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Impact of COVID-19 Pandemic on Developmental Service Delivery in Children With a History of Neonatal Seizures.
Peyton, Colleen; Girvan, Olivia; Shellhaas, Renée A; Lemmon, Monica E; Rogers, Elizabeth E; Soul, Janet S; Chang, Taeun; Hamlett, Ashley; Wusthoff, Courtney J; Chu, Catherine J; Massey, Shavonne L; Thomas, Cameron; Guillet, Ronnie; Franck, Linda S; Glass, Hannah C.
  • Peyton C; Department of Physical Therapy and Human Movement Science, Northwestern University, Chicago, Illinois. Electronic address: colleen.peyton1@northwestern.edu.
  • Girvan O; Department of Pediatrics, UCSF Benioff Children's Hospital, University of California, San Francisco, California.
  • Shellhaas RA; Department of Pediatrics, University of Michigan, Ann Arbor, Michigan.
  • Lemmon ME; Department of Pediatrics and Population Health Sciences, Duke University, School of Medicine, Durham, North Carolina.
  • Rogers EE; Department of Pediatrics, UCSF Benioff Children's Hospital, University of California, San Francisco, California.
  • Soul JS; Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Chang T; Neurology, Children's National Hospital, George Washington University School of Medicine & Health Sciences, Washington, District of Columbia.
  • Hamlett A; NSR Parent Partner, Duke Medical Center, Durham, North Carolina.
  • Wusthoff CJ; Department of Neurology, Stanford University, Stanford, California.
  • Chu CJ; Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Massey SL; Department of Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
  • Thomas C; Department of Pediatrics, University of Cincinnati, Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
  • Guillet R; Division of Neonatology, Department of Pediatrics, Golisano Children's Hospital, University of Rochester, Rochester, New York.
  • Franck LS; Department of Pediatrics, UCSF Benioff Children's Hospital, University of California, San Francisco, California.
  • Glass HC; Department of Pediatrics, UCSF Benioff Children's Hospital, University of California, San Francisco, California.
Pediatr Neurol ; 129: 14-18, 2022 04.
Article in English | MEDLINE | ID: covidwho-1636500
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Seizures / Child Health Services / Delivery of Health Care / COVID-19 Type of study: Cohort study / Etiology study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Child / Child, preschool / Female / Humans / Male / Infant, Newborn Country/Region as subject: North America Language: English Journal: Pediatr Neurol Journal subject: Neurology / Pediatrics Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Seizures / Child Health Services / Delivery of Health Care / COVID-19 Type of study: Cohort study / Etiology study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Child / Child, preschool / Female / Humans / Male / Infant, Newborn Country/Region as subject: North America Language: English Journal: Pediatr Neurol Journal subject: Neurology / Pediatrics Year: 2022 Document Type: Article