Neonatal intensive care unit occupancy rate and probability of discharge of very preterm infants

被引:2
作者
Beltempo, Marc [1 ]
Sargi, Elyonora [2 ]
Patel, Sharina [1 ,2 ]
Lacroix, Guy [3 ]
Lapointe, Anie [4 ]
Taylor-Ducharme, Sharon [2 ]
Morin, Stephane [5 ]
Bizgu, Victoria [6 ]
Piedboeuf, Bruno [3 ]
机构
[1] McGill Univ, Montreal Childrens Hosp, Div Neonatol, Hlth Ctr, Montreal, PQ, Canada
[2] McGill Univ, Montreal, PQ, Canada
[3] Univ Laval, Quebec City, PQ, Canada
[4] Hop St Justine, Div Neonatol, Montreal, PQ, Canada
[5] Ctr Hosp Univ Sherbrooke, Div Neonatol, Sherbrooke, PQ, Canada
[6] Jewish Gen Hosp, Div Neonatol, Montreal, PQ, Canada
关键词
LENGTH-OF-STAY; OUTCOMES; ASSOCIATION; BORN;
D O I
10.1038/s41372-022-01596-y
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To assess the association of NICU occupancy with probability of discharge and length of stay (LOS) among infants born < 33 weeks gestational age (GA). Study design: Retrospective study of 3388 infants born 23-32 weeks GA, admitted to five Level 3/4 NICUs (2014-2018) and discharged alive. Standardized ratios of observed-to-expected number of discharges were calculated for each quintile of unit occupancy. Multivariable linear regression models were used to assess the association between occupancy and LOS. Results: At the lowest unit occupancy quintiles (Q1 and Q2), infants were 12% and 11% less likely to be discharged compared to the expected number. At the highest unit occupancy quintile (Q5), infants were 20% more likely to be discharged. Highest occupancy (Q5) was also associated with a 4.7-day (95% CI 1.7, 7.7) reduction in LOS compared Q1. Conclusion: NICU occupancy was associated with likelihood of discharge and LOS among infants born < 33 weeks GA.
引用
收藏
页码:490 / 495
页数:6
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