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Impact of COVID-19 Pandemic on Developmental Service Delivery in Children With a History of Neonatal Seizures - 18/03/22

Doi : 10.1016/j.pediatrneurol.2022.01.004 
Colleen Peyton, DPT a, , Olivia Girvan, BS b, Renée A. Shellhaas, MD, MS c, Monica E. Lemmon, MD d, Elizabeth E. Rogers, MD b, Janet S. Soul, MDCM e, Taeun Chang, MD f, Ashley Hamlett, BA g, Courtney J. Wusthoff, MD, MS h, Catherine J. Chu, MD e, Shavonne L. Massey, MD i, Cameron Thomas, MD, MS j, Ronnie Guillet, MD, PhD k, Linda S. Franck, RN, PhD b, Hannah C. Glass, MDCM, MAS b
on behalf of the

Neonatal Seizure Registry

a Department of Physical Therapy and Human Movement Science, Northwestern University, Chicago, Illinois 
b Department of Pediatrics, UCSF Benioff Children's Hospital, University of California, San Francisco, California 
c Department of Pediatrics, University of Michigan, Ann Arbor, Michigan 
d Department of Pediatrics and Population Health Sciences, Duke University, School of Medicine, Durham, North Carolina 
e Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts 
f Neurology, Children's National Hospital, George Washington University School of Medicine & Health Sciences, Washington, District of Columbia 
g NSR Parent Partner, Duke Medical Center, Durham, North Carolina 
h Department of Neurology, Stanford University, Stanford, California 
i Department of Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania 
j Department of Pediatrics, University of Cincinnati, Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 
k Division of Neonatology, Department of Pediatrics, Golisano Children's Hospital, University of Rochester, Rochester, New York 

Communications should be addressed to: Dr. Peyton; Department of Physical Therapy and Human Movement Science; Northwestern University; 645 N. Michigan Ave; Chicago, IL 60611.Department of Physical Therapy and Human Movement ScienceNorthwestern University645 N. Michigan AveChicagoIL60611

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Abstract

Background

Children with a history of acute provoked neonatal seizures are at high risk for disability, often requiring developmental services. The coronavirus disease 2019 (COVID-19) pandemic has led to widespread changes in how health care is delivered. Our objective was to determine the magnitude of service interruption of among children born between October 2014 and December 2017 and enrolled in the Neonatal Seizure Registry (NSR), a nine-center collaborative of pediatric centers in the United States.

Methods

This is a prospective cohort study of children with acute provoked seizures with onset ≤44 weeks' gestation and evaluated at age three to six years. Parents of children enrolled in the NSR completed a survey about their child's access to developmental services between June 2020 and April 2021.

Results

Among 144 children enrolled, 72 children (50%) were receiving developmental services at the time of assessment. Children receiving services were more likely to be male, born preterm, and have seizure etiology of infection or ischemic stroke. Of these children, 64 (89%) experienced a disruption in developmental services due to the pandemic, with the majority of families (n = 47, 73%) reporting that in-person services were no longer available.

Conclusions

Half of children with acute provoked neonatal seizures were receiving developmental services at ages three to six years. The COVID-19 pandemic has led to widespread changes in delivery of developmental services. Disruptions in services have the potential to impact long-term outcomes for children who rely on specialized care programs to optimize mobility and learning.

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Keywords : Neonatal seizures, Developmental services, Developmental follow-up, COVID-19


Plan


 Funding: This work is supported by NIH/NINDS R01NS111166. The Neonatal Seizure Registry has also received funding from PCORI, and the Pediatric Epilepsy Research Foundation.
 T.C. receives research funding from NIH and Rehabilitation Engineering Research Center (RERC) program. C.J.C. and M.E.L. receive research funding from NIH


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Vol 129

P. 14-18 - avril 2022 Retour au numéro
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