Comprehensive NIDCAP care improved individualized developmental care scores (p<0.01) and reduced median CICU stay from 15 to 10 days in full-term newborns with congenital heart disease undergoing cardiac surgery.
RCT (n=33)
No
Does comprehensive NIDCAP integration improve developmental care quality and clinical outcomes in infants undergoing cardiac surgery?
Comprehensive NIDCAP integration is feasible in high-acuity cardiac settings and significantly improves developmental care quality while potentially reducing CICU length of stay for infants with CHD.
Effect estimate: p<0.01 for difference in NIDCAP care scores; median CICU stay 10 vs. 15 days
Absolute Event Rate: 10% vs 15%
p-value: p=<0.01
Feasibility and impact of comprehensive NIDCAP integration in a high-acuity cardiac setting
Butler et al. (Thu,) conducted a rct in Full-term newborn infants with congenital heart disease undergoing cardiac surgery within seven days of birth in a quaternary care cardiac intensive care unit (n=33). Comprehensive NIDCAP care model vs. Standard care was evaluated on Quality of individualized developmental care measured by NIDCAP-aligned care scores and median cardiac ICU length of stay (p<0.01 for difference in NIDCAP care scores; median CICU stay 10 vs. 15 days, p=<0.01). Comprehensive NIDCAP care improved individualized developmental care scores (p<0.01) and reduced median CICU stay from 15 to 10 days in full-term newborns with congenital heart disease undergoing cardiac surgery.
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