Back transport of neonates: effect on hospital length of stay.
Back transport of neonates: effect on hospital length of stay.
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DOI：
10.1038/sj.jp.7211391
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发表时间：
2005-11-01
期刊：
影响因子：
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通讯作者：
Bratton, Susan L
中科院分区：
文献类型：
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作者：
Attar, Mohammad A;Lang, Sylvia W;Bratton, Susan L
简介：在一个区域化的围产期系统中，恢复中的新生儿可能会从区域新生儿重症监护室（NICU）返回到离他们住所更近的社区医院，以便在出院前康复。目的：本研究评估新生儿返回运输的做法对生长和总住院时间的影响。我们进行了一项回顾性研究，比较了从地区NICU返回到II级托儿所进行康复护理（BT）的婴儿的住院时间（LOS），与LOS的婴儿资格返回运输出院回家的区域中心（RC）。BT婴儿（n=104）出生体重较低（中位数; 1955 vs 2700 g，p=0.001），更频繁地需要机械通气（84 vs 65%，p=0.002）和肠外营养（71%对55%，p=0.013），由专科医生评估的频率较低（20%对59%，p=0.0001），总LOS时间较长（中位数; 20%对11天，p
INTRODUCTION: In a regionalized perinatal system, recovering neonates may be back transported from a regional Neonatal Intensive Care Unit (NICU) to community hospitals closer to their residence to convalesce prior to hospital discharge.OBJECTIVE: This study evaluates the practice of neonatal back transport for growth and the duration of total hospitalization.METHODS: We conducted a retrospective study comparing length of stay (LOS) for infants back transported from a regional NICU to a level II nursery for convalescent care (BT), with LOS for infants eligible for back transport discharged home from the Regional Center (RC).RESULTS: A total of 221 infants were studied. BT infants (n=104) had lower birth weights (median; 1955 vs 2700 g, p=0.001), more frequently needed mechanical ventilation (84 vs 65%, p=0.002) and parenteral nutrition (71 vs 55%, p=0.013), less frequently were evaluated by subspecialists (20 vs 59% p=0.0001), and had longer total LOS (median; 20 vs 11 days, p