{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T06:04:31Z","timestamp":1789884271171,"version":"4.0.1"},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"38","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,9,20]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A korasz\u00fcl\u00e9s jelent\u0151s n\u00e9peg\u00e9szs\u00e9g\u00fcgyi probl\u00e9ma,\n amelyhez a t\u00fal\u00e9l\u00e9s javul\u00e1s\u00e1val p\u00e1rhuzamosan egyre nagyobb ar\u00e1nyban t\u00e1rsulnak\n hossz\u00fa t\u00e1v\u00fa fejl\u0151d\u00e9sneurol\u00f3giai elt\u00e9r\u00e9sek. A multidiszciplin\u00e1ris, korai\n intervenci\u00f3t \u00e9s struktur\u00e1lt ut\u00e1nk\u00f6vet\u00e9st integr\u00e1l\u00f3 ell\u00e1t\u00e1si modellek\n kulcsszerepet j\u00e1tszanak a kedvez\u0151bb kimenetelek el\u00e9r\u00e9s\u00e9ben.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A jelen tanulm\u00e1ny c\u00e9lja a P\u00e9csi Tudom\u00e1nyegyetem\n Klinikai K\u00f6zpontj\u00e1ban alkalmazott, korai intervenci\u00f3t \u00e9s hossz\u00fa t\u00e1v\u00fa\n fejl\u0151d\u00e9sneurol\u00f3giai \u00e9s gy\u00f3gytorna-ut\u00e1nk\u00f6vet\u00e9st integr\u00e1l\u00f3 ell\u00e1t\u00e1si modell (\u201eP\u00e9csi\n modell\u201d) bemutat\u00e1sa, valamint az int\u00e9zm\u00e9nyi ut\u00e1nk\u00f6vet\u00e9si adatainak ismertet\u00e9se.\n M\u00f3dszer:<\/jats:italic>\n Retrospekt\u00edv, egyk\u00f6zpont\u00fa vizsg\u00e1lat keret\u00e9ben\n elemezt\u00fck a 2015. janu\u00e1r 1. \u00e9s 2025. december 31. k\u00f6z\u00f6tt a P\u00e9csi Tudom\u00e1nyegyetem\n Klinikai K\u00f6zpontj\u00e1ban ell\u00e1tott \u00fajsz\u00fcl\u00f6ttek adatait. Demogr\u00e1fiai, perinatalis \u00e9s\n neonatalis param\u00e9tereket, valamint a fejl\u0151d\u00e9sneurol\u00f3giai \u00e9s gy\u00f3gytornaell\u00e1t\u00e1s\n form\u00e1it \u00e9s gyakoris\u00e1g\u00e1t \u00e9rt\u00e9kelt\u00fck le\u00edr\u00f3 \u00e9s k\u00f6vetkeztet\u00e9ses statisztikai\n m\u00f3dszerekkel. A csoportok k\u00f6z\u00f6tti k\u00fcl\u00f6nbs\u00e9geket Mann\u2013Whitney- \u00e9s\n Kruskal\u2013Wallis-pr\u00f3b\u00e1val vizsg\u00e1ltuk, a szignifikanciaszintet p<0,05 \u00e9rt\u00e9kben\n hat\u00e1roztuk meg. A statisztikai elemz\u00e9seket IBM SPSS Statistics (verzi\u00f3: 32.0)\n szoftverrel v\u00e9gezt\u00fck.\n Eredm\u00e9nyek:<\/jats:italic>\n A vizsg\u00e1lt popul\u00e1ci\u00f3 27\u00a0378\n \u00fajsz\u00fcl\u00f6ttet foglalt mag\u00e1ban. A korasz\u00fcl\u00e9sek ar\u00e1nya 14,98% volt, ennek\n magyar\u00e1zata, hogy az int\u00e9zm\u00e9ny region\u00e1lis III. szint\u0171 ell\u00e1t\u00f3k\u00f6zpontk\u00e9nt m\u0171k\u00f6dik.\n A korasz\u00fcl\u00f6ttek k\u00f6r\u00e9ben szignifik\u00e1nsan kisebb Apgar-\u00e9rt\u00e9keket, alacsonyabb\n sz\u00fclet\u00e9si s\u00falyt \u00e9s hosszabb \u00e1pol\u00e1si id\u0151t tal\u00e1ltunk (p<0,001). A terhess\u00e9gi\n kor n\u00f6veked\u00e9s\u00e9vel p\u00e1rhuzamosan javultak a perinatalis mutat\u00f3k. Az int\u00e9zm\u00e9nyben\n sz\u00e9les k\u00f6rben megval\u00f3sult a korai intervenci\u00f3, valamint a struktur\u00e1lt\n fejl\u0151d\u00e9sneurol\u00f3giai \u00e9s gy\u00f3gytorna-ut\u00e1nk\u00f6vet\u00e9s. Fejl\u0151d\u00e9sneurol\u00f3giai \u00e9s\n gy\u00f3gytornaell\u00e1t\u00e1sban \u00f6sszesen 4085 gyermek r\u00e9szes\u00fclt. Korai beavatkoz\u00e1st 1308\n \u00fajsz\u00fcl\u00f6ttn\u00e9l alkalmaztunk m\u00e1r az \u00e1pol\u00e1s ideje alatt, amely passz\u00edv mobiliz\u00e1ci\u00f3t,\n \u00f3vatos mozgat\u00e1st, l\u00e1gy massz\u00e1zst, orofacialis tr\u00e9ninget, valamint indik\u00e1ci\u00f3\n szerint neurohabilit\u00e1ci\u00f3t foglalt mag\u00e1ban. A gyermekek fejl\u0151d\u00e9s\u00e9t 2 \u00e9ves korukig\n k\u00f6vett\u00fck az Orvosi Genetikai Int\u00e9zet Fejl\u0151d\u00e9sneurol\u00f3giai Szakrendel\u00e9s\u00e9nek\n keret\u00e9ben.