| Place of birth and variations in management of late preterm ("near-term") infants. | |
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MedLine Citation:
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PMID: 16549213 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Marie C McCormick; Gabriel J Escobar; Zheng Zheng; Douglas K Richardson |
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Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Seminars in perinatology Volume: 30 ISSN: 0146-0005 ISO Abbreviation: Semin. Perinatol. Publication Date: 2006 Feb |
Date Detail:
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Created Date: 2006-03-21 Completed Date: 2006-08-16 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7801132 Medline TA: Semin Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 44-7 Citation Subset: IM |
Affiliation:
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Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA 02115, USA. mmccormi@hsph.harvard.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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California Evidence-Based Medicine Humans Infant, Newborn Infant, Premature* Intensive Care Units, Neonatal / statistics & numerical data* Length of Stay / statistics & numerical data* Massachusetts Perinatal Care / methods* |
| Grant Support | |
ID/Acronym/Agency:
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R01-HS 10131/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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