ArticleIndian journal of pediatrics2026
High Risk Follow-Up of NICU Graduates - A Quality Improvement Study at a Tertiary Care Centre.
Article in Indian journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 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.
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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.
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Who cites it
3 citing papers in PubMed.
- High Risk Follow-Up of NICU Graduates - A Quality Improvement Study at a Tertiary Care Centre: Authors' Reply.Indian journal of pediatrics · 2026Article
- High Risk Follow-Up of NICU Graduates - A Quality Improvement Study at a Tertiary Care Centre: Correspondence.Indian journal of pediatrics · 2026Article
- Beyond Survival and Discharge: Improving High-Risk Follow-Up in NICU Graduates.Indian journal of pediatrics · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo increase the facility-based follow-up rate of high-risk neonates at the first visit and subsequent visits until 24 mo of age.
methodsThis quality improvement study was conducted in a tertiary neonatal intensive care unit between July 2023 and May 2025. Baseline data were collected, and multiple plan-do-study-act cycles were implemented, including structured pre-discharge counseling, voice call reminders, standard operating procedures, and integration with the District Early Intervention Center. Statistical process control charts were used to monitor the monthly follow-up rates at scheduled visits through 12 mo of age.
resultsA total of 1083 high-risk infants were discharged during the study (mean 46 per mo). Follow-up attendance improved significantly at the first visit (from 38% to 100%), at 1 mo (from 36% to 79%), 4 mo (from 32% to 62%), 8 mo (from 26% to 48%), and 12 mo (from 24% to 45%). The pre-discharge counseling rate increased from 40% to > 85%. Voice calls successfully reached 79% of families, and video consultations enabled the assessment of 30-40% of missed visits. Staff transitions lead to special cause variations, underscoring the need for systematic training.
conclusionsMultipronged low-cost interventions can achieve substantial and sustained improvements in the follow-up rate of high-risk infants in a resource-limited public hospital setting.
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Registered trials
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