Department of Pediatrics, University of Colorado School of Medicine; Children's Hospital Colorado, Aurora, CO.
Department of Pediatrics, Northwestern University Feinberg School of Medicine; Ann & Robert H. Lurie Children's Hospital, Chicago, IL.
Neoreviews. 2024 Oct 1;25(10):e634-e647. doi: 10.1542/neo.25-10-e634.
The Children's Hospitals Neonatal Consortium (CHNC), established in 2010, seeks to improve care for infants with medically and surgically complex conditions who are cared for in level IV regional children's hospital NICUs across North America. Through patient-level individual data collection, comparative benchmarking, and multicenter quality improvement work, CHNC has contributed to knowledge and improved outcomes, leveraging novel collaborations between and across institutions. Focusing on antenatal and inpatient care for infants with surgical conditions including congenital diaphragmatic hernia, gastroschisis, and necrotizing enterocolitis, we summarize the progress made in these infants' care. We highlight the ways in which CHNC has enabled multidisciplinary and multicenter collaborations through the facilitation of diagnosis-specific focus groups, which enable comparative observations of outcomes through quality improvement and research initiatives. Finally, we review the importance of postbirth hospitalization needs of these infants and the application of telemedicine in this population.
儿童医院新生儿联盟（CHNC）成立于 2010 年，旨在改善在北美四级区域儿童医院 NICU 接受治疗的患有医学和外科复杂疾病的婴儿的护理。通过患者层面的个体数据收集、比较基准测试和多中心质量改进工作，CHNC 为知识和改善结果做出了贡献，利用了机构之间和机构内部的新合作。专注于患有先天性膈疝、腹裂和坏死性小肠结肠炎等外科疾病的婴儿的产前和住院护理，我们总结了这些婴儿护理方面的进展。我们强调了 CHNC 通过促进特定于诊断的焦点小组来实现多学科和多中心合作的方式，这些小组通过质量改进和研究计划实现了对结果的比较观察。最后，我们回顾了这些婴儿出生后住院需求的重要性以及远程医疗在该人群中的应用。
