High healthcare use at age five in a European cohort of children born very preterm
Objectives To describe parent-reported healthcare service use at five years of age in children born very preterm and investigate whether perinatal and social factors and the use of very preterm follow-up services are associated with high service use. Study design We used data from an area-based coho...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Elsevier
2021
|
| _version_ | 1797108389963104256 |
|---|---|
| author | Seppänen, A-V Draper, ES Petrou, S Barros, H Aubert, AM Andronis, L Kim, SW Maier, RF Pedersen, P Gadzinowski, J Lebeer, J Ådén, U Toome, L van Heijst, A Cuttini, M Zeitlin, J |
| author_facet | Seppänen, A-V Draper, ES Petrou, S Barros, H Aubert, AM Andronis, L Kim, SW Maier, RF Pedersen, P Gadzinowski, J Lebeer, J Ådén, U Toome, L van Heijst, A Cuttini, M Zeitlin, J |
| author_sort | Seppänen, A-V |
| collection | OXFORD |
| description | Objectives
To describe parent-reported healthcare service use at five years of age in children born very preterm and investigate whether perinatal and social factors and the use of very preterm follow-up services are associated with high service use.
Study design
We used data from an area-based cohort of births at <32 weeks of gestation from 11 European countries, collected from birth records and parental questionnaires at five years of age. Using the published literature, we defined high use of outpatient/inpatient care (≥4 sick visits to general practitioners, pediatricians, or nurses, ≥3 emergency room visits, or ≥1 overnight hospitalization) and specialist care (≥2 different specialists or ≥3 visits). We also categorized countries as having either high or low rates of children using very preterm follow-up services at five years.
Results
Overall, 43% of children had high outpatient/inpatient care use, and 48% had high specialist care use during the previous year. Perinatal factors were associated with high outpatient/inpatient and specialist care use, with a more significant association with specialist services. Associations with intermediate parental educational level and unemployment were stronger for outpatient/inpatient services. Living in a country with higher rates of very preterm follow-up service use was associated with lower use of outpatient/inpatient services.
Conclusions
Children born very preterm had high healthcare service use at five years of age, with different patterns for outpatient/inpatient and specialist care by perinatal and social factors. Longer follow-up of children born very preterm may improve care coordination and help avoid undesirable health service use. |
| first_indexed | 2024-03-07T07:28:31Z |
| format | Journal article |
| id | oxford-uuid:2eb0433f-62d9-4d8d-9a7c-5b1767ae671a |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:28:31Z |
| publishDate | 2021 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:2eb0433f-62d9-4d8d-9a7c-5b1767ae671a2022-12-15T08:44:03ZHigh healthcare use at age five in a European cohort of children born very pretermJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2eb0433f-62d9-4d8d-9a7c-5b1767ae671aEnglishSymplectic ElementsElsevier2021Seppänen, A-VDraper, ESPetrou, SBarros, HAubert, AMAndronis, LKim, SWMaier, RFPedersen, PGadzinowski, JLebeer, JÅdén, UToome, Lvan Heijst, ACuttini, MZeitlin, JObjectives To describe parent-reported healthcare service use at five years of age in children born very preterm and investigate whether perinatal and social factors and the use of very preterm follow-up services are associated with high service use. Study design We used data from an area-based cohort of births at <32 weeks of gestation from 11 European countries, collected from birth records and parental questionnaires at five years of age. Using the published literature, we defined high use of outpatient/inpatient care (≥4 sick visits to general practitioners, pediatricians, or nurses, ≥3 emergency room visits, or ≥1 overnight hospitalization) and specialist care (≥2 different specialists or ≥3 visits). We also categorized countries as having either high or low rates of children using very preterm follow-up services at five years. Results Overall, 43% of children had high outpatient/inpatient care use, and 48% had high specialist care use during the previous year. Perinatal factors were associated with high outpatient/inpatient and specialist care use, with a more significant association with specialist services. Associations with intermediate parental educational level and unemployment were stronger for outpatient/inpatient services. Living in a country with higher rates of very preterm follow-up service use was associated with lower use of outpatient/inpatient services. Conclusions Children born very preterm had high healthcare service use at five years of age, with different patterns for outpatient/inpatient and specialist care by perinatal and social factors. Longer follow-up of children born very preterm may improve care coordination and help avoid undesirable health service use. |
| spellingShingle | Seppänen, A-V Draper, ES Petrou, S Barros, H Aubert, AM Andronis, L Kim, SW Maier, RF Pedersen, P Gadzinowski, J Lebeer, J Ådén, U Toome, L van Heijst, A Cuttini, M Zeitlin, J High healthcare use at age five in a European cohort of children born very preterm |
| title | High healthcare use at age five in a European cohort of children born very preterm |
| title_full | High healthcare use at age five in a European cohort of children born very preterm |
| title_fullStr | High healthcare use at age five in a European cohort of children born very preterm |
| title_full_unstemmed | High healthcare use at age five in a European cohort of children born very preterm |
| title_short | High healthcare use at age five in a European cohort of children born very preterm |
| title_sort | high healthcare use at age five in a european cohort of children born very preterm |
| work_keys_str_mv | AT seppanenav highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT draperes highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT petrous highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT barrosh highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT aubertam highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT andronisl highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT kimsw highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT maierrf highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT pedersenp highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT gadzinowskij highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT lebeerj highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT adenu highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT toomel highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT vanheijsta highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT cuttinim highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm AT zeitlinj highhealthcareuseatagefiveinaeuropeancohortofchildrenbornverypreterm |