Document Detail

Place of birth and variations in management of late preterm ("near-term") infants.
MedLine Citation:
PMID:  16549213     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The purpose of this study is to characterize variations in management late preterm infants because such variations in such a large group of neonates would have economic and health implications. METHODS: Comparison of the use of illustrative management approaches and gestational age at discharge among infants born at 33 to 34 6/7 weeks and discharged alive from 10 Massachusetts and California NICUs. RESULTS: Generally similar in birth weight and admission severity, significant differences were seen in illustrative interventions, such as the use of mechanical ventilation (range in use across hospitals from 9% to 43%) and nutritional practices (use of hyperalimentation ranged from 5% to 66%). Variations in average daily weight gain were seen with some infants averaging net losses. Postmenstrual age at discharge varied by a week between the hospital with the earliest discharge and that with the latest. CONCLUSIONS: Care for these infants would be improved by further examination of their needs and the establishment of practice guidelines to reduce unneeded variation.
Marie C McCormick; Gabriel J Escobar; Zheng Zheng; Douglas K Richardson
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Seminars in perinatology     Volume:  30     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-03-21     Completed Date:  2006-08-16     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  44-7     Citation Subset:  IM    
Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA 02115, USA.
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MeSH Terms
Evidence-Based Medicine
Infant, Newborn
Infant, Premature*
Intensive Care Units, Neonatal / statistics & numerical data*
Length of Stay / statistics & numerical data*
Perinatal Care / methods*
Grant Support
R01-HS 10131/HS/AHRQ HHS

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