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n A \u201eP\u00e9csi modell\u201d a korai intervenci\u00f3\n \u00e9s a struktur\u00e1lt, multidiszciplin\u00e1ris ut\u00e1nk\u00f6vet\u00e9s integr\u00e1lt alkalmaz\u00e1s\u00e1val\n hat\u00e9kony ell\u00e1t\u00e1si keretet biztos\u00edt a korasz\u00fcl\u00f6ttek sz\u00e1m\u00e1ra. Az eredm\u00e9nyek\n al\u00e1t\u00e1masztj\u00e1k a szervezett, hossz\u00fa t\u00e1v\u00fa ut\u00e1nk\u00f6vet\u00e9s jelent\u0151s\u00e9g\u00e9t a kedvez\u0151\n fejl\u0151d\u00e9sneurol\u00f3giai kimenetelek el\u00e9r\u00e9s\u00e9ben. Orv Hetil. 2026; 167(38):\n 1516\u20131522.\n <\/jats:p>","DOI":"10.1556\/650.2026.33629","type":"journal-article","created":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T05:54:55Z","timestamp":1789883695000},"page":"1516-1522","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Korasz\u00fcl\u00f6ttek komplex fejl\u0151d\u00e9sneurol\u00f3giai ell\u00e1t\u00e1sa a P\u00e9csi Tudom\u00e1nyegyetem Klinikai K\u00f6zpontj\u00e1ban"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2703-6695","authenticated-orcid":true,"given":"B\u00e1lint","family":"Sz\u0151ts","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Orvosi Genetikai Int\u00e9zet P\u00e9cs, J\u00f3zsef A. u. 7., 7623 Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gnes","family":"Till","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Orvosi Genetikai Int\u00e9zet P\u00e9cs, J\u00f3zsef A. u. 7., 7623 Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikt\u00f3ria","family":"Pr\u00e9musz","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Fizioter\u00e1pi\u00e1s \u00e9s Sporttudom\u00e1nyi Int\u00e9zet P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Funke","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Neonatol\u00f3giai Tansz\u00e9k P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"Ertl","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Neonatol\u00f3giai Tansz\u00e9k P\u00e9cs Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Hum\u00e1n Reprodukci\u00f3s Nemzeti Laborat\u00f3rium P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinga","family":"Hadzsiev","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Orvosi Genetikai Int\u00e9zet P\u00e9cs, J\u00f3zsef A. u. 7., 7623 Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Ohuma EO, Moller AB, Bradley E, et al. National, regional, and\n global estimates of preterm birth in 2020, with trends from 2010: a systematic\n analysis. Lancet 2023; 402: 1261-1271. Erratum: Lancet 2024; 403: 618.\n httppps:\/\/doi.org\/10.1016\/S0140-6736(23)00878-4","DOI":"10.1016\/S0140-6736(23)00878-4"},{"key":"R2","unstructured":"Euro-Peristat. European perinatal health report press release 2022.\n Available from:\n httpps:\/\/www.europeristat.com\/wp-content\/uploads\/2022\/11\/press_release_Euro-Peristat_report_Nov2022.pdf\n [accessed: February 8, 2026]."