美国先进新生儿护理机构中捐赠人乳项目的流行情况和预测因素。
Prevalence and predictors of donor milk programs among U.S. advanced neonatal care facilities.
机构信息
Department of Pediatrics, Boston Medical Center, 88 East Newton St. Vose Hall, 3rd Floor, Boston, MA, USA.
Slone Epidemiology Center, Boston University, Boston, MA, USA.
出版信息
J Perinatol. 2020 Apr;40(4):672-680. doi: 10.1038/s41372-020-0620-6. Epub 2020 Feb 26.
OBJECTIVE
(1) Determine national prevalence and predictors of donor milk programs among levels 2-4 advanced neonatal care facilities; (2) describe characteristics of donor milk programs.
STUDY DESIGN
We randomly selected 120 U.S. hospitals with levels 2-4 advanced neonatal care facilities among each of four U.S. regions and surveyed the medical directors from July 2017 to November 2017 regarding donor milk use. We weighted responses according to the number of birthing hospitals in each region.
RESULTS
Response rate was 213/480 (44%). Twenty-eight percent of level 2 and 88% of levels 3 and 4 neonatal care facilities had donor milk programs. Donor milk programs occurred more often in the South vs. Northeast (aOR 3.7 [1.1, 12.5] and less often in safety-net hospitals (≥75% Medicaid patients) vs. nonsafety-net hospitals (aOR 0.3 [0.1, 0.8]).
CONCLUSION
In 2017, the vast majority of levels 3 and 4 neonatal care facilities had donor milk programs but disparities existed according to the safety-net hospital status and region.
目的
（1）确定 2-4 级高级新生儿护理机构的供体奶计划的全国流行率和预测因素；（2）描述供体奶计划的特点。
研究设计
我们随机选择了美国四个地区的每个地区的 120 家拥有 2-4 级高级新生儿护理设施的美国医院，并于 2017 年 7 月至 2017 年 11 月对其医疗主任进行了关于使用供体奶的调查。我们根据每个地区的分娩医院数量对回复进行了加权。
结果
回复率为 213/480（44%）。28%的 2 级和 88%的 3 级和 4 级新生儿护理设施有供体奶计划。供体奶计划在南部比东北部更常见（aOR 3.7 [1.1, 12.5]），在安全网医院（≥75%的医疗补助患者）比非安全网医院（aOR 0.3 [0.1, 0.8]）更少见。
结论
2017 年，绝大多数 3 级和 4 级新生儿护理设施都有供体奶计划，但根据安全网医院的状况和地区存在差异。
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