Document Detail


Impact of timing of birth and resident duty-hour restrictions on outcomes for small preterm infants.
MedLine Citation:
PMID:  20643715     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The goal was to examine the impact of birth at night, on the weekend, and during July or August (the first months of the academic year) and the impact of resident duty-hour restrictions on mortality and morbidity rates for very low birth weight infants.
METHODS: Outcomes were analyzed for 11,137 infants with birth weights of 501 to 1250 g who were enrolled in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network registry in 2001-2005. Approximately one-half were born before the introduction of resident duty-hour restrictions in 2003. Follow-up assessments at 18 to 22 months were completed for 4508 infants. Mortality rate, short-term morbidities, and neurodevelopmental outcome were examined with respect to the timing of birth.
RESULTS: There was no effect of the timing of birth on mortality rate and no impact on the risks of short-term morbidities except that the risk of retinopathy of prematurity (stage > or =2) was higher after the introduction of duty-hour restrictions and the risk of retinopathy of prematurity requiring operative treatment was lower for infants born during the late night than during the day. There was no impact of the timing of birth on neurodevelopmental outcome except that the risk of hearing impairment or death was slightly lower among infants born in July or August.
CONCLUSION: In this network, the timing of birth had little effect on the risks of death and morbidity for very low birth weight infants, which suggests that staffing patterns were adequate to provide consistent care.
Authors:
Edward F Bell; Nellie I Hansen; Frank H Morriss; Barbara J Stoll; Namasivayam Ambalavanan; Jeffrey B Gould; Abbot R Laptook; Michele C Walsh; Waldemar A Carlo; Seetha Shankaran; Abhik Das; Rosemary D Higgins;
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-07-19
Journal Detail:
Title:  Pediatrics     Volume:  126     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-03     Completed Date:  2010-09-02     Revised Date:  2014-09-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  222-31     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Humans
Infant Mortality / trends*
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Internship and Residency / statistics & numerical data*
New York / epidemiology
Parturition*
Registries
Retinopathy of Prematurity / epidemiology,  prevention & control
Time Factors
Workload / standards
Grant Support
ID/Acronym/Agency:
M01 RR125/RR/NCRR NIH HHS; M01 RR16587/RR/NCRR NIH HHS; M01 RR30/RR/NCRR NIH HHS; M01 RR32/RR/NCRR NIH HHS; M01 RR39/RR/NCRR NIH HHS; M01 RR44/RR/NCRR NIH HHS; M01 RR59/RR/NCRR NIH HHS; M01 RR633/RR/NCRR NIH HHS; M01 RR70/RR/NCRR NIH HHS; M01 RR7122/RR/NCRR NIH HHS; M01 RR750/RR/NCRR NIH HHS; M01 RR80/RR/NCRR NIH HHS; M01 RR8084/RR/NCRR NIH HHS; U01 HD36790/HD/NICHD NIH HHS; U10 HD021364/HD/NICHD NIH HHS; U10 HD021364-25/HD/NICHD NIH HHS; U10 HD021373-26/HD/NICHD NIH HHS; U10 HD021385/HD/NICHD NIH HHS; U10 HD021385-25/HD/NICHD NIH HHS; U10 HD021397-15/HD/NICHD NIH HHS; U10 HD027851-20/HD/NICHD NIH HHS; U10 HD027853/HD/NICHD NIH HHS; U10 HD027853-20/HD/NICHD NIH HHS; U10 HD027856-20/HD/NICHD NIH HHS; U10 HD027871-20/HD/NICHD NIH HHS; U10 HD027880-20/HD/NICHD NIH HHS; U10 HD034216/HD/NICHD NIH HHS; U10 HD034216-15/HD/NICHD NIH HHS; U10 HD036790-14/HD/NICHD NIH HHS; U10 HD040461-05/HD/NICHD NIH HHS; U10 HD040492/HD/NICHD NIH HHS; U10 HD040492-10/HD/NICHD NIH HHS; U10 HD040498-05/HD/NICHD NIH HHS; U10 HD040521/HD/NICHD NIH HHS; U10 HD040521-05/HD/NICHD NIH HHS; U10 HD040689/HD/NICHD NIH HHS; U10 HD040689-02/HD/NICHD NIH HHS; U10 HD040689-10/HD/NICHD NIH HHS; U10 HD053109/HD/NICHD NIH HHS; U10 HD053109-05/HD/NICHD NIH HHS; U10 HD21364/HD/NICHD NIH HHS; U10 HD21373/HD/NICHD NIH HHS; U10 HD21385/HD/NICHD NIH HHS; U10 HD21397/HD/NICHD NIH HHS; U10 HD27851/HD/NICHD NIH HHS; U10 HD27853/HD/NICHD NIH HHS; U10 HD27856/HD/NICHD NIH HHS; U10 HD27871/HD/NICHD NIH HHS; U10 HD27880/HD/NICHD NIH HHS; U10 HD27904/HD/NICHD NIH HHS; U10 HD34216/HD/NICHD NIH HHS; U10 HD40461/HD/NICHD NIH HHS; U10 HD40492/HD/NICHD NIH HHS; U10 HD40498/HD/NICHD NIH HHS; U10 HD40521/HD/NICHD NIH HHS; U10 HD40689/HD/NICHD NIH HHS; U10 HD53109/HD/NICHD NIH HHS; UL1 RR24979/RR/NCRR NIH HHS
