BACKGROUND AND METHODS: Our goal was to identify factors that affect neonatal intensive care unit (NICU) follow-up appointment compliance. Compliant and noncompliant infants discharged from the NICU over 1 year and scheduled for follow-up (133) were compared retrospectively; a prospective telephone survey of noncompliant families was also undertaken. RESULTS: Maternal drug use (odds ratio [OR] = 0.049, 95% confidence interval [CI] = 0.005-0.506), multiple gestation pregnancy (OR = 0.163, 95% CI = 0.050-0.533), male sex (OR = 0.308, 95% CI = 0.112-0.850), and greater distance from the hospital (OR = 0.987, 95% CI = 0.976-0.999) were independently associated with lower appointment compliance. A greater number of days on oxygen was associated with greater odds of compliance (OR = 1.057, 95% CI = 0.976-0.999). Shorter NICU stays (P = .047) and less chronic lung disease (P = .026) were significantly associated with noncompliance by bivariate analysis only. Distance from the hospital and travel expense were the most often self-cited reasons for appointment noncompliance. CONCLUSION: Understanding factors associated with NICU follow-up noncompliance is a starting point for providing targeted intervention.
BACKGROUND AND METHODS: Our goal was to identify factors that affect neonatal intensive care unit (NICU) follow-up appointment compliance. Compliant and noncompliant infants discharged from the NICU over 1 year and scheduled for follow-up (133) were compared retrospectively; a prospective telephone survey of noncompliant families was also undertaken. RESULTS: Maternal drug use (odds ratio [OR] = 0.049, 95% confidence interval [CI] = 0.005-0.506), multiple gestation pregnancy (OR = 0.163, 95% CI = 0.050-0.533), male sex (OR = 0.308, 95% CI = 0.112-0.850), and greater distance from the hospital (OR = 0.987, 95% CI = 0.976-0.999) were independently associated with lower appointment compliance. A greater number of days on oxygen was associated with greater odds of compliance (OR = 1.057, 95% CI = 0.976-0.999). Shorter NICU stays (P = .047) and less chronic lung disease (P = .026) were significantly associated with noncompliance by bivariate analysis only. Distance from the hospital and travel expense were the most often self-cited reasons for appointment noncompliance. CONCLUSION: Understanding factors associated with NICU follow-up noncompliance is a starting point for providing targeted intervention.
Authors: Lynn M Wielen; Emma C Gilchrist; Molly A Nowels; Stephen M Petterson; George Rust; Benjamin F Miller Journal: J Health Care Poor Underserved Date: 2015-08
Authors: Virginia Wang; Matthew L Maciejewski; Cynthia J Coffman; Linda L Sanders; Shoou-Yih Daniel Lee; Richard Hirth; Joseph Messana Journal: Health Serv Res Date: 2016-04-07 Impact factor: 3.402
Authors: Vidya V Pai; Peiyi Kan; Mihoko Bennett; Suzan L Carmichael; Henry C Lee; Susan R Hintz Journal: J Pediatr Date: 2019-10-03 Impact factor: 4.406
Authors: Sandhya S Brachio; Christiana Farkouh-Karoleski; Anketil Abreu; Annette Zygmunt; Oscar Purugganan; Donna Garey Journal: Pediatr Qual Saf Date: 2020-10-23
Authors: T Michael O'Shea; Monica McGrath; Judy L Aschner; Barry Lester; Hudson P Santos; Carmen Marsit; Annemarie Stroustrup; Crisma Emmanuel; Mark Hudak; Elisabeth McGowan; Simran Patel; Rebecca C Fry Journal: Pediatr Res Date: 2022-08-10 Impact factor: 3.953
Authors: Nam Hyo Kim; Young Ah Youn; Su Jin Cho; Jong-Hee Hwang; Ee-Kyung Kim; Ellen Ai-Rhan Kim; Soon Min Lee Journal: PLoS One Date: 2018-10-01 Impact factor: 3.240