Standardized Outcome Measures for Preterm and Hospitalized Neonates: An ICHOM Standard Set.

Journal: Neonatology

Volume: 119

Issue: 4

Year of Publication: 2022

Affiliated Institutions:  Divison of Neonatology, LMU University Children's Hospital, Dr. V. Hauner, Munich, Germany. Divison of Neonatology, LMU University Children's Hospital, Dr. V. Hauner, Munich, Germany, johanna.haupt@med.uni-muenchen.de. International Consortium for Health Outcomes Measurement (ICHOM), Boston, Massachusetts, USA. International Consortium for Health Outcomes Measurement (ICHOM), London, United Kingdom. Division of Neonatology, Department of Paediatrics, Erasmus MC Sophia Children's Hospital, University Medical Centre Rotterdam, Rotterdam, The Netherlands. Con Amor Vencerás A.C., Mexico City, Mexico. Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia. Advocacy and Policymaking Institutional, Irish Neonatal Health Alliance, Co Wicklow, Ireland. Emeritus, Neonatology, University Pennsylvania, Philadelphia, Pennsylvania, USA. European Foundation for the Care of Newborn Infants, Munich, Germany. Department of Neonatology Institutional, ABVIMS &Dr RML Hospital, New Delhi, India. Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil. Department of Neonatology, K.K. Women's and Children's Hospital, Singapore, Singapore. Department of Neonatology, Women and Newborn Hospital, University Teaching Hospital, Lusaka, Zambia. GLANCE (GLobal Alliance for Newborn CarE), Ilitominon, Greece. Section of Neonatal Medicine, Imperial College London, London, United Kingdom. Department of Psychology and Division of Health Sciences (Warwick Medical School), University of Warwick, Coventry, United Kingdom. EPOPé, INSERM, INRA, CRESS, Obstetrical Perinatal and Pediatric Epidemiology Research Team, Université de Paris, Paris, France.

Abstract summary 

Approximately, one in ten infants is born preterm or requires hospitalization at birth. These complications at birth have long-term consequences that can extend into childhood and adulthood. Timely detection of developmental delay through surveillance could enable tailored support for these babies and their families. However, the possibilities for follow-up are limited, especially in middle- and low-income countries, and the tools to do so are either not available or too expensive. A standardized and core set of outcomes for neonates, with feasible tools for evaluation and follow-up, could result in improving quality, enhance shared decision-making, and enable global benchmarking.The International Consortium for Health Outcomes Measurement (ICHOM) convened an international working group, which was comprised of 14 health-care professionals (HCP) and 6 patient representatives in the field of neonatal care. An outcome set was developed using a three-round modified Delphi process, and it was endorsed through a patient representative-validation survey and an HCP survey.A literature review revealed 1,076 articles and 26 registries which were screened for meaningful outcomes, patient-reported outcome measures, clinical measures, and case mix variables. This resulted in a neonatal set with 21 core outcomes covering three domains (physical, social, and mental functioning) and 14 tools to assess these outcomes at three timepoints.This set can be implemented globally and it will allow comparison of outcomes across different settings and countries. The transparent consensus-driven development process which involved stakeholders and professionals from all over the world ensures global relevance.

Authors & Co-authors:  Schouten Esther E Haupt Johanna J Ramirez Jessily J Sillett Nick N Nielsen Christina C Clarke Anna A Matkin Lucy L Joseph Andria A Been Jasper J Bolaños González Ilein I Cheong Jeanie J Daly Mandy M Kirpalani Haresh H Mader Silke S Maria Arti A Matijasevich Alicia A Mittal Rashmi R Mutesu-Kapembwa Kunda K Vavouraki Eleni E Webbe James J Wolke Dieter D Zeitlin Jennifer J Flemmer Andreas A

Study Outcome 

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Statistics
Citations :  Patel RM. Short- and long-term outcomes for extremely preterm infants. Am J Perinatol. 2016 Feb;33((3)):318–28.
Authors :  23
Identifiers
Doi : 10.1159/000522318
SSN : 1661-7819
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Neonate;Outcomes set;Preterm;Stakeholder
Study Design
Study Approach
Country of Study
Publication Country
Switzerland