Trial reportThe Journal of pediatrics2019
Gaps and Factors Related to Receipt of Care within a Medical Home for Toddlers Born Preterm.
Trial report in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01576783 (Omega Tots), which is not on this map. Cited by 4 papers.
What it found
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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.
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.
Omega Tots: A Randomized, Controlled Trial of Long-chain Polyunsaturated Fatty Acid Supplementation of Toddler Diets and Developmental Outcomes
Who cites it
4 citing papers in PubMed.
- Prevalence, predictors, and patterns of residential mobility by the parents of preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Insurance coverage and respiratory morbidities in bronchopulmonary dysplasia.Pediatric pulmonology · 2022Article
- Longitudinal medical needs for periviable NICU survivors.Early human development · 2022Article
- Development of a Multidisciplinary Medical Home Program for NICU Graduates.Maternal and child health journal · 2020Article
Corrections and comments
- Erratum issuedCorrigendum.2019
Authors and funding
4 authors.
Funding
Abstract
objectiveTo characterize gaps and factors related to receipt of care within a medical home for toddlers born preterm. STUDY
designParticipants were 202 caregivers of children born at <35 weeks of gestation. At 10-16 months of corrected age, caregivers completed the National Survey of Children's Health (2011/2012) medical home module and a sociodemographic profile. Care within a medical home comprised having a personal doctor/nurse, a usual place for care, effective care coordination, family-centered care, and getting referrals when needed. Gestational age and neonatal follow-up clinic attendance were abstracted from the medical record. The Bayley Scales of Infant and Toddler Development, Third Edition assessed developmental status. Log-binomial regression examined factors related to receiving care within a medical home.
resultsFifty-three percent (n = 107) of the children received care within a medical home. Low socioeconomic status (young caregiver: risk ratio [RR] = 0.73; 95% CI 0.55, 0.97; low education: RR= 0.69; 95% CI 0.49, 0.98) and delayed language (RR = 0.63; 95% CI 0.42, 0.95) were associated with a lower likelihood of receiving care within a medical home. Degree of prematurity and neonatal clinic follow-up participation were unrelated to receipt of care within a medical home.
conclusionsReceipt of care within a medical home was lacking for nearly one-half of preterm toddlers, especially those with lower socioeconomic status and poorer developmental status. Discharge from a neonatal intensive care unit may be an optimal time to facilitate access to a primary care medical home and establish continuity of care.
trial registrationClinicalTrials.gov: NCT01576783.
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Registered trials
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