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Transition to a Safe Home Sleep Environment for the NICU Patient.
Goodstein, Michael H; Stewart, Dan L; Keels, Erin L; Moon, Rachel Y.
Afiliación
  • Goodstein MH; Division of Newborn Services, WellSpan Health, York, Pennsylvania mgoodstein@wellspan.org.
  • Stewart DL; Department of Pediatrics, College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania.
  • Keels EL; Department of Pediatrics, Norton Children's and School of Medicine, University of Louisville, Louisville, Kentucky.
  • Moon RY; National Association of Neonatal Nurse Practitioners, National Association of Neonatal Nurses, Chicago, Illinois.
Pediatrics ; 148(1)2021 07.
Article en En | MEDLINE | ID: mdl-34155134
Of the nearly 3.8 million infants born in the United States in 2018, 8.3% had low birth weight (ie, weight <2500 g) and 10% were born preterm (ie, gestational age of <37 weeks). Ten to fifteen percent of infants (approximately 500 000 annually), including low birth weight and preterm infants and others with congenital anomalies, perinatally acquired infections, and other diseases, require admission to a NICU. Every year, approximately 3600 infants in the United States die of sudden unexpected infant death (SUID), including sudden infant death syndrome (SIDS), unknown and undetermined causes, and accidental suffocation and strangulation in an unsafe sleep environment. Preterm and low birth weight infants are 2 to 3 times more likely than healthy term infants to die suddenly and unexpectedly. Thus, it is important that health care professionals prepare families to maintain their infant in a safe home sleep environment as per recommendations of the American Academy of Pediatrics. Medical needs of the NICU infant often require practices such as nonsupine positioning, which should be transitioned as soon as medically possible and well before hospital discharge to sleep practices that are safe and appropriate for the home environment. This clinical report outlines the establishment of appropriate NICU protocols for the timely transition of these infants to a safe home sleep environment. The rationale for these recommendations is discussed in the accompanying technical report "Transition to a Safe Home Sleep Environment for the NICU Patient," included in this issue of Pediatrics.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Sueño / Muerte Súbita del Lactante / Recién Nacido de Bajo Peso / Recien Nacido Prematuro / Unidades de Cuidado Intensivo Neonatal / Protocolos Clínicos Tipo de estudio: Etiology_studies / Guideline / Risk_factors_studies Límite: Humans / Newborn Idioma: En Revista: Pediatrics Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Sueño / Muerte Súbita del Lactante / Recién Nacido de Bajo Peso / Recien Nacido Prematuro / Unidades de Cuidado Intensivo Neonatal / Protocolos Clínicos Tipo de estudio: Etiology_studies / Guideline / Risk_factors_studies Límite: Humans / Newborn Idioma: En Revista: Pediatrics Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos