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Period prevalence of positional head deformations and implications for practice in a large tertiary neonatal unit

医学 审计 儿科 心理干预 队列 前瞻性队列研究 单变量分析 临床实习 人口学 家庭医学 多元分析 外科 内科学 精神科 管理 社会学 经济
作者
Lindsay Hepnar,Naoni Ngenda,Michelle Cottrell,Melissa Lai,Janet Sharpe,Deanne August
出处
期刊:Journal of Paediatrics and Child Health [Wiley]
卷期号:60 (1): 18-23
标识
DOI:10.1111/jpc.16520
摘要

Aim To establish the prevalence of positional head deformations (PHDs) within a neonatal unit (NU) setting, and to evaluate the subsequent impact that PHDs have on NU graduates and their families. Methods A prospective audit was conducted over a six‐week period within a tertiary NU (Brisbane, Australia). Eligible babies were measured weekly using a craniometer where presence, type and severity of PHD were determined. Univariate analysis was undertaken to establish differences in clinical characteristics between babies with, and without, the presence of PHD. A study‐specific survey was completed by a separate set of families returning for outpatient follow‐up services who represented similar clinical characteristics and risk factors for PHD. Results Fifty‐three babies were eligible for inclusion in the audit. PHDs were identified in 66% ( n = 35) of the cohort, the most common being scaphocephaly (52.8%, n = 28). Within that, 46% ( n = 13) were classed as mild, 25% ( n = 7) were moderate and 29% ( n = 8) were severe. Moderate correlation ( r = 0.55) was found between severity of scaphocephaly, and length of time spent in an isolette. Of the 10 (66% response from 15 families) surveys completed, 80% of respondents perceived that their child's PHD had impacted their life. Conclusions Two‐thirds of babies developed a PHD during their neonatal admission. Most families surveyed perceived this condition to have an impact on their lives beyond the confines of the nursery. Further research is needed to identify preventative interventions to decrease the prevalence and severity of this common condition.

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