Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Leonard Davis Institute of Health Economics, Philadelphia, PA, USA.
J Perinatol. 2022 Oct;42(10):1294-1300. doi: 10.1038/s41372-022-01377-7. Epub 2022 Mar 30.
To examine quality measures for moderate and late preterm (MLP) infants.
By prospectively analyzing Vermont Oxford Network's all NICU admissions database, we adapted Baby-MONITOR, a composite quality measure for extremely/very preterm infants, for MLP infants. We examined correlations between the adapted MLP quality measure (MLP-QM) in MLP infants and Baby-MONITOR in extremely and very preterm infants.
We studied 376,219 MLP (30-36 weeks GA) and 57,595 extremely/very preterm (25-29 weeks GA) infants from 465 U.S. hospitals born from 2016 to 2020. MLP-QM summary scores in MLP infants had weak correlation with Baby-MONITOR scores in extremely and very preterm infants (r = 0.47). There was weak correlation among survival (r = 0.19), no pneumothorax (r = 0.35), and no infection after 3 days (r = 0.45), but strong correlation among human milk at discharge (r = 0.79) and no hypothermia (r = 0.76).
Modest correlation among hospital care measures in two preterm populations suggests the need for MLP-specific care measures.
研究中晚期早产儿（MLP）的质量指标。
通过前瞻性分析 Vermont Oxford Network 的所有新生儿重症监护病房（NICU）入院数据库，我们对适用于极早产/非常早产婴儿的复合质量指标 Baby-MONITOR 进行了调整，使其适用于 MLP 婴儿。我们研究了调整后的 MLP 质量指标（MLP-QM）与极早产/非常早产婴儿的 Baby-MONITOR 之间的相关性。
我们研究了 2016 年至 2020 年间来自美国 465 家医院的 376,219 名 MLP（30-36 周 GA）和 57,595 名极早产/非常早产（25-29 周 GA）婴儿。MLP 婴儿的 MLP-QM 综合评分与极早产/非常早产婴儿的 Baby-MONITOR 评分相关性较弱（r=0.47）。存活率（r=0.19）、无气胸（r=0.35）和 3 天后无感染（r=0.45）之间相关性较弱，但人乳出院率（r=0.79）和无低体温（r=0.76）之间相关性较强。
两个早产儿群体中医院护理措施之间存在适度相关性，表明需要制定特定于 MLP 的护理措施。