},{"key":"R3","unstructured":"Euro-Peristat. European perinatal health report fact sheets 2022.\n Available from:\n httpps:\/\/www.europeristat.com\/wp-content\/uploads\/2022\/11\/Euro-Peristat_Fact_sheets_2022_for_upload.pdf\n [accessed: February 8, 2026]."},{"key":"R4","unstructured":"Hungarian Central Statistical Office. Live births in Hungary.\n [K\u00f6zponti Statisztikai Hivatal. \u00c9lvesz\u00fclet\u00e9sek az anya \u00e9s az \u00fajsz\u00fcl\u00f6tt f\u0151bb\n jellemz\u0151i szerint.] Available from:\n httpps:\/\/www.ksh.hu\/stadat_files\/nep\/hu\/nep0007.html [accessed:\n February 8, 2026]. [Hungarian]"},{"key":"R5","unstructured":"Hungarian Central Statistical Office. Regional data on live births.\n [K\u00f6zponti Statisztikai Hivatal. \u00c9lvesz\u00fclet\u00e9sek v\u00e1rmegye \u00e9s r\u00e9gi\u00f3 szerint.]\n Available from: httpps:\/\/www.ksh.hu\/stadat_files\/nep\/hu\/nep0067.html\n [accessed: February 8, 2026]. [Hungarian]"},{"key":"R6","unstructured":"Hungarian Central Statistical Office. Situation of preterm births in\n Hungary. [K\u00f6zponti Statisztikai Hivatal. Korasz\u00fcl\u00f6ttek \u00e9s kis s\u00faly\u00fa \u00fajsz\u00fcl\u00f6ttek\n Magyarorsz\u00e1gon.] Available from:\n httpps:\/\/www.ksh.hu\/docs\/hun\/xftp\/idoszaki\/pdf\/koraszul16.pdf\n [accessed: February 8, 2026]. [Hungarian]"},{"key":"R7","unstructured":"Szab\u00f3 L, Sz\u00f6ll\u0151si K, Talab\u00e9r J, et al. Child healthcare in Hungary.\n Turk Pediatr Ars. 2020; 55(Suppl 1): 41-56."},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Valek A, Vitrai J, Erdei L, et al. Investigation of possible causes\n of increase in Hungarian infant mortality in 2019. [A hazai\n csecsem\u0151haland\u00f3s\u00e1gban 2019-ben tapasztalt emelked\u00e9s lehets\u00e9ges okainak\n vizsg\u00e1lata.] Orv Hetil. 2021; 162: 830-838. [Hungarian]\n httppps:\/\/doi.org\/10.1556\/650.2021.32092","DOI":"10.1556\/650.2021.32092"},{"key":"R9","unstructured":"Balest AL, Pekarsky AR. Preterm infants. 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Follow-up of extremely low birth\n weight preterm infants until the end of preschool age in the light of perinatal\n complications. [Az extr\u00e9m kis sz\u00fclet\u00e9si s\u00faly\u00fa korasz\u00fcl\u00f6ttek fejl\u0151d\u00e9s\u00e9nek\n k\u00f6vet\u00e9se az \u00f3vod\u00e1skor v\u00e9g\u00e9ig a perinatalis sz\u00f6v\u0151dm\u00e9nyek t\u00fckr\u00e9ben.] Orv Hetil.\n 2018; 159: 1672-1679. [Hungarian]\n httppps:\/\/doi.org\/10.1556\/650.2018.31199","DOI":"10.1556\/650.2018.31199"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Torr\u00f3-Ferrero G, Fern\u00e1ndez-Rego FJ, G\u00f3mez-Conesa A. Physical therapy\n to prevent osteopenia in preterm infants: a systematic review. Children (Basel)\n 2021; 8: 664.\n httppps:\/\/doi.org\/10.3390\/children8080664","DOI":"10.3390\/children8080664"},{"key":"R14","unstructured":"Kocsis I, Kis E, Szab\u00f3 A, et al. Osteopenia of prematurity. [A\n korasz\u00fcl\u00f6ttek osteopeni\u00e1ja.] Orv Hetil. 2005; 146: 2491-2497.\n [Hungarian]"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Turai R, Schandl MF, Dergez T. Early and late complications of\n hyperglycemic extremely low birth-weight infants. [Az extr\u00e9m alacsony sz\u00fclet\u00e9si\n s\u00faly\u00fa korasz\u00fcl\u00f6ttek hyperglykaemi\u00e1j\u00e1nak korai \u00e9s k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyei.] Orv Hetil.