Comparison of short-term outcomes of 35-weeks’ gestation infants cared for in a level II NICU vs mother-baby, a retrospective study

Weimer, Kristin E. D.; Bidegain, Margarita; Shaikh, Sophie K.; Couchet, P.; Tanaka, David; Athavale, Kamlesh

doi:10.3233/npm-221015

Cited by 2 publications

(7 citation statements)

References 29 publications

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“…The studies included in this systematic review highlight potential characteristics contributing to increased readmission rates in LPT infants. The studies took place across the United States and internationally in Croatia, Canada, South Korea, Turkey, and England (Aliaga et al, 2014; Amsalu et al, 2022; Celik et al, 2013; Hwang et al, 2013; Isayama et al, 2020; Jang & Ju, 2020; Kardum et al, 2022; Moyer et al, 2014; Speer et al, 2021; Weimer et al, 2022; Young et al, 2013). Most of the studies were multicenter studies including two or more centers.…”

Section: Resultsmentioning

confidence: 99%

“…All of the studies that reviewed readmission of LPT infants did so during the first 28–30 days of life. Most of the studies examined LOS and its impact on readmission rates, which showed an inverse relationship with increased readmission rates (Aliaga et al, 2014; Celik et al, 2013; Moyer et al, 2014; Weimer et al, 2022; Young et al, 2013). Length of stay was increased with cesarean birth versus vaginal birth among LPT infants in the study by Hwang et al (2013).…”

Section: Resultsmentioning

confidence: 99%

“…The evidence suggests that LPT infants are twice as likely to be readmitted to the hospital as term infants and increased LOS is associated with a decreased readmission rate in LPT infants (Celik et al, 2013; Isayama et al, 2020; Moyer et al, 2014; Weimer et al, 2022). Supplemental Digital Content 2 (Appendix 2, http://links.lww.com/JAANP/A286) includes a detailed summary of the readmission rates, reasons for readmission, LOS, cost, and practice variation.…”

Section: Resultsmentioning

confidence: 99%

“…Of interest it was found that early discharge of LPT infants is not associated with cost savings; however, LPT infant readmission is associated with increased cost to both the hospital and the patient (Isayama et al, 2020; Speer et al, 2021). Hyperbilirubinemia or jaundice is the most frequent reason for readmission in LPT infants across studies (Amsalu et al, 2022; Celik et al, 2013; Isayama et al, 2020; Moyer et al, 2014; Speer et al, 2021; Weimer et al, 2022; Young et al, 2013). Feeding difficulty, respiratory infection, hypothermia, and infection are other most common reasons for hospital readmission aside from hyperbilirubinemia (Amsalu et al, 2022; Celik et al, 2013; Kardum et al, 2022; Moyer et al, 2014; Weimer et al, 2022; Young et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…Hyperbilirubinemia or jaundice is the most frequent reason for readmission in LPT infants across studies (Amsalu et al, 2022; Celik et al, 2013; Isayama et al, 2020; Moyer et al, 2014; Speer et al, 2021; Weimer et al, 2022; Young et al, 2013). Feeding difficulty, respiratory infection, hypothermia, and infection are other most common reasons for hospital readmission aside from hyperbilirubinemia (Amsalu et al, 2022; Celik et al, 2013; Kardum et al, 2022; Moyer et al, 2014; Weimer et al, 2022; Young et al, 2013). There is an inverse relationship between hospital practice variation and readmission rates as well (Aliaga et al, 2014; Hwang et al, 2013; Kardum et al, 2022; Weimer et al, 2022; Young et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

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Characteristics of late preterm infant readmissions: A systematic review

Joyner,

Papermaster,

Champion

2024

J Am Assoc Nurse Pract

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Background: Prematurity represents a critical health disparity. It is important to note that late preterm (LPT) infants comprise the majority of preterm births, yet they are the least studied within the premature population. Evidence-based practice guidelines are now a decade old, indicating the potential need for review and revision. Objectives: This systematic review proposed the assessment of sociodemographic characteristics of LPT infants, clinical practice standards, and associated hospital readmission rates, mortality, and morbidity to determine the need for revision of evidence-based practice guidelines for these infants. Data Sources: The Preferred Reporting System Items for Systematic Reviews and Meta Analysis methodology provided the framework for the completion of this review. Literature searches of PubMed/Medline (Ovid), Web of Science, Cumulative Index of Nursing, and Allied Health Literature Plus databases and citation searches included articles published after 2012 using the search terms “late preterm infants,” “readmissions,” and “readmission rates.” Conclusions: The literature search identified 11 studies meeting search criteria. These studies included quasi experimental, retrospective, and prospective cohort studies. These studies highlighted the characteristics of LPT infants that potentially contribute to increased readmission rates, morbidity and mortality rates, health care costs, and long-term health inequities. Overall findings indicate the need for review and revision of evidence-based practice guidelines for these infants. Implications for practice: This systematic review manifests the vulnerability of LPT infants and the accompanying need for up-to-date clinical practice guidelines to effectively reduce their morbidity and mortality rates, hospital readmissions rates, and burden of health care costs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Characteristics of late preterm infant readmissions: A systematic review

Joyner,

Papermaster,

Champion

2024

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

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Variation in Length of Stay by Level of Neonatal Care Among Moderate and Late Preterm Infants

Ismail,

Markowsky,

Adusei-Baah

et al. 2023

Hospital Pediatrics

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BACKGROUND AND OBJECTIVES: Moderate and late preterm infants are a growing subgroup of neonates with increased care needs after birth, yet standard protocols are lacking. We aim to describe variation in length of stay (LOS) by gestational age (GA) across hospitals within the same level of neonatal care and between different levels of neonatal care. METHODS: Retrospective cohort study of hospitalizations for moderate (32–33 weeks GA) and late (34–36 weeks GA) preterm infants in 2019 Kid’s Inpatient Database. We compared adjusted LOS in this cohort and evaluated variation within hospitals of the same level and across different levels of neonatal care. RESULTS: This study includes 217 051 moderate (26.2%) and late (73.8%) preterm infants from level II (19.7%), III (66.3%), and IV (11.1%) hospitals. Patient-level (race and ethnicity, primary payor, delivery type, multiple gestation, birth weight) and hospital-level (birth region, level of neonatal care) factors were significantly associated with LOS. Adjusted mean LOS varied for hospitals within the same level of neonatal care with level II hospitals showing the greatest variability among 34- to 36- week GA infants when compared with level III and IV hospitals (P < .01). LOS also varied significantly between levels of neonatal care with the greatest variation (0.9 days) seen in 32-week GA between level III and level IV hospitals. CONCLUSIONS: For moderate and late preterm infants, the level of neonatal care was associated with variation in LOS after adjusting for clinical severity. Hospitals providing level II neonatal care showed the greatest variation and may provide an opportunity to standardize care.

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Comparison of short-term outcomes of 35-weeks’ gestation infants cared for in a level II NICU vs mother-baby, a retrospective study

Cited by 2 publications

References 29 publications

Characteristics of late preterm infant readmissions: A systematic review

Characteristics of late preterm infant readmissions: A systematic review

Variation in Length of Stay by Level of Neonatal Care Among Moderate and Late Preterm Infants

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