| Mortality and morbidities among very premature infants admitted after hours in an Australian neonatal intensive care unit network. | |
| | |
MedLine Citation:
|
PMID: 16651317 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To assess risk-adjusted early (within 7 days) mortality and major morbidities of newborn infants at < 32 weeks' gestation who are admitted after office hours to a regional Australian network of NICUs where statewide caseload is coordinated and staffed by on-floor registrars working in shift rosters. We hypothesize that adverse sequelae are increased in these infants. DESIGNS: We conducted a database review of the records of infants (n = 8654) at < 32 weeks' gestation admitted to a network of 10 tertiary NICUs in New South Wales and the Australian Capital Territory from 1992 to 2002. Multivariate logistic regression analysis was performed to adjust for case-mix and significant baseline characteristics. OUTCOMES: Sixty-five percent of infants were admitted to the NICUs after hours. These infants did not have an increase in early neonatal mortality or major neonatal sequelae compared with their office-hours counterparts. Admissions during late night hours after midnight or fatigue risk periods before the end of a medical 12-hour shift were not associated with higher early mortality. Risk factors significantly predictive of early neonatal death were lack of antenatal steroid treatment, Apgar score < 7 at 5 minutes, male gender, gestation age, and being small for gestation. CONCLUSIONS: Current staffing levels, specialization, and networking are associated with lower circadian variation in adverse outcomes and after-hours admission to this NICU network and have no significant impact on early neonatal mortality and morbidity. |
| | |
Authors:
|
Mohamed E Abdel-Latif; Barbara Bajuk; Julee Oei; Kei Lui; |
Related Documents
:
|
19124387 - Pre-eclampsia: the pivotal role of the placenta in its pathophysiology and markers for ... 21730907 - Necrotizing enterocolitis in the premature infant: neonatal nursing assessment, disease... 8229557 - Tracheostomy: acute and long-term mortality and morbidity in very low birth weight prem... 17669687 - Cardiac outcome up to 15 years after the arterial switch operation. 3526267 - Early physical therapy effects on the high-risk infant: a randomized controlled trial. 2680687 - Significance of prenatal, perinatal and postnatal factors in the development of aga pre... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Pediatrics Volume: 117 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2006 May |
Date Detail:
|
Created Date: 2006-05-02 Completed Date: 2006-05-23 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
|
Languages: eng Pagination: 1632-9 Citation Subset: AIM; IM |
Affiliation:
|
Department of Newborn Care, Royal Hospital for Women, New South Wales, Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Apgar Score Australian Capital Territory / epidemiology Cesarean Section / utilization Delivery, Obstetric / utilization Fatigue Female Hospital Mortality* Humans Infant Mortality* Infant, Newborn Infant, Premature Intensive Care Units, Neonatal / manpower, statistics & numerical data* Male New South Wales / epidemiology Patient Admission* Personnel Staffing and Scheduling Risk Factors Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prolonged indomethacin exposure is associated with decreased white matter injury detected with magne...
Next Document: Cost-effectiveness of neonatal extracorporeal membrane oxygenation based on 7-year results from the ...