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社会人口特征与新生儿住院时间的关系。

Associations between sociodemographic characteristics and neonatal length of the stay.

机构信息

Wayne State University School of Medicine, Detroit, MI, USA.

American Hospital Association, Chicago, IL, USA.

出版信息

J Perinatol. 2024 Jun;44(6):851-856. doi: 10.1038/s41372-024-01976-6. Epub 2024 May 21.

Abstract

BACKGROUND

Infants with past NICU admission have a significantly higher risk of developing neurodevelopmental disorders. Studies have demonstrated an iatrogenic effect of the NICU environment on neurodevelopmental outcomes, even while accounting for physical factors. It is, therefore, critical that an infant's LOS is driven by physical needs versus sociodemographic barriers.

METHODS

We leveraged electronic health records and a backward selection regression model to explore physical and sociodemographic predictors of infant LOS.

RESULTS

Our results demonstrated that physical predictors (birthweight and ventilator use) accounted for the majority of variance in our model but that a sociodemographic predictor, mean visits per day, was also significant.

CONCLUSIONS

Infants who were visited more frequently experienced a shorter LOS, possibly due to increased parental involvement resulting in more individualized care and directly impacting infant stability and morbidity. By supporting visitation, we can reduce the costs of lengthy NICU hospitalizations while improving infant and parent health and well-being.

摘要

背景

有新生儿重症监护病房住院史的婴儿患神经发育障碍的风险显著增加。研究表明,新生儿重症监护病房的环境对神经发育结果有医源性影响,即使考虑到了身体因素也是如此。因此,关键是要根据婴儿的身体需求而不是社会人口障碍来决定其住院时间长短。

方法

我们利用电子健康记录和向后选择回归模型来探讨婴儿 LOS 的身体和社会人口预测因素。

结果

我们的结果表明,身体预测因素(出生体重和呼吸机使用)在我们的模型中占了大部分,但社会人口预测因素,即每天的平均就诊次数,也很重要。

结论

接受更频繁探视的婴儿住院时间更短,这可能是由于父母更多地参与,导致了更个性化的护理,直接影响了婴儿的稳定性和发病率。通过支持探视,我们可以降低长时间新生儿重症监护病房住院的费用,同时改善婴儿和父母的健康和福祉。

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