Impact of the COVID-19 Pandemic on Early Intervention Utilization and Need for Referral after NICU Discharge in VLBW Infants

Author:

David Jieun1ORCID,Wambach Caroline1,Kraemer Megan1,Johnson Tricia1ORCID,Greene Michelle,Lee Esther1,Patra Kousiki1

Affiliation:

1. Rush University Medical Center

Abstract

AbstractObjective:To examine the impact of COVID-19 pandemic on early intervention (EI) services in VLBW infants.Study Design:208 VLBW infants seen in NICU FU pre-COVID-19 were compared to 132 infants seen during COVID-19 at 4, 8 and 20 months corrected age (CA) in terms of: enrollment in Child and Family Connections (CFC; intake agency for EI), EI therapies, need for CFC referral and Bayley scores.Results:Infants seen during COVID-19 at 4, 8 and 20 months CA were 3.4 (OR, 95% CI 1.64, 6.98), 4.0 (1.77, 8.95) and 4.8 (2.10, 11.08) times more likely to need CFC referral at FU based on severity of developmental delay. Infants followed during COVID-19 had significantly lower mean Bayley cognitive and language scores at 20 months CA.Conclusions:VLBW infants seen during COVID-19 had significantly higher odds of needing EI and significantly lower cognitive and language scores at 20 months CA.

Publisher

Research Square Platform LLC

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