Evidence map›Paper›PMID 34345752›Full record

ArticlePediatric quality & safety

Standardized Neurodevelopmental Surveillance of High-risk Infants Using Telehealth: Implementation Study during COVID-19.

Nathalie L Maitre, Kristen L Benninger, Mary Lauren Neel, Jennifer A Haase, Lindsay Pietruszewski, Katelyn Levengood, Kathleen Adderley, Nancy Batterson, Kaleigh Hague, Megan Lightfoot and 3 more

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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
9.0field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 32 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
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  2. Observational
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  4. The future of follow-up: technology-enabled medical and developmental follow-up care for NICU graduates.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  14. Observational
  15. Coronavirus Infection in Neonates: Neurodevelopmental Outcomes at 18 Months of Age.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Article
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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

13 authors at 1 institution in 1 country.

Nathalie L MaitreCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Kristen L BenningerCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Mary Lauren NeelCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Jennifer A HaaseDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio.
Lindsay PietruszewskiCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Katelyn LevengoodCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Kathleen AdderleyCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Nancy BattersonCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Kaleigh HagueCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Megan LightfootCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Sarah WeissNeonatology Follow Up Clinics, Nationwide Children's Hospital, Columbus, Ohio.
Dennis J LewandowskiCenter for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Heather LarsonNeonatal Network, Nationwide Children's Hospital, Columbus, Ohio.
Nationwide Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeurodevelopmental surveillance is critical for high-risk infants following neonatal intensive care discharge and is traditionally performed in-person. COVID-19 interruption of regular surveillance necessitated a rapid development of telehealth models for effective and standardized care.

methodsWe used implementation science and lean methodologies to develop an effective telehealth neurodevelopmental surveillance program for high-risk infants. Interventions included reorganization of visit flow processes and a telehealth toolkit for standardized neurological and developmental assessments. We tested and improved our intervention through plan-do-study-act cycles, value-added analysis, and parent- and provider-satisfaction questionnaires. Process metrics (standard elements, subspecialty referrals, diagnostic tests, and prescriptions ordered) were compared in group-level analyses between telehealth patients (N = 97) March 16, 2020-July 1, 2020 and a matched in-person cohort at the same period the previous year. Run charts examined shifts in balancing measures (provider efficiency and missed visits) over 8 weeks before and after implementation.

resultsPrimary outcomes were visit completion (100%), patient parent satisfaction (>90% strongly agreed or agreed telehealth procedures were valuable and easy to use) and ability to accurately diagnose cerebral palsy (no statistical difference with comparison visits). Providers (N = 6) rated telehealth experiences favorably. Process metrics indicated no differences between telehealth and in-person visits (all

conclusionsImplementation of telehealth for neurodevelopmental surveillance in a tertiary high-risk infant follow-up clinic successfully provided standardized and timely care during stay-at-home orders; broader telehealth applications may overcome access barriers in this field.

Identifiers

PMID34345752
PMCPMC8322542
OpenAlexW3183889207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.