Factors associated with neonatal intensive care follow-up appointment compliance

• Published in: Clinical pediatrics Vol. 52; no. 5; p. 389
• Main Authors: Harmon, Sara L, Conaway, Mark, Sinkin, Robert A, Blackman, James A
• Format: Journal Article
• Language: English
• Published: United States 01.05.2013
• Subjects: Adult; Female; Follow-Up Studies; Health Care Surveys; Humans; Infant, Newborn; Infant, Newborn, Diseases - diagnosis; Infant, Newborn, Diseases - therapy; Intensive Care Units, Neonatal; Intensive Care, Neonatal; Male; Multivariate Analysis; Patient Compliance - statistics & numerical data; Patient Discharge; Retrospective Studies; premature infants; follow-up; NICU; outcomes; compliance
• ISSN: 1938-2707
• DOI: 10.1177/0009922813477237

Our goal was to identify factors that affect neonatal intensive care unit (NICU) follow-up appointment compliance. Compliant and noncompliant infants discharged from the NICU over 1 year and scheduled for follow-up (133) were compared retrospectively; a prospective telephone survey of noncompliant families was also undertaken. Maternal drug use (odds ratio [OR] = 0.049, 95% confidence interval [CI] = 0.005-0.506), multiple gestation pregnancy (OR = 0.163, 95% CI = 0.050-0.533), male sex (OR = 0.308, 95% CI = 0.112-0.850), and greater distance from the hospital (OR = 0.987, 95% CI = 0.976-0.999) were independently associated with lower appointment compliance. A greater number of days on oxygen was associated with greater odds of compliance (OR = 1.057, 95% CI = 0.976-0.999). Shorter NICU stays (P = .047) and less chronic lung disease (P = .026) were significantly associated with noncompliance by bivariate analysis only. Distance from the hospital and travel expense were the most often self-cited reasons for appointment noncompliance. Understanding factors associated with NICU follow-up noncompliance is a starting point for providing targeted intervention.