What Are We Measuring as Outcome? Looking Beyond Neurodevelopmental Impairment

Clinics in Perinatology
Howard W KilbrideBrian Carter

Abstract

Outcomes of neonatal intensive care unit (NICU) graduates have been categorized by rates of neurodevelopmental impairment at 2 years old. Although useful as metrics for research, these early childhood assessments may underestimate or overestimate later functional capabilities. Often overlooked are less severe but more prevalent neurobehavioral dysfunctions seen later in childhood, and chronic health concerns that may impact the child's quality of life (QoL). Comprehensive NICU follow-up should include measures of less severe cognitive/learning delays, physical/mental well-being, and the promotion of resilience in children and families. Studies are needed to identify QoL measures that will optimize children's assessments and outcomes.

Citations

Jan 2, 2021·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Amy De RoubaixHilde Van Waelvelde
Mar 25, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Matthew A RysavyUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network
Aug 6, 2021·American Journal of Perinatology·Danielle LoReMarin Arnolds

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