Babata Kikelomo, Rosenfeld Charles R, Jaleel Mambarambath, Burchfield Patti J, Oren Marina Santos, Albert Riya, Steven Brown L, Chalak Lina, Brion Luc P
Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
University of Texas Southwestern Medical School, Dallas, TX, USA.
Pediatr Res. 2024 Oct 21. doi: 10.1038/s41390-024-03624-3.
The importance of a Neonatal Intensive Care Unit (NICU) database lies in its critical role in improving the quality of care for very preterm neonates and other high-risk newborns. These databases contain extensive information regarding maternal exposures, pregnancy complications, and neonatal care. They support quality improvement (QI) initiatives, facilitate clinical research, and track health outcomes in order to identify best practices and improve clinical guidelines. The Parkland Memorial Hospital NICU database was originally part of the Maternal and Neonatal Data Acquisition, Transmission and Evaluation project funded by the Robert Wood Johnson Foundation to assess perinatal-neonatal care in Dallas County Texas, 1977-1982. Clinical data points were defined, transcribed and validated in 1977; revalidation has occurred multiple times. Data are prospectively extracted from health records of high-risk neonates among >11,000 births annually. The database contains clinical information on >50,000 neonates, including all initially admitted to the NICU regardless of gestational age or birthweight and since 10/03/2011, all neonates admitted for observation and transferred to the term newborn nursery. The database has provided the basis for QI studies and research designed to assess and improve neonatal care. We discuss the history, evolution, administration, impact on neonatal outcomes, and future directions of our database. IMPACT: A single neonatal intensive care unit (NICU) database was designed for prospective data collection, validated and maintained for 46yrs. This database has supported quality improvement assessment, original clinical research, education and administrative requirements and impacted clinical neonatal care.
新生儿重症监护病房（NICU）数据库的重要性在于它在提高极早产儿和其他高危新生儿护理质量方面发挥的关键作用。这些数据库包含有关母亲暴露情况、妊娠并发症和新生儿护理的广泛信息。它们支持质量改进（QI）计划，促进临床研究，并跟踪健康结果，以确定最佳实践并改进临床指南。帕克兰纪念医院NICU数据库最初是由罗伯特·伍德·约翰逊基金会资助的孕产妇和新生儿数据采集、传输与评估项目的一部分，该项目旨在评估1977 - 1982年德克萨斯州达拉斯县的围产期 - 新生儿护理情况。临床数据点于1977年定义、转录并验证；多次进行了重新验证。数据前瞻性地从每年超过11000例分娩中的高危新生儿健康记录中提取。该数据库包含超过50000名新生儿的临床信息，包括所有最初入住NICU的新生儿，无论其孕周或出生体重如何，并且自2011年10月3日起，还包括所有因观察而入院并转入足月儿新生儿病房的新生儿。该数据库为旨在评估和改善新生儿护理的QI研究和调查提供了基础。我们讨论了我们数据库的历史、演变、管理、对新生儿结局的影响以及未来方向。影响：设计了一个单一的新生儿重症监护病房（NICU）数据库用于前瞻性数据收集，经过验证并维护了46年。该数据库支持质量改进评估、原创临床研究、教育和管理需求，并对临床新生儿护理产生了影响。
