Factors associated with non-adherence to outpatient follow-up of neonatal intensive care discharge

ABSTRACT Objective: To analyze the factors associated with non-adherence to the outpatient follow-up of infants discharged from the Neonatal Intensive Care Unit. Method: A cross-sectional study that included 596 children who were discharged between October 1, 2014 and September 30, 2015 and who were referred to outpatient follow-up. The data were collected by evaluating the discharge report and attendance to the consultations. Results: Of the 596 children referred for follow-up, 118 (19.80%) did not attend any outpatient care in the 12 months after discharge. Children with gestational age at birth ≥37 weeks (odds ratio 1.97, p=0.013), who were not resuscitated at birth (odds ratio 1.79, p=0.032) and those without continuous use of medications at home (odds ratio 1.69, p=0.046) were more likely to not adhere to outpatient follow-up. Conclusion: The expressive number of non-adherence to follow-up indicates the need for actions to ensure care continuity to newborns at risk after hospital discharge. Although the differences pointed out cannot be defined as predictors of non-follow-up, evidence of these variables allows us to recognize risks and seek to reduce factors that influence abandoning follow-up care.

Bibliographic Details

Main Authors:	Freire,Laís Machado, Camponêz,Pedro Sérgio Pinto, Maciel,Isadora Virgínia Leopoldino, Vieira,Carolina Santiago, Bueno,Mariana, Duarte,Elysângela Dittz
Format:	Digital revista
Language:	English
Published:	Universidade de São Paulo, Escola de Enfermagem 2018
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100478
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