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• W3201789328 abstract "<h3>Background</h3> Although survival and short term outcomes in extreme preterm neonates have improved with time, long term neurodevelopmental outcomes and robust follow up remains a challenge. <h3>Objectives</h3> To evaluate follow up and outcomes of babies <30⁺⁰ weeks’ gestation as recommended by National Institute of Clinical Excellence (NICE). All neonates <30⁺⁰ should have a neurodevelopmental assessment at 2 years with additional assessment for all neonates < 28⁺⁰ at 4 years. <h3>Methods</h3> All neonates born at Russells Hall Hospital under 30⁺⁰ weeks gestation between January 2015 and December 2016 were included. Outpatient letters and badger documentation were reviewed. <h3>Results</h3> There were a total of 94 neonates. Baseline characteristics and short term outcomes are shown in table 1. 12 neonates sadly died and 8 were followed elsewhere due to location. 74 babies were followed up by RHH. Follow up is summarised in table 2. At 2 years, 62% of neonates were followed up in clinic and 72% neonates received standardised assessment by physiotherapist. At 4 years 30% were followed up in clinic of which half were seen in specified neurodevelopmental clinic. Development is reported at last contact and is shown in table 3. 7 (7%) children subsequently required special school. <h3>Conclusions</h3> Follow up at 2 years was done significantly more consistently than at 4 years; however these were not done to published standards. This may be due gaps in knowledge of guidelines or rationale in importance. Structure of developmental follow up showed wide heterogeneity depending on the named physician. Standardised 2 year exit asessment was done exclusively by the neonatal physiotherapist. This audit highlighted a need for a specific multidisciplinary neurodevelopmental clinic encompassing both the neonatal and community teams. Early involvement and intervention could ensure the child is appropriately supported before school years in order to reach their potential. Rates of neurodevelopment abnormalities in our population reflects current published data." @default.
• W3201789328 created "2021-10-11" @default.
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• W3201789328 date "2021-09-30" @default.
• W3201789328 modified "2023-09-23" @default.
• W3201789328 title "824 Audit of follow up and evaluation of outcomes for preterm infants born under 30+0/40 weeks gestation" @default.
• W3201789328 doi "https://doi.org/10.1136/archdischild-2021-rcpch.218" @default.
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