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Association of unit size, resource utilization and occupancy with outcomes of preterm infants.
- Source :
- Journal of Perinatology; Jul2015, Vol. 35 Issue 7, p522-529, 8p, 2 Diagrams, 3 Charts
- Publication Year :
- 2015
-
Abstract
- Objective:Assess association of NICU size, and occupancy rate and resource utilization at admission with neonatal outcome.Study Design:Retrospective cohort study of 9978 infants born at 23-32 weeks gestation and admitted to 23 tertiary-level Canadian NICUs during 2010-2012. Adjusted odds ratios (AOR) were estimated for a composite outcome of mortality/any major morbidity with respect to NICU size, occupancy rate and intensity of resource utilization at admission.Results:A total of 2889 (29%) infants developed the composite outcome, the odds of which were higher for 16-29, 30-36 and >36-bed NICUs compared with <16-bed NICUs (AOR (95% CI): 1.47 (1.25-1.73); 1.49 (1.25-1.78); 1.55 (1.29-1.87), respectively) and for NICUs with higher resource utilization at admission (AOR: 1.30 (1.08-1.56), Q4 vs Q1) but not different according to NICU occupancy.Conclusion:Larger NICUs and more intense resource utilization at admission are associated with higher odds of a composite adverse outcome in very preterm infants. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANALYSIS of variance
CHI-squared test
CONFIDENCE intervals
HOSPITAL utilization
PREMATURE infants
INFANT mortality
LONGITUDINAL method
EVALUATION of medical care
MEDICAL care use
MULTIVARIATE analysis
NEONATAL intensive care
STATISTICS
LOGISTIC regression analysis
DATA analysis
NEONATAL intensive care units
RETROSPECTIVE studies
DATA analysis software
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 07438346
- Volume :
- 35
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Journal of Perinatology
- Publication Type :
- Academic Journal
- Accession number :
- 103427929
- Full Text :
- https://doi.org/10.1038/jp.2015.4