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J Pediatr. 2002 Jun;140(6):699-706.

The Newborn Individualized Developmental Care and Assessment Program is not supported by meta-analyses of the data.

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1
Division of Neonatology, Department of Pediatrics, the Hospital for Sick Children and Mount Sinai Hospital, University of Toronto, Ontario, Canada.

Erratum in

  • J Pediatr 2002 Sep;141(3):451-2.

Abstract

OBJECTIVES:

To systematically review the effectiveness of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) as compared with conventional care to improve long-term neurodevelopmental outcomes or short-term medical and neurodevelopmental outcomes in preterm and/or low birth weight infants.

STUDY DESIGN:

With the use of standard systematic review methodology, all randomized, controlled trials (RCTs) and prospective cohort studies evaluating in-hospital developmental care based on the framework of NIDCAP in preterm and/or low birth weight infants were identified. The quality of the RCTs was assessed. Meta-analyses were performed by using relative risk and risk difference for dichotomous data and weighted mean difference for continuous data with 95% confidence intervals.

RESULTS:

Five RCTs (n = 136) and 3 phase-lag cohort studies (n = 185) met inclusion criteria. School-age neurodevelopmental outcomes after NIDCAP have not been reported. Meta-analyses of medical outcomes showed a statistically significant benefit of NIDCAP on requirement for supplemental oxygen. Neurodevelopmental outcome was improved at 9 or 12 months but not at 2 years.

CONCLUSIONS:

There is insufficient evidence to support the NIDCAP to improve medical and neurodevelopmental outcomes of preterm infants.

PMID:
12072873
DOI:
10.1067/mpd.2002.123667
[Indexed for MEDLINE]
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