ArticleFrontiers in pediatrics2026
Optimizing discharge outcomes in very preterm infants by a novel integrated family and rehabilitation care model-a retrospective case-matched study.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: In our routine NICU settings, traditionally implemented family-centered care (FCC) often showed limitations including insufficient parental involvement, high caregiver burden, and lack of systematic rehabilitation integration, which restricted improvements in respiratory, feeding, and neurodevelopmental outcomes. This study introduced a novel integrated family-centered care (NIFCC) model combining daytime family-integrated care, bedside rehabilitation, and nighttime professional NICU care, and investigated its effect on discharge outcomes in very preterm infants compared with traditionally implemented FCC in our clinical setting. Methods: A retrospective 1:1 case-matched study was conducted in a level 4 NICU. Fifty-three very preterm infants (gestational age <32 weeks) receiving NIFCC were 1:1 matched with 53 controls under our traditionally implemented family-centered care. Primary outcomes included oxygen weaning, full oral feeding establishment, and Neonatal Behavioral Observation (NBO) scores. Secondary outcomes included complications, anthropometric measures, hospital stay, and costs. Results: The NIFCC group had significantly higher oxygen independence (92.5% vs. 73.6%, Conclusion: The NIFCC model is safe and effective, significantly improving oxygen weaning, oral feeding, neurobehavioral development, and growth in very preterm infants. By addressing the incomplete implementation of traditional FCC caused by insufficient staff training and lack of care culture transformation, NIFCC provides a valuable strategy for optimizing NICU care quality.
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