测量中晚期早产儿的护理质量。
Measuring quality of care in moderate and late preterm infants.
机构信息
Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Leonard Davis Institute of Health Economics, Philadelphia, PA, USA.
出版信息
J Perinatol. 2022 Oct;42(10):1294-1300. doi: 10.1038/s41372-022-01377-7. Epub 2022 Mar 30.
OBJECTIVE
To examine quality measures for moderate and late preterm (MLP) infants.
STUDY DESIGN
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.
RESULT
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).
CONCLUSION
Modest correlation among hospital care measures in two preterm populations suggests the need for MLP-specific care measures.
目的
研究中晚期早产儿（MLP）的质量指标。
研究设计
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。
结果
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。
结论
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。
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