title: [The Outpatient Health Care Package for the very premature infant: application of the program to follow-up services for the Neonatal Intensive Care, Pediatrics Department, Università "La Sapienza" I Facoltà, Roma (June 2008-March 2010)].
abstract: Fifty-nine children were enrolled in the Outpatient Health Care Package (OHCP) from 01/06/2008 to 31/03/2010. All children, except two, attended entirely the follow-up appointments; a satisfactory result, considering also that 30% of family were living outside the urban area and more than a third of the families was originated in a foreign country. At 3 months corrected age(CA) Haemoglobin mean values of 47 infants, all in iron treatment, were: 12.26 (10.1-14-1) g/dL; 25% had values between 10.1 and 12 g/dL. Mean values for Calcium were 10.75 (9.50-15.26) mg/dL Mean values for ALP were 393 (179-1075) UI/L, values >1000 UI/L were found in two infants who suspended Vitamin D treatment. At 3 months CA 50 infants performed ABR, 12 of these showing abnormalities. To date 9 infants repeated ABR at 6-9 months CA, 4 of these showed again abnormal results. Overall were found 4 ABR abnormalities among 47 children (8.5%). Outcome of 23 children at 12 months CA: no moderate or severe neurologic abnormalities were found, 4 children (17.4%) presented mild abnormalities, 2 were referred for rehabilitation. No QSM <80% was found (mean QSM 93.7%) in 10 children evaluated. One child presented growth retardation <5 degrees; 2 underwent laser treatment for ROP with normal vision, 7 (30.4%)had sistolic BP > or = 95 degrees; 6 (26%) were rehospitalized. This experience was positive: OHCP promoted a better compliance and standardization of follow-up. It would be desirable to prolong OHCP until school-age, including renal and cardiac functions monitoring.
authors.affiliation: Terapia Intensiva Neonatale, Dipartimento di Pediatria, I Facoltà Università degli Studi La Sapienza, Roma.
authors.forename: P
authors.initials: P
authors.lastname: Colarizi
authors.forename: T
authors.initials: T
authors.lastname: De Luca
authors.forename: A
authors.initials: A
authors.lastname: Ruggeri
authors.forename: C
authors.initials: C
authors.lastname: Cerasaro
mesh_terms: D000359:Aftercare / Q000458:organization & administration* / Q000706:statistics & numerical data; D000553:Ambulatory Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D000740:Anemia / Q000188:drug therapy / Q000453:epidemiology; D000013:Congenital Abnormalities / Q000453:epidemiology / Q000534:rehabilitation / Q000628:therapy; D005500:Follow-Up Studies; D006130:Growth Disorders / Q000453:epidemiology / Q000534:rehabilitation / Q000628:therapy; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000453:epidemiology; D006748:Hospital Departments / Q000458:organization & administration; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000453:epidemiology / Q000534:rehabilitation / Q000628:therapy*; D015931:Intensive Care, Neonatal / Q000458:organization & administration*; D007391:International Cooperation; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D010349:Patient Compliance; D010372:Pediatrics / Q000458:organization & administration; D012178:Retinopathy of Prematurity / Q000175:diagnosis / Q000453:epidemiology; D012384:Rome