Status of the neonatal follow‑up system in China:survey and analysis  

作　　者：Qi Zhou Yun Cao Lan Zhang Nurya Erejep Wen‑Long Xiu Jing‑Yun Shi Rui Cheng Wen‑Hao Zhou Shoo KLee 

机构地区：[1]Department of Neonatology,Children’s Hospital of Fudan University,399 Wanyuan Rd,Minhang District,Shanghai 201102,China [2]Department of Neonatology,Children’s Hospital of Xinjiang,Urumqi,China [3]Department of Neonatology,Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics&Gynecology and Pediatrics,Fujian Medical University,Fuzhou,China [4]Department of Neonatology,Gansu Provincial Maternal and Child Care Hospital,Lanzhou,China [5]Department of Neonatology,Nanjing Children’s Hospital,Nanjing,China [6]Department of Pediatrics,Mount Sinai Hospital,Toronto,ON,Canada

出　　处：《World Journal of Pediatrics》2023年第11期1104-1110,共7页世界儿科杂志（英文版）

基　　金：supported by Canadian Institute of Health Research(No.CTP87518)and China Medical Board(No.21-438).

摘　　要：Background There is little information about neonatal follow-up programs(NFUPs)in China.This study aimed to conduct a survey of hospitals participating in the Chinese Neonatal Network(CHNN)to determine the status of NFUPs,including resources available,criteria for enrollment,neurodevelopmental assessments,and duration of follow-up.Methods We conducted a descriptive study using an online survey of all 72 hospitals participating in CHNN in 2020.The survey included 15 questions that were developed based on the current literature and investigators’knowledge about followup practices in China.Results Sixty-four(89%)of the 72 hospitals responded to the survey,with an even distribution of children’s(31%),maternity(33%)and general(36%)hospitals.All but one(98%)hospital had NFUPs,with 44(70%)being established after 2010.Eligibility criteria for follow-up were variable,but common criteria included very preterm infants<32 weeks or<2000 g birth weight(100%),small for gestational age(97%),hypoxic ischemic encephalopathy(98%)and postsurgery(90%).The average follow-up rate was 70%(range:7.5%–100%).Only 12%of hospitals followed up with patients for more than 24 months.There was significant variation in neurodevelopmental assessments,follow-up schedule,composition of staff,and clinic facilities and resources.None of the staff had received formal training,and only four hospitals had sent staff to foreign hospitals as observers.Conclusions There is significant variation in eligibility criteria,duration of follow-up,types of assessments,staffing,training and facilities available.Coordination and standardization are urgently needed.

关 键 词：FOLLOW-UP NEONATE SURVEY 

分 类 号：R722.1[医药卫生—儿科]