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Meta-Analysis
. 2002 Jun;140(6):699-706.
doi: 10.1067/mpd.2002.123667.

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

Susan E Jacobs  1 , Jennifer Sokol, Arne Ohlsson
Affiliations
Meta-Analysis

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

Susan E Jacobs et al. J Pediatr. 2002 Jun.

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.

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Comment in

  • Evaluating neonatal developmental care.
    Korner AF. Korner AF. J Pediatr. 2003 May;142(5):590; author reply 590-1. doi: 10.1067/mpd.2003.164. J Pediatr. 2003. PMID: 12756397 No abstract available.
  • Evaluating neonatal developmental care.
    Westrup B, Lagercrantz H, Kleberg A, Stjernqvist K. Westrup B, et al. J Pediatr. 2003 May;142(5):591-2. doi: 10.1067/mpd.2003.174. J Pediatr. 2003. PMID: 12756398 No abstract available.