Primary Care Framework to Monitor Preterm Infants for Neurodevelopmental Outcomes in Early Childhood
Beth E. Davis, Mary O’Connor Leppert, Kendell German, Christoph U. Lehmann, Ira Adams‐Chapman, Garey Noritz, Rishi Agrawal, Jessica E.A. Foster, Ellen Fremion, Sheryl Frierson, Michelle Melicosta, Barbara S. Saunders, Siddharth Srivastava, Christopher J. Stille, Jilda Vargus‐Adams, Katharine E. Zuckerman, Dennis Z. Kuo, Jeffrey P. Brosco, Jennifer Poon, Matthew Sadof, Allysa Ware, Marshalyn Yeargin‐Allsopp, Alexandra Kuznetsov, Christoph U. Lehmann, Eric C. Eichenwald, Namasivayam Ambalavanan, Charleta Guillory, Mark L. Hudak, David Kaufman, Camilia R. Martin, Ashley Lucke, Margaret Parker, Arun Pramanik, Kelly C. Wade, Timothy Jancelewicz, Michael Narvey, Russell Miller, Wanda D. Barfield, Lisa M. Grisham, Jim Couto
Abstract
To support decision-making in the primary care medical home, this clinical report links preterm birth and perinatal complications to early childhood developmental disability risks. It consolidates extensive contemporary outcome research from 2005 onward into an easy-to-use framework and stratifies prematurity and NICU experiences by degree of risk for developmental impairments. This framework informs and prioritizes point-of-care screening and surveillance strategies for pediatricians caring for children born preterm, guides additional assessment and referral for appropriate therapies, and offers opportunities for reassurance (when applicable) in office settings.