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Variations in length of stay among survived very preterm infants admitted to Chinese neonatal intensive care units

查看全文 作　　者：Min [1]Zhang;Yan-Chen [2]Wang;Jin-Xing [3]Feng;Ai-Zhen [3]Yu;Jing-Wei [1]Huang;Si-Yuan [2,4]Jiang;Xin-Yue [2]Gu;Jian-Hua [5]Sun;Yun [2,4]Cao;Wen-Hao [2,4]Zhou;Shoo [6,7]KLee;Li-Li [1]Wang;Rong [4]Yin 高影响力作者 机构地区：[1]Division of Neonatology,The First Affiliated Hospital of Anhui Medical University,No.218,Jixi Road,Shushan District,Hefei 230022,China;[2]NHC Key Laboratory of Neonatal Diseases,Fudan University,Children's Hospital of Fudan University,Shanghai 201102,China;[3]Division of Neonatology,Shenzhen Children's Hospital,Shenzhen 518038,China;[4]Division of Neonatology.Children's Hospital of Fudan University,399 Wanyuan Road,Minhang District,Shanghai 201102,China;[5]Division of Neonatology,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;[6]Maternal-Infants Care Research Centre and Department of Pediatrics,Mount Sinai Hospital,Toronto,ON M5G 1X5.Canada;[7]Professor Emeritus,University of Toronto.Toronto,ON M5T 3M7,Canada高影响力机构 出　　处：《World Journal of Pediatrics》索引2022年第18卷第2期,共9页高影响力期刊 基　　金：funded by the Canadian Institutes of Health Research(CTP87518 to Shoo K.Lee). 摘　　要：Background This study aimed to describe length of stay(LOS)to discharge and site variations among very preterm infants(VPIs)admitted to 57 Chinese neonatal intensive care units(NICUs)and to investigate factors associated with LOS for VPIs.Methods This retrospective multicenter cohort study enrolled all infants<32 weeks’gestation and admitted to 57 NICUs which had participated in the Chinese Neonatal Network,within 7 days after birth in 2019.Exclusion criteria included major congenital anomalies,NICU deaths,discharge against medical advice,transfer to non-participating hospitals,and missing discharge date.Two multivariable linear models were used to estimate the association of infant characteristics and LOS.Results A total of 6580 infants were included in our study.The overall median LOS was 46 days[interquartile range(IQR):35-60],and the median corrected gestational age at discharge was 36 weeks(IQR:35-38).LOS and corrected gestational age at discharge increased with decreasing gestational age.The median corrected gestational age at discharge for infants at 24 weeks,25 weeks,26 weeks,27-28 weeks,and 29-31 weeks were 41 weeks,39 weeks,38 weeks,37 weeks and 36 weeks,respectively.Significant site variation of LOS was identified with observed median LOS from 33 to 71 days in different hospitals.Conclusions The study provided concurrent estimates