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Factors associated with the discontinuance of outpatient follow-up in neonatal units

Factores asociados con la interrupción del seguimiento ambulatorio de recién nacidos tras el alta de unidades neonatales

ABSTRACT

Objectives:

to identify predisposing and enabling factors as well as the health needs associated with the discontinuance of outpatient follow-up of newborns who were hospitalized at neonatal intensive care unit.

Methods:

cross-sectional study, using the behavioral model of health services use. The study was composed of 358 mothers and newborns referred to the outpatient follow-up after discharge. Characterization, perception of social support, postnatal depression, and attendance to appointments data were collected, analyzed by the R software (3.3.1).

Results:

outpatient follow-up was discontinued by 31.28% of children in the first year after discharge. In multiple regression analysis, the chance of discontinuance was higher for newborns who used mechanical ventilation (OR = 1.68; 95%CI 1.04-2.72) and depended on technology (OR = 3.54; 95%CI 1.32-9.5).

Conclusions:

predisposing factors were associated with the discontinuance of follow-up; enabling factors and health needs did not present a significant association. Children with more complex health conditions require additional support to participate in follow-up programs, thus ensuring the continuity of care.

Descriptors:
Continuity of Patient Care; Ambulatory Care; Intensive Care Units, Neonatal; Pediatric Nursing; Needs Assessment

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