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Single-family room neonatal intensive care unit design: do patient outcomes actually change?
Puumala, Susan E; Rich, Renae K; Roy, Lonnie; Reynolds, Regina; Jimenez, Francesqca E; Opollo, Jackline G; Brittin, Jeri.
Afiliación
  • Puumala SE; HDR, Inc, Omaha, NE, USA. susan.puumala@gmail.com.
  • Rich RK; HDR, Inc, Omaha, NE, USA.
  • Roy L; Parkland Health and Hospital System, Dallas, TX, USA.
  • Reynolds R; Parkland Health and Hospital System, Dallas, TX, USA.
  • Jimenez FE; HDR, Inc, Omaha, NE, USA.
  • Opollo JG; Parkland Health and Hospital System, Dallas, TX, USA.
  • Brittin J; HDR, Inc, Omaha, NE, USA.
J Perinatol ; 40(6): 867-874, 2020 06.
Article en En | MEDLINE | ID: mdl-31911646
OBJECTIVE: This study examined outcomes in a single-family room neonatal intensive care unit (NICU) compared to an open bay within a public safety net hospital. STUDY DESIGN: We included 9995 NICU encounters over 5 years pre and post move for a predominantly low SES population. Outcomes were length of stay (LOS), growth, time to first oral feeding, and incidence of sepsis. Analysis included regression models, interrupted time series, and growth models. RESULTS: LOS decreased over time in preterm infants both pre and post move, but increased post move for term/post-term infants (p < 0.001). First oral feeding decreased over time in both periods. A higher incidence of sepsis was found in the post period for term/post-term infants (p = 0.01). CONCLUSION: Our analysis appropriately accounted for time trends. Few differences were observed. Changes in LOS for term/post-term infants should be further explored as well as the impact of NICU care patterns.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recien Nacido Prematuro / Unidades de Cuidado Intensivo Neonatal Límite: Humans / Infant / Newborn Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recien Nacido Prematuro / Unidades de Cuidado Intensivo Neonatal Límite: Humans / Infant / Newborn Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos