Evidence map›Paper›PMID 32656462›Full record

ArticlePediatric quality & safety

Optimizing High-risk Infant Follow-up in Nonresearch-based Paradigms: The New England Follow-up Network.

Jonathan S Litt, Erika M Edwards, Shabnam Lainwala, Charles Mercier, Angela Montgomery, Deirdre O'Reilly, Lawrence Rhein, Melissa Woythaler, Tyler Hartman

Open access · diamondAbstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Engaging families to improve high-risk infant follow-up participation: a mixed methods study.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. Barriers and facilitators to neurodevelopmental follow-up among at-risk newborns across Washington State.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  15. Race, language, and neighborhood predict high-risk preterm Infant Follow Up Program participation.Journal of perinatology : official journal of the California Perinatal Association · 2022
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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

9 authors at 2 institutions in 2 countries.

Jonathan S LittDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, Mass.
Erika M EdwardsVermont Oxford Network, Burlington, Vt.
Shabnam LainwalaDivision of Neonatology, Connecticut Children's Hospital, Hartford, Conn.
Charles MercierVermont Oxford Network, Burlington, Vt.
Angela MontgomeryDivision of Neonatology, Yale-New Haven Children's Hospital, New Haven, Conn.
Deirdre O'ReillyDivision of Neonatology, University of Vermont Medical Center, Burlington, Vt.
Lawrence RheinDivision of Neonatology, UMASS Memorial Medical Center, Worcester, Mass.
Melissa WoythalerDivision of Neonatology, Massachusetts General Hospital for Children, Boston, Mass.
Tyler HartmanDivision of Neonatology, Children's Hospital at Dartmouth, Lebanon, N.H.
GTx (United States) · USHadassah Medical Center · IL

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectivesTo establish the first regional quality improvement collaborative solely dedicated to follow-through care of high-risk infants after Neonatal intensive care unit (NICU) discharge and to characterize extremely low birth weight (ELBW) follow-up in New England.

methodsEleven of 14 follow-up programs in New England partnered with the Vermont Oxford Network (VON) ELBW project for an initial data collection project. We collected information about the health status and developmental outcomes of infants born ≤1,000 g or younger than 28 weeks 2014-2016 at the 18-24 months corrected for gestational age (CGA) follow-up visit. VON collected and compiled the data.

resultsOf 993 eligible infants, 516 (52.0%) had follow-up visits. The rehospitalization rate was 33.9%, mostly respiratory illness. Ninety-six children (19.3%) had weight less than 10th percentile and 44 (8.9%) had weight less than third percentile at 18-24 months. Only 170 (61.4%) children had recommended hearing screening after NICU discharge. Forty-six (9.1%) had cerebral palsy; 81 of the 441 infants that completed all 3 sections of the Bayley Scales of Infant Development, third edition (18.4%) had any composite score less than 70. Over half of the social and demographic data were missing.

conclusionMost quality initiatives in neonatology stop at NICU discharge. This first project by the New England Follow-up Network showed a low rate for clinical follow-up. It demonstrated many opportunities to improve postdischarge follow-through specific to NICU-based care. Future projects will aim to improve the quality of follow-through services through collaborative learning, data sharing, and comparative outcomes.

Identifiers

PMID32656462
PMCPMC7297406
OpenAlexW3022582675

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.