\n 2019; 160: 1270-1278. [Hungarian]\n httppps:\/\/doi.org\/10.1556\/650.2019.31455","DOI":"10.1556\/650.2019.31455"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Borges Nery P, Snider L, Camelo JS Jr, et al. The role of\n rehabilitation specialists in Canadian NICUs: a 21st century perspective. Phys\n Occup Ther Pediatr. 2019; 39: 33-47.\n httppps:\/\/doi.org\/10.1080\/01942638.2018.1490846","DOI":"10.1080\/01942638.2018.1490846"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Kim H, Jang YH, Lee JY, et al. Impact of COVID-19 pandemic on\n neurodevelopmental outcome in very low birth weight infants: a nationwide cohort\n study. Front Pediatr. 2024; 12: 1368677.\n httppps:\/\/doi.org\/10.3389\/fped.2024.1368677","DOI":"10.3389\/fped.2024.1368677"},{"key":"R18","unstructured":"World Health Organization. Preterm birth. Available from:\n httpps:\/\/www.who.int\/news-room\/fact-sheets\/detail\/preterm-birth\n [accessed: March 17, 2026]."},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Orton J, Doyle LW, Tripathi T, et al. Early developmental\n intervention programmes provided post hospital discharge to prevent motor and\n cognitive impairment in preterm infants. Cochrane Database Syst Rev. 2024; 2:\n CD005495.\n httppps:\/\/doi.org\/10.1002\/14651858.CD005495.pub5","DOI":"10.1002\/14651858.CD005495.pub5"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Ochandorena-Acha M, Terradas-Monllor M, L\u00f3pez Sala L, et al. Early\n physiotherapy intervention program for preterm infants and parents: a\n randomized, single-blind clinical trial. Children (Basel) 2022; 9: 895.\n httppps:\/\/doi.org\/10.3390\/children9060895","DOI":"10.3390\/children9060895"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Balci N, Takci S, Akin MA. Physiotherapy for preterm infants in the\n neonatal intensive care unit using the international classification of function\n framework. J Pak Med Assoc. 2025; 75: 1360-1366.\n httppps:\/\/doi.org\/10.47391\/JPMA.20469","DOI":"10.47391\/JPMA.20469"},{"key":"R22","unstructured":"Ministry of Interior. Guideline for the follow-up of high-risk\n newborns. [A Bel\u00fcgyminiszt\u00e9rium eg\u00e9szs\u00e9g\u00fcgyi szakmai ir\u00e1nyelve a rizik\u00f3\n \u00fajsz\u00fcl\u00f6ttek ut\u00f3gondoz\u00e1s\u00e1r\u00f3l.] E\u00fc K\u00f6zl. 2025; 75: 1. sz\u00e1m\n [Hungarian]"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Nantsi A, Chatziioannidis I, Pouliakis A, et al. Attendance in a\n neonatal follow-up program before and in the time of COVID-19 pandemic: a mixed\n prospective-retrospective observational study. Children (Basel) 2024; 11: 1138.\n httppps:\/\/doi.org\/10.3390\/children11091138","DOI":"10.3390\/children11091138"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Da Silva RM, Pancieri L, Zilly A, et al. Follow-up care for\n premature children: the repercussions of the COVID-19 pandemic. Rev Latino-Am\n Enfermagem 2021; 29: e3414.\n httppps:\/\/doi.org\/10.1590\/1518-8345.4759.3414","DOI":"10.1590\/1518-8345.4759.3414"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"DeMauro SB, Duncan AF, Hurt H. Telemedicine use in neonatal\n follow-up programs: what can we do and what we can\u2019t. Lessons learned from\n COVID-19. 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