Duration and Time Trends in Hospital Stay for Very Preterm Infants Differ Across European Regions*

Maier, Rolf F.; Blondel, Béatrice; Piedvache, Aurélie; Misselwitz, B.; Petrou, Stavros; Reempts, Patrick Van; Franco, Francesco; Barros, Henrique; Gadzinowski, Janusz; Boerch, Klaus; Heijst, Arno van; Draper, Elizabeth S; Zeitlin, Jennifer

doi:10.1097/pcc.0000000000001756

Cited by 50 publications

(41 citation statements)

References 37 publications

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“…14 Also, a multicentre study carried out in the European region also documented an increased mean LOS of 106.7 days and 105.2 days for infants delivered at 23 weeks and 24 weeks gestation respectively as compared with 42.7 days for infants delivered at 31 weeks gestation. 15 This is not surprising as the duration of hospital stay has been observed to be inversely proportional to the gestational age due to associated medical conditions observed especially in these preterms with decreased gestational age thus requiring a longer hospital stay. 7,15,16 The length of stay of preterm babies admitted in neonatal units vary dramatically as observed in the present study where babies delivered at 24 weeks gestational age had a mean LOS of 62.00±0.00 days which was much shorter than the mean LOS of 120.70 days reported in Saudi Arabia.…”

Section: Discussionmentioning

confidence: 96%

Survival rate and length of stay of preterm babies less than 1500 grams in a neonatal unit in Port Harcourt, Nigeria

West¹

2021

Int J Contemp Pediatr

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Background: The survival rate and length of stay of preterm babies which is usually of concern to both parents and clinicians is critical in counselling parents at the time of admission and also assesses the efficiency of the neonatal unit thus necessitating the present study.Methods: A prospective study carried out over 30 months in the neonatal unit of Rivers State University Teaching Hospital, Nigeria.Results: Of 115 preterm babies <1500 gm studied, commonest gestational age and birth weight were 30 weeks 25 (21.7%) and 1000-1199 gm, 35 (30.4%) respectively. There were 100% survival rates for preterms delivered at 31 weeks, 33 weeks, 34 weeks and 36 weeks gestation; 0% survival at 25 weeks and 25% at 24 weeks and 26 weeks gestation. Survival rate was highest among birth weight 1400-1499 gm (89.2%) and lowest with birth weight <1000 gm (30.4%). Length of stay was longest with gestational age of 24 weeks (62.00±0.00 days) and birth weight <1000 gm (57.71±9.96 days) and shortest for gestational age of 35 weeks (20.00±0.00 days) and birth weights 1400-1499 gm (31.92±12.12 days). Survival status was significantly associated with gestational age and birth weight, p value <0.0001. Preterms with early onset sepsis and severe anaemia were significantly associated with length of stay, p value <0.05.Conclusions: The survival rate of preterms <1500 gm increase with increasing gestational age and birth weights while the length of stay increase with decreasing gestational age and birth weight. These findings will therefore form part of the counselling given to parents/caregivers during admission of their preterm babies.

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Section: Discussionmentioning

confidence: 96%

Survival rate and length of stay of preterm babies less than 1500 grams in a neonatal unit in Port Harcourt, Nigeria

West¹

2021

Int J Contemp Pediatr

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“…Our study shows that during hospitalization, preterm neonates with good nutritional status were decreased from 159 (83.68%) to 104 (54.75%), and undernourished neonates were increased from 31 (16.32%) to 86 (45.36%) at discharge. Compared to another study by Fenton in 2013, in Calgary, Regina and San Diego found the number of undernourished neonates was increased from 11% to 31% after two weeks of hospitalization (Fenton et al, 2013;Hintz et al, 2010;Lee et al, 2018;Maier et al, 2018). The inadequate improvement of nutritional status in the preterm neonates due to multifactorial, including nutritional support during treatment, the morbidity of preterm neonates, and complex interactions of genetic and environmental (Martins-Celeni et al, 2018).…”

Section: Discussionmentioning

confidence: 94%

Nutritional status of preterm neonates at discharge in sanglah hospital

Wijaya

Sukmawati

Putra

et al. 2020

ijhs

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The purpose of this study was to determine the nutritional status of preterm neonates when discharged from the hospital. A descriptive study was reviewed from the register of preterm neonate after hospitalization in neonatal ward Sanglah Hospital Denpasar. The number of total samples in this study was 190 patients. Most of the preterm neonates in this study were low birth weight (59.47%). At the beginning of the hospitalization, there were 83.86% preterm neonates with good nutritional status, decreased to 54.73% at discharge from the hospital. The group of neonates that had the highest number of decreases in the good nutritional status at discharge was found in 28-32 weeks gestational age. Most of the samples used breast milk for enteral feeding (68,42%). In preterm neonates with sepsis, only 42.52% neonates discharge with good nutritional status. Low birth weight preterm neonates with kangaroo method care were found increased weight gain in 78.57% neonates. The nutritional status of preterm neonates following hospitalization at Sanglah hospital is still not good. The preterm neonates with good nutritional status were decreased at discharge from the hospital.

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“…In addition, we observed an unusually high proportion of unplanned use of health services in the month after discharge. Our sample included mostly European, married, and highly educated women, which corresponds to sociodemographics of parents in other European reports 29,30 . Their overall discharge readiness scores indicated that they felt ready for discharge overall, which is congruent with the current scientific literature 2,31 .…”

Section: Discussionmentioning

confidence: 99%

Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study

Rio

Tenthorey

Ramelet

2021

Australian Critical Care

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Background Discharge teaching has been positively associated with discharge readiness in various care settings and patient types. Association of discharge readiness with unplanned use of health services has not received as much attention in the neonatal intensive care unit (NICU) population, but has been negatively associated in parents of older children. Objectives The objective of the study was to describe and assess relationships between maternal readiness for neonates' discharge, discharge teaching, and unplanned use of health services after discharge from an NICU. Methods Mothers from an NICU of a tertiary referral hospital in Switzerland completed the "Readiness for Hospital Discharge Scale" and the "Quality of Discharge Teaching Scale parental forms" in the 24 h preceding discharge. Telephone interviews evaluating the unplanned use of health services were conducted 28 days after discharge. Simple linear regressions and multiple regressions were used to explore the links between the readiness, perceived quality of discharge, and unplanned use of health services. Results Of the 71 participants, 75% (n = 53%) felt ready for discharge when asked directly, and for 60% (n = 42) of them, the amount of discharge teaching received was equal to or higher than that needed, but with high heterogeneity in scores. For 38% of mothers (n = 27), the expected support from the medical care of their child after discharge was deemed insufficient. In the month after discharge, unplanned use of health services occurred in 46% of the participants (n = 32). Perceived quality of teaching positively predicted readiness for discharge (R 2 = 0.24, p = 0.0004). Unplanned use of health services correlated neither with readiness nor with perceived teaching quality. Conclusions At discharge, mothers felt mostly ready and well prepared to go home. In the month after discharge, almost half used health services in an unplanned manner. Further exploration of reasons leading to this high rate of postdischarge healthcare utilisation is warranted.

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Duration and Time Trends in Hospital Stay for Very Preterm Infants Differ Across European Regions*

Abstract: Supplemental Digital Content is available in the text.

Cited by 50 publications

References 37 publications

Survival rate and length of stay of preterm babies less than 1500 grams in a neonatal unit in Port Harcourt, Nigeria

Survival rate and length of stay of preterm babies less than 1500 grams in a neonatal unit in Port Harcourt, Nigeria

Nutritional status of preterm neonates at discharge in sanglah hospital

Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study

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