Investigator
Investigator/Affiliation:
Alan H Jobe / ; Linda L Wright / ; Karen J Johnson / ; Avroy A Fanaroff / ; Nancy S Newman / ; Harriet G Friedman / ; Bonnie S Siner / ; Deanne E Wilson-Costello / ; Jon E Tyson / ; Kathleen A Kennedy / ; Patricia W Evans / ; Esther G Akpa / ; Nora Alaniz / ; Patty A Cluff / ; Claudia I Franco / ; Anna E Lis / ; Sarah Martin / ; Maegan C Simmons / ; Georgia E McDavid / ; Patti L Tate / ; Pamela J Bradt / ; Susan Dieterich / ; Terri Major-Kincade / ; Brenda H Morris / ; Stacey Reddoch / ; Laura L Whitely / ; Rebecca Bara / ; Geraldine Muran / ; Laura Goldston / ; Yvette R Johnson / ; Athina Pappas / ; Deborah Kennedy / ; Rebecca Wheeler / ; Charles R Bauer / ; Shahnaz Duara / ; Ruth Everett-Thomas / ; Maria Calejo / ; Alexis N Diaz / ; Silvia M Frade Eguaras / ; Yamiley C Gideon / ; Sylvia Hiriart-Fajardo / ; Ann Londono Ann Londono / ; Elaine O Mathews / ; Susie Buchter / ; Marcia Berry Bishop / ; Irma Seabrook / ; Ellen C Hale / ; Ira Adams-Chapman / ; Sheena Carter / ; Elisabeth Dinkins / ; Judson Miller / ; Maureen Mulligan LaRossa / ; Gloria Smikle / ; Edward F Donovan / ; Barbara Alexander / ; Kate Bridges / ; Cathy Cathy Grisby / ; Marcia Worley Mersmann / ; Holly L Mincey / ; Jody Hessling / ; Teresa L Gratton / ; Jean J Steichen / ; Brenda B Poindexter / ; James A Lemons / ; Diana D Appel / ; Dianne E Herron / ; Lucy C Miller / ; Richard Hooper / ; Lon G Bohnke / ; Marilyn Bull / ; Ann B Cook / ; Anna M Dusick / ; Greg Eaken / ; Darlene Kardatzke / ; Heike M Minnich / ; Leslie Richard / ; Richard A Ehrenkranz / ; Patricia Gettner / ; Monica Konstantino / ; JoAnn Poulsen / ; Janet Taft / ; Nancy Close / ; Elaine Romano / ; Joanne Williams / ; David K Stevenson / ; Krisa P Van Meurs / ; Susan R Hintz / ; M Bethany Ball / ; Anne M DeBattista / ; Joan M Baran / ; Lori E Bond / ; Ginger K Brudos / ; Julie C Lee-Ancajas / ; Renee P Pyle / ; Nicholas H St John / ; Marian M Adams / ; Jean G Kohn / ; Dharshi Sivakumar / ; William Oh / ; Angelita M Hensman / ; Barbara Alksninis / ; William J Cashore / ; Regina A Gargus / ; Shabnam Lainwala / ; Theresa M Leach / ; Martha R Leonard / ; Kalida Mehta / ; James R Moore / ; Lucy Noel / ; Bonnie E Stephens / ; Rachel V Walden / ; Betty R Vohr / ; Victoria E Watson / ; Monica V Collins / ; Shirley S Cosby / ; Fred J Biasini / ; Stephanie A Chopko / ; MaryBeth Moses / ; Kathleen G Nelson / ; Myriam Peralta-Carcelen / ; Vivien A Phillips / ; Richard V Rector / ; Sally Whitley / ; Neil N Finer / ; Maynard R Rasmussen / ; Paul R Wozniak / ; Kathy Arnell / ; Renee Bridge / ; Clarence Demetrio / ; Jim Goodmar / ; Chris Henderson / ; Wade Rich / ; Rene Barbieri-Welge / ; Ayala Ben-Tall / ; Martha G Fuller / ; Elaine Ito / ; Meghan Lukasik / ; Deborah Pontillo / ; Donna Posin / ; Cheryl Runyan / ; Yvonne E Vaucher / ; James Wilkes / ; Paul Zlotnik / ; Ronald N Goldberg / ; C Michael Cotten / ; Kathy J Auten / ; Ricki E Goldstein / ; Kathryn E Gustafson / ; Melody B Lohmeyer / ; William F Malcolm / ; T Michael O'Shea / ; Nancy J Peters / ; Deborah Allred / ; Korinne Korinne Chiu / ; Robert G Dillard / ; Donald J Goldstein / ; Raquel Halfond / ; Cherrie Heller / ; Gail Hounshell / ; Barbara G Jackson / ; Melissa Whalen Morris / ; Caroll Peterson / ; Ellen L Waldrep / ; Dale L Phelps / ; Linda J Reubens / ; Mary Rowan / ; Erica L Burnell / ; Julie Johnson / ; Diane Hust / ; Rosemary L Jensen / ; Emily Kushner / ; Joan Merzbach / ; Gary J Myers / ; Kelley Yost / ; Lauren Zwetsch / ; Charles R Rosenfeld / ; Walid A Salhab / ; Gaynelle Hensley / ; Susie Madison / ; Nancy A Miller / ; Melissa Martin / ; James Allen / ; Kerry Wilder / ; Alicia Guzman / ; R Sue Broyles / ; Roy J Heyne / ; Sally S Adams / ; Catherine Twell Boatman / ; Cristin Dooley / ; Elizabeth Heyne / ; Jackie F Hickman / ; Linda A Madden / ; Janet S Morgan / ; W Kenneth Poole / ; Betty K Hastings / ; Carolyn Huitema / ; Elizabeth M McClure / ; Jeanette O'Donnell Auman / ; Kristin M Zaterka-Baxter / ; Jamie E Newman /
Comments/Corrections

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