Evidence map›Paper›PMID 28209168›Full record

ArticleHealth and quality of life outcomes2017

The impact of preterm birth <37 weeks on parents and families: a cross-sectional study in the 2 years after discharge from the neonatal intensive care unit.

Ashwini Lakshmanan, Meghana Agni, Tracy Lieu, Eric Fleegler, Michele Kipke, Philippe S Friedlich, Marie C McCormick, Mandy B Belfort

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
13.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 141 citations in OpenAlex.

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  8. Early Life Stress, DNA Methylation of NR3C1 and HSD11B2 , and Oral Feeding Skill Development in Preterm Infants : A Pilot Study.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Ashwini LakshmananCenter for Fetal and Neonatal Medicine, USC Division of Neonatal Medicine, Children's Hospital Los Angeles; Keck School of Medicine, University of Southern California, 4650 Sunset Boulevard, MS #31, CA, 90027, Los Angeles, USA. alakshmanan@chla.usc.edu.ORCID http://orcid.org/0000-0001-8259-1905
Meghana AgniDrexel School of Medicine, Philadelphia, PA, USA.
Tracy LieuDivision of Research, Kaiser Permanente, Oakland, CA, USA.
Eric FleeglerDivision of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA.
Michele KipkeSaban Research Institute, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Philippe S FriedlichCenter for Fetal and Neonatal Medicine, USC Division of Neonatal Medicine, Children's Hospital Los Angeles; Keck School of Medicine, University of Southern California, 4650 Sunset Boulevard, MS #31, CA, 90027, Los Angeles, USA.
Marie C McCormickDivision of Newborn Medicine, Boston Children's Hospital, Boston, MA, USA.
Mandy B BelfortDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Boston Children's Hospital · USUniversity of Southern California · USBrigham and Women's Hospital · USChildren's Hospital of Los Angeles · USDrexel University · USKaiser Permanente · US

Funding

Mentored Career DevelopmentKL2TR001854 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Elizabeth Rhea Erwin Burner, Amy Elizabeth West · 2016 to 2026
$9.0M
Balancing the Risk and Benefits of Rapid Weight Gain in InfancyK23DK083817 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI BELFORT, MANDY BROWN · 2008 to 2012
$752k
NCATS NIH HHS KL2 TR001854NIDDK NIH HHS K23 DK083817
6 · The paper itself

Abstract

backgroundLittle is known about the quality of life of parents and families of preterm infants after discharge from the neonatal intensive care unit (NICU). Our aims were (1) to describe the impact of preterm birth on parents and families and (2) and to identify potentially modifiable determinants of parent and family impact.

methodsWe surveyed 196 parents of preterm infants <24 months corrected age in 3 specialty clinics (82% response rate). Primary outcomes were: (1) the Impact on Family Scale total score; and (2) the Infant Toddler Quality of Life parent emotion and (3) time limitations scores. Potentially modifiable factors were use of community-based services, financial burdens, and health-related social problems. We estimated associations of potentially modifiable factors with outcomes, adjusting for socio-demographic and infant characteristics using linear regression.

resultsMedian (inter-quartile range) infant gestational age was 28 (26-31) weeks. Higher Impact on Family scores (indicating worse effects on family functioning) were associated with taking ≥3 unpaid hours/week off from work, increased debt, financial worry, unsafe home environment and social isolation. Lower parent emotion scores (indicating greater impact on the parent) were also associated with social isolation and unpaid time off from work. Lower parent time limitations scores were associated with social isolation, unpaid time off from work, financial worry, and an unsafe home environment. In contrast, higher parent time limitations scores (indicating less impact) were associated with enrollment in early intervention and Medicaid.

conclusionsInterventions to reduce social isolation, lessen financial burden, improve home safety, and increase enrollment in early intervention and Medicaid all have the potential to lessen the impact of preterm birth on parents and families.

Indexed as

Parent-Child RelationsAdultCross-Sectional StudiesFemaleFollow-Up StudiesHumansInfantInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMaleParentsPatient DischargePregnancyPremature BirthQuality of LifeHigh-risk infantImpact on familyImpact on parentsPost-dischargePrematurity

Identifiers

PMID28209168
PMCPMC5312577
OpenAlexW2589003479

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.