Portal de investigação
High Healthcare Use at Age 5 Years in a European Cohort of Children Born Very Preterm
Data de publicação:
Data Ahead of Print:
Autores da FMUP
Participantes de fora da FMUP
- Seppänen, AV
- Draper, ES
- Petrou, S
- Aubert, AM
- Andronis, L
- Kim, SW
- Maier, RF
- Pedersen, P
- Gadzinowski, J
- Lebeer, J
- Ådén, U
- Toome, L
- van Heijst, A
- Cuttini, M
- Zeitlin, J
- SHIPS Res Grp
Unidades de investigação
Abstract
Objectives To describe parent-reported healthcare service use at age 5 years in children born very preterm and investigate whether perinatal and social factors and the use of very preterm follow-up services are associated with high service use. Study design We used data from an area-based cohort of births at <32 weeks of gestation from 11 European countries, collected from birth records and parental questionnaires at 5 years of age. Using the published literature, we defined high use of outpatient/inpatient care (>= 4 sick visits to general practitioners, pediatricians, or nurses, >= 3 emergency room visits, or >= 1 overnight hospitalization) and specialist care (>= 2 different specialists or >= 3 visits). We also categorized countries as having either a high or a low rate of children using very preterm follow-up services at age 5 years. Results Overall, 43% of children had high outpatient/inpatient care use and 48% had high specialist care use during the previous year. Perinatal factors were associated with high outpatient/inpatient and specialist care use, with a more significant association with specialist services. Associations with intermediate parental educational level and unemployment were stronger for outpatient/inpatient services. Living in a country with higher rates of very preterm follow-up service use was associated with lower use of outpatient/inpatient services. Conclusions Children born very preterm had high healthcare service use at age 5 years, with different patterns for outpatient/inpatient and specialist care by perinatal and social factors. Longer follow-up of children born very preterm may improve care coordination and help avoid undesirable health service use.
Dados da publicação
- ISSN/ISSNe:
- 0022-3476, 1097-6833
- Tipo:
- Article
- Páginas:
- 69-
Journal of Pediatrics Mosby Inc.
Citações Recebidas na Web of Science: 7
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Citar a publicação
Seppänen AV,Draper ES,Petrou S,Barros H,Aubert AM,Andronis L,Kim SW,Maier RF,Pedersen P,Gadzinowski J,Lebeer J,Ådén U,Toome L,van A,Cuttini M,Zeitlin J,SHIPS GRP. High Healthcare Use at Age 5 Years in a European Cohort of Children Born Very Preterm. J. Pediatr. 2022. 243. p. 69-69. IF:5,100. (1).
