Ohnstad Mari Oma, Stensvold Hans Jørgen, Pripp Are Hugo, Tvedt Christine Raaen, Jelsness-Jørgensen Lars-Petter, Astrup Henriette, Eriksen Beate Horsberg, Lunnay Mai Linn, Mreihil Khalaf, Pedersen Tanja, Rettedal Siren Irene, Selberg Terje Reidar, Solberg Rønnaug, Støen Ragnhild, Rønnestad Arild Erland
Department of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway.
Faculty of Medicine, University of Oslo, Oslo, Norway.
Front Pediatr. 2023 Mar 17;11:1090701. doi: 10.3389/fped.2023.1090701. eCollection 2023.
The objective was to explore whether high workloads in neonatal intensive care units were associated with short-term respiratory outcomes of extremely premature (EP) infants born <26 weeks of gestational age.
This was a population-based study using data from the Norwegian Neonatal Network supplemented by data extracted from the medical records of EP infants <26 weeks GA born from 2013 to 2018. To describe the unit workloads, measurements of daily patient volume and unit acuity at each NICU were used. The effect of weekend and summer holiday was also explored.
We analyzed 316 first planned extubation attempts. There were no associations between unit workloads and the duration of mechanical ventilation until each infant's first extubation or the outcomes of these attempts. Additionally, there were no weekend or summer holiday effects on the outcomes explored. Workloads did not affect the causes of reintubation for infants who failed their first extubation attempt.
Our finding that there was no association between the organizational factors explored and short-term respiratory outcomes can be interpreted as indicating resilience in Norwegian neonatal intensive care units.
探讨新生儿重症监护病房的高工作量是否与孕周小于26周的极早产儿的短期呼吸结局相关。
这是一项基于人群的研究，使用了挪威新生儿网络的数据，并补充了从2013年至2018年出生的孕周小于26周的极早产儿病历中提取的数据。为描述各病房的工作量，采用了每个新生儿重症监护病房每日患者数量和病房 acuity 的测量值。还探讨了周末和暑假的影响。
我们分析了316次首次计划拔管尝试。在每个婴儿首次拔管前，病房工作量与机械通气持续时间或这些尝试的结局之间没有关联。此外，在所探讨的结局方面没有周末或暑假效应。工作量并未影响首次拔管尝试失败的婴儿再次插管的原因。
我们的研究发现，所探讨的组织因素与短期呼吸结局之间没有关联，这可以解释为挪威新生儿重症监护病房具有恢复力。
