. The aim of this multicenter longitudinal study was to examine the relation between quality levels of NICU Developmental Care (DC) and HRQoL at 60 mo in children who were born preterm.
Methods:
HRQoL of 102 very preterm (VPT) children from 20 NICUs and 110 full-term controls was assessed using TNO-AZL Preschool Children’s Quality of Life Questionnaire (TAPQOL). In VPT children, we compared HRQoL by splitting NICUs into units with high- and low-quality of DC according to the following two factors: (i) the infant centered care (ICC), and (ii) the infant pain management (IPM).
Results:
Compared to VPT children from NICUs with high-quality of ICC, VPT children from NICUs with low-quality in ICC scored lower in HRQoL component which resulted from the aggregation of lively, positive emotionality, social and motor functioning. No differences were found between VPT children from high-quality ICC NICUs and full-term children and for the IPM index.
Conclusion:
Findings suggest that higher quality of DC in NICU related to ICC might mitigate long-term negative quality of life outcomes. |
| doi_str_mv | 10.1038/pr.2016.158 |
| format | Article |
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Preterm birth and Neonatal Intensive Care Unit (NICU) stay are early adverse experiences, which may affect health-related quality of life (HRQoL) even in the absence of prematurity-related morbidities. The aim of this multicenter longitudinal study was to examine the relation between quality levels of NICU Developmental Care (DC) and HRQoL at 60 mo in children who were born preterm.
Methods:
HRQoL of 102 very preterm (VPT) children from 20 NICUs and 110 full-term controls was assessed using TNO-AZL Preschool Children’s Quality of Life Questionnaire (TAPQOL). In VPT children, we compared HRQoL by splitting NICUs into units with high- and low-quality of DC according to the following two factors: (i) the infant centered care (ICC), and (ii) the infant pain management (IPM).
Results:
Compared to VPT children from NICUs with high-quality of ICC, VPT children from NICUs with low-quality in ICC scored lower in HRQoL component which resulted from the aggregation of lively, positive emotionality, social and motor functioning. No differences were found between VPT children from high-quality ICC NICUs and full-term children and for the IPM index.
Conclusion:
Findings suggest that higher quality of DC in NICU related to ICC might mitigate long-term negative quality of life outcomes.</description><identifier>ISSN: 0031-3998</identifier><identifier>EISSN: 1530-0447</identifier><identifier>DOI: 10.1038/pr.2016.158</identifier><identifier>PMID: 27490739</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/3187 ; 692/700/1720/3185 ; 692/700/784 ; Case-Control Studies ; Child Development ; Child, Preschool ; clinical-investigation ; Female ; Humans ; Infant Care ; Infant, Newborn ; Infant, Premature ; Intensive Care Units, Neonatal - standards ; Longitudinal Studies ; Male ; Medicine & Public Health ; Patient-Centered Care ; Pediatric Surgery ; Pediatrics ; Quality of Health Care ; Quality of Life ; Surveys and Questionnaires</subject><ispartof>Pediatric research, 2016-12, Vol.80 (6), p.824-828</ispartof><rights>International Pediatric Research Foundation, Inc. 2016</rights><rights>Copyright Nature Publishing Group Dec 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-18130f5a19941bcc24bf67a05a96e7af6d29c52f0cbe23ef09f862e0f864e82f3</citedby><cites>FETCH-LOGICAL-c391t-18130f5a19941bcc24bf67a05a96e7af6d29c52f0cbe23ef09f862e0f864e82f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27490739$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Montirosso, Rosario</creatorcontrib><creatorcontrib>Giusti, Lorenzo</creatorcontrib><creatorcontrib>Del Prete, Alberto</creatorcontrib><creatorcontrib>Zanini, Rinaldo</creatorcontrib><creatorcontrib>Bellù, Roberto</creatorcontrib><creatorcontrib>Borgatti, Renato</creatorcontrib><creatorcontrib>NEO-ACQUA Study Group</creatorcontrib><title>Does quality of developmental care in NICUs affect health-related quality of life in 5-y-old children born preterm?</title><title>Pediatric research</title><addtitle>Pediatr Res</addtitle><addtitle>Pediatr Res</addtitle><description>Background:
Preterm birth and Neonatal Intensive Care Unit (NICU) stay are early adverse experiences, which may affect health-related quality of life (HRQoL) even in the absence of prematurity-related morbidities. The aim of this multicenter longitudinal study was to examine the relation between quality levels of NICU Developmental Care (DC) and HRQoL at 60 mo in children who were born preterm.
Methods:
HRQoL of 102 very preterm (VPT) children from 20 NICUs and 110 full-term controls was assessed using TNO-AZL Preschool Children’s Quality of Life Questionnaire (TAPQOL). In VPT children, we compared HRQoL by splitting NICUs into units with high- and low-quality of DC according to the following two factors: (i) the infant centered care (ICC), and (ii) the infant pain management (IPM).
Results:
Compared to VPT children from NICUs with high-quality of ICC, VPT children from NICUs with low-quality in ICC scored lower in HRQoL component which resulted from the aggregation of lively, positive emotionality, social and motor functioning. No differences were found between VPT children from high-quality ICC NICUs and full-term children and for the IPM index.
Conclusion:
Findings suggest that higher quality of DC in NICU related to ICC might mitigate long-term negative quality of life outcomes.</description><subject>692/308/3187</subject><subject>692/700/1720/3185</subject><subject>692/700/784</subject><subject>Case-Control Studies</subject><subject>Child Development</subject><subject>Child, Preschool</subject><subject>clinical-investigation</subject><subject>Female</subject><subject>Humans</subject><subject>Infant Care</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Intensive Care Units, Neonatal - standards</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine & Public Health</subject><subject>Patient-Centered Care</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Quality of Health Care</subject><subject>Quality of Life</subject><subject>Surveys and Questionnaires</subject><issn>0031-3998</issn><issn>1530-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpt0c1rFDEYBvAglnatPXmXgBfBzpo3HzOTk8jaLyh6sechk3njTslMpsmMsP-9qVvbUrwkhPzyJOQh5B2wNTBRf57imjMo16DqV2QFSrCCSVm9JivGBBRC6_qIvEnpljGQqpaH5IhXUrNK6BVJ3wImercY3887Ghzt8Df6MA04zsZTayLSfqTfrzY3iRrn0M50i8bP2yKiNzN2zw_73v3lqtgVwXfUbnvfRRxpG-JIp4gzxuHLW3LgjE948jAfk5vzs5-by-L6x8XV5ut1YYWGuYAaBHPKgNYSWmu5bF1ZGaaMLrEyruy4too7ZlvkAh3Tri45sjxKrLkTx-TjPneK4W7BNDdDnyx6b0YMS2qg5mUluYIq0w8v6G1Y4phf13DgUirOSsjq017ZGFKK6Jop9oOJuwZYc99FXjf3XTS5i6zfP2Qu7YDdo_33-Rmc7kHKW-MvjE-X_i_vD8lOkl8</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Montirosso, Rosario</creator><creator>Giusti, Lorenzo</creator><creator>Del Prete, Alberto</creator><creator>Zanini, Rinaldo</creator><creator>Bellù, Roberto</creator><creator>Borgatti, Renato</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20161201</creationdate><title>Does quality of developmental care in NICUs affect health-related quality of life in 5-y-old children born preterm?</title><author>Montirosso, Rosario ; Giusti, Lorenzo ; Del Prete, Alberto ; Zanini, Rinaldo ; Bellù, Roberto ; Borgatti, Renato</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-18130f5a19941bcc24bf67a05a96e7af6d29c52f0cbe23ef09f862e0f864e82f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>692/308/3187</topic><topic>692/700/1720/3185</topic><topic>692/700/784</topic><topic>Case-Control Studies</topic><topic>Child Development</topic><topic>Child, Preschool</topic><topic>clinical-investigation</topic><topic>Female</topic><topic>Humans</topic><topic>Infant Care</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Intensive Care Units, Neonatal - standards</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine & Public Health</topic><topic>Patient-Centered Care</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Quality of Health Care</topic><topic>Quality of Life</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Montirosso, Rosario</creatorcontrib><creatorcontrib>Giusti, Lorenzo</creatorcontrib><creatorcontrib>Del Prete, Alberto</creatorcontrib><creatorcontrib>Zanini, Rinaldo</creatorcontrib><creatorcontrib>Bellù, Roberto</creatorcontrib><creatorcontrib>Borgatti, Renato</creatorcontrib><creatorcontrib>NEO-ACQUA Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Montirosso, Rosario</au><au>Giusti, Lorenzo</au><au>Del Prete, Alberto</au><au>Zanini, Rinaldo</au><au>Bellù, Roberto</au><au>Borgatti, Renato</au><aucorp>NEO-ACQUA Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does quality of developmental care in NICUs affect health-related quality of life in 5-y-old children born preterm?</atitle><jtitle>Pediatric research</jtitle><stitle>Pediatr Res</stitle><addtitle>Pediatr Res</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>80</volume><issue>6</issue><spage>824</spage><epage>828</epage><pages>824-828</pages><issn>0031-3998</issn><eissn>1530-0447</eissn><abstract>Background:
Preterm birth and Neonatal Intensive Care Unit (NICU) stay are early adverse experiences, which may affect health-related quality of life (HRQoL) even in the absence of prematurity-related morbidities. The aim of this multicenter longitudinal study was to examine the relation between quality levels of NICU Developmental Care (DC) and HRQoL at 60 mo in children who were born preterm.
Methods:
HRQoL of 102 very preterm (VPT) children from 20 NICUs and 110 full-term controls was assessed using TNO-AZL Preschool Children’s Quality of Life Questionnaire (TAPQOL). In VPT children, we compared HRQoL by splitting NICUs into units with high- and low-quality of DC according to the following two factors: (i) the infant centered care (ICC), and (ii) the infant pain management (IPM).
Results:
Compared to VPT children from NICUs with high-quality of ICC, VPT children from NICUs with low-quality in ICC scored lower in HRQoL component which resulted from the aggregation of lively, positive emotionality, social and motor functioning. No differences were found between VPT children from high-quality ICC NICUs and full-term children and for the IPM index.
Conclusion:
Findings suggest that higher quality of DC in NICU related to ICC might mitigate long-term negative quality of life outcomes.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>27490739</pmid><doi>10.1038/pr.2016.158</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0031-3998 |
| ispartof | Pediatric research, 2016-12, Vol.80 (6), p.824-828 |
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| subjects | 692/308/3187 692/700/1720/3185 692/700/784 Case-Control Studies Child Development Child, Preschool clinical-investigation Female Humans Infant Care Infant, Newborn Infant, Premature Intensive Care Units, Neonatal - standards Longitudinal Studies Male Medicine & Public Health Patient-Centered Care Pediatric Surgery Pediatrics Quality of Health Care Quality of Life Surveys and Questionnaires |
| title | Does quality of developmental care in NICUs affect health-related quality of life in 5-y-old children born preterm? |
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