Evidence map›Paper›PMID 31759276›Full record

ArticleEarly human development2020

Infant illness severity and perinatal post-traumatic stress disorder after discharge from the neonatal intensive care unit.

Kathryn J Malin, Teresa S Johnson, Sarah McAndrew, Jacqueline Westerdahl, Jonathan Leuthner, Joanne Lagatta

Abstract read
In one paragraph

Article in Early human development, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Implementation of a pilot electronic parent support tool in and after neonatal intensive care unit discharge.Journal of perinatology : official journal of the California Perinatal Association · 2022
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  18. A different kind of battle: the effects of NICU admission on military parent mental health.Journal of perinatology : official journal of the California Perinatal Association · 2021
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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

6 authors.

Kathryn J MalinThe University of Wisconsin Milwaukee, Milwaukee, WI, United States of America; NICU, Children's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: kmalin@uwm.edu.
Teresa S JohnsonThe University of Wisconsin Milwaukee, Milwaukee, WI, United States of America.
Sarah McAndrewNeonatology, Medical College of Wisconsin, Milwaukee, WI, United States of America.
Jacqueline WesterdahlThe University of Wisconsin Milwaukee, Milwaukee, WI, United States of America.
Jonathan LeuthnerNeonatology, Medical College of Wisconsin, Milwaukee, WI, United States of America.
Joanne LagattaNeonatology, Medical College of Wisconsin, Milwaukee, WI, United States of America.

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
Home Oxygen Use for Infants with Bronchopulmonary Dysplasia: Balancing Infant, Family, and Health System OutcomesK23HL136525 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI LAGATTA, JOANNE M · 2018 to 2022
$809k
NCATS NIH HHS UL1 TR001436NHLBI NIH HHS K23 HL136525
6 · The paper itself

Abstract

backgroundRisk factors for perinatal posttraumatic stress disorder (PTSD) among parents of an infant in the NICU have varied in previous literature. The relationships between perception of illness severity and objective measures of illness severity with PTSD are not well understood.

aimsTo determine if PTSD among parents after an infant NICU discharge can be predicted by 1) objective measures of infant illness severity or 2) perceptions of infant illness severity. STUDY

designA prospective, observational study. SUBJECTS: Parent/infant dyads who were in the NICU for ≥14 days. OUTCOME MEASURES: Objective measures of illness severity were obtained from the electronic health record. Perceptions of illness were measured by the response to the question, "How sick is your child/patient?" on a 5-point Likert scale. The Perinatal Post-Traumatic Stress Disorder Questionnaire (PPQ) was completed by parents three months after discharge.

resultsOne hundred ninety-four dyads participated in the study, 86% of parents completed follow up screening. 25% of parents screened positive for PTSD. Parents perceived infants to be sick more often than hospital caregivers. In bivariate analysis many objective measures of illness severity were associated with PTSD. Parent perceptions of illness were also associated with PTSD after adjusting for objective measures of illness (OR 3.2, 95% CI 1.1-6.1, p = 0.008).

conclusionsPTSD in parents after NICU discharge is multifactorial. Objective illness risk factors can be used to screen parents at risk. Hospital caregivers should strive to understand parents' perception of illness and improve communication to potentially decrease PTSD after discharge.

Indexed as

Infant illnessNICUPerceptions of illnessPerinatal PTSD

Identifiers

PMID31759276
PMCPMC7237277

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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.