Duration of hospitalization in extremely preterm infants

Yu, V. Y. H.; Shah, V; Gómez, Jesús María Fernández; McCloud, P. I.

doi:10.1111/j.1440-1754.1991.tb00379.x

Cited by 4 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 The median gestational age at discharge home decreases with increasing gestational age at birth in New South Wales. This confirms the findings of Yu et al 40 in Victoria, Australia, in the 1980s.…”

Section: Discussionsupporting

confidence: 92%

Population‐based study of infants born at less than 28 weeks’ gestation in New South Wales, Australia, in 1992–3

Sutton¹,

Bajuk²,

In³

1999

Paediatric Perinatal Epid

View full text Add to dashboard Cite

The aims of the study were to use the population base of New South Wales (NSW) to study all births from 20 to 27 weeks' gestation in 1992-3 and to compare two data sources for perinatal deaths. The prospective population-based statewide audit (NICUS) of infants admitted to tertiary neonatal intensive care units (NICUs) in NSW was used to collect data on infants less than 28 weeks' gestation registered in 1992-3. This audit also surveyed the 160 obstetric hospitals in NSW to ascertain information on stillbirths and early neonatal deaths in the study period. The NSW midwives data collection (MDC) was the other source of information on stillbirths and labour ward deaths. Data were analysed using SAS. In 1992-3 in NSW 1170 infants were born at 20-27 weeks' gestation. There were 556 stillbirths and 614 live births, of whom 180 (29.3%) died in the labour ward and 434 (70.7%) were admitted to a tertiary NICU. Sixty-six per cent of stillbirths were identified by both data collections, 16.5% by the MDC only and 17% by NICUS only. There was a high major congenital anomaly rate (18.5%) among the stillbirths. Two-thirds of the infants admitted to NICUs survived to 1 year. Information was available on at least one follow-up parameter for 89% (255/288) of the survivors to 12 months (corrected age). Of the 244 infants who had a neurological assessment by a paediatrician, 17% were diagnosed to have cerebral palsy. Eleven per cent of the 239 who had a formal Griffiths developmental assessment had a major intellectual disability. Five (2% of 255) of the 1-year-olds were blind, and 12 (4.7% of 255) had bilateral hearing aids. Seventy-one per cent of the infants examined at 1 year did not have a major disability. For accurate perinatal death data, collection from more than one source is recommended. Infants born at 20-27 weeks' gestation contribute 40% of all stillbirths in NSW, most of the costs of neonatal intensive care as well as the costs of long-term morbidity. In Australia in the early 1990s, the survival of infants born at less than 28 weeks' gestation was best from 26 weeks gestational age onwards. Long-term morbidity did not change from that of earlier cohorts. The most common major disability was cerebral palsy.

show abstract

Section: Discussionsupporting

confidence: 92%

Population‐based study of infants born at less than 28 weeks’ gestation in New South Wales, Australia, in 1992–3

Sutton¹,

Bajuk²,

In³

1999

Paediatric Perinatal Epid

View full text Add to dashboard Cite

show abstract

“…7 The average duration of the length of stay of extremely premature babies (23-28 weeks of gestation) during 1977 to 1986 was 95 days and was inversely proportional to gestational age. 8 A recent large multicenter study of infants, born ≤28 weeks gestation and admitted to one of 12 tertiary US centers between January 1998 and October 2001 showed that 18% of infants had a prolonged length of stay defined as discharge at >42 weeks post-menstrual age. 4 An audit of hospital admissions to children's hospital groups in Ireland showed that of all infants that needed a hospital stay of >1 month, there were 4.4% (19/436) that needed a hospital stay of >6 months with an average stay of 331 days.…”

Section: Discussionmentioning

confidence: 99%

“…Investigation of hospital length of stay to mortality has shown that the majority of neonatal mortality is within the first 1-2 weeks of birth. 8,10 A study by Catlin et al using the KID 2003 data of 680 neonates who stayed ≥180 days reported a mortality rate of 16%. 1 In the present study, 812 neonates stayed for ≥180 days with a mortality rate of 10.9%.…”

Section: Discussionmentioning

confidence: 99%

Neonates with an Extremely Prolonged Length of Stay: An Analysis of Kids Inpatient Database

Totapally,

Hussain,

Raju

2023

Newborn

View full text Add to dashboard Cite

Background: With scientific and technological advances in intensive care, there is an increasing survival rate among neonates with complex medical problems who experience an extremely prolonged length of stay (EPLOS) of ≥180 days in the hospital. Little is known about the antecedents and characteristics of this particular group of neonates. Aim: To characterize the risk factors associated with EPLOS in neonates. Patients and methods: Retrospective study of neonates from the National Hospital Discharge Database for Children, Kids Inpatient Database 2012 (KIDS-2012), maintained by the Healthcare Cost and Utilization Project (HCUP), using data from 4,170 hospitals in 44 states in the US. All neonates with complicated births who were discharged from the hospital other than from the normal newborn nursey during the year 2012 were included. Newborns with uncomplicated hospital stays who were discharged from the normal newborn nursery were excluded. Diagnoses and procedures were retrieved using ICD-9 codes. Descriptive analyses were done to identify incidence and prevalence. Comparisons were made of neonates with EPLOS (LOS ≥180 days) and non-EPLOS (LOS ≤179 days) using univariate and multivariate analyses. Results: A total of 1,314,066 neonates with complicated births discharged from US hospitals in 2012 were included in the analysis. The incidence of EPLOS was 6.2/10,000 (n = 812). On univariate analyses, neonates with EPLOS were more likely to have the following risk factors: Black race, Medicaid insurance, ZIP codes associated with lower median incomes, and born in the South and Midwest regions of the US. Most were neonates who had a surgical procedure done, especially tracheostomy and gastrostomy, being the most common procedures. Conclusion:The occurrence of EPLOS is relatively uncommon among hospitalized neonates. The clinical and demographic characteristics of this subset of complicated neonates are distinct and can be anticipated using prediction models. Prediction models for EPLOS may be important for public policy issues and the proper allocation of healthcare resources.

show abstract