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Follow-Up of NICU Graduates, Pediatric

Rebecca A. Dorner, MD, Vera Joanna Burton, MD, PhD and Marilee C. Allen, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Neonatal intensive care unit (NICU) graduates (former premature infants), who have an increased risk for neurodevelopmental disabilities (NDD), require close follow-up and serial cog...

DIAGNOSIS

HISTORY

  • BW, GA, NICU complications

  • Neuroimaging

  • Length of intubation and oxygen need

  • Receipt of ototoxic medications

  • Umbilical lines—umbilical venous and arterial lines increase risk for hyperten...

TREATMENT

GENERAL MEASURES

  • Prompt referral to early intervention programs for infants and toddlers (Part C of the Individuals with Disabilities Education Act [IDEA])

  • Individualized family service plan (...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Cerebral palsy (CP):

    • Definition: nonprogressive motor coordination and planning disorder due to injury or malformation of developing brain

    • Risk factors for CP: IUGR...

ADDITIONAL READING

  • Allen MC, Cristofalo E, Kim C. Outcomes of preterm infants: morbidity replaces mortality. Clin Perinatol.  2011;38: 441–454. [View Abstract on OvidInsights]

  • Andrews B, Pellerite...

CODES

ICD9

  • V67.9 Unspecified follow-up examination

  • V67.59 Other follow-up examination

ICD10

Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm 

SNOMED

FAQ

  • Q: What growth curves should we use for tracking NICU graduates?

  • A: Fenton growth curves accurately reflect intrauterine accretion and are used in NICU but are poorer for children >36 weeks GA. ...

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