谁在婴儿重症监护室? 一个人口层面的分析分析
Carolyn S Hughes1, Susan Schmitt2,3, Molly Passarella4
1Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
概括
大多数被送往新生儿重症监护室 (NICU) 的婴儿都是满期的,其中许多患有轻度疾病. 这些发现表明,对于一些新生儿来说,在不那么密集的环境中提供护理的潜力.
科学领域:
- 新生儿护理 新生儿护理
- 儿科健康结果的结果.
- 医疗保健利用率 医疗保健利用率
背景情况:
- 新生儿重症监护室 (NICU) 为脆弱的新生儿提供关键护理.
- 了解接受新生婴儿中心治疗的婴儿的特征对于资源分配和护理规划至关重要.
- 之前的研究已经强调了NICU资源日益增加的负担.
研究的目的:
- 为了描述美国新生儿重症监护室 (NICU) 的婴儿.
- 根据妊娠年龄,出生体重和病情严重程度,分析NICU入院的趋势.
- 评估可能在替代环境中管理的NICU入院比例.
主要方法:
- 利用链接的出生证明和2006-2014年的医院出院数据,用于宾夕法尼亚州和南卡罗来纳州的潜在可行的分娩.
- 使用收入代码识别NICU招生.
- 根据妊娠年龄 (GA),出生体重和病情严重程度 (GA 35周以上) 分类NICU入院婴儿,并分析了总患者日数和趋势.
主要成果:
- 在所有婴儿中,有12%的婴儿被送入新生儿重症监护室.
- 患有GA < 32周的婴儿占入院人数的13.6%,但占NICU总日数的45.3%.
- 患有GA 37周以上的婴儿占入院病例的50.4%,所有NICU入院病例的20%为患有轻度疾病的35周以上婴儿. 新生病重症监护室的入院率从2006年的11.2%增加到2014年的13.0%.
结论:
- 大多数NICU的入院是35周及以上妊娠年龄的婴儿.
- 这些入院的很大一部分是对有轻度疾病的新生儿.
- 这些发现表明,一些目前被录取到NICU的婴儿可能会被照顾在健康婴儿单位,优化资源利用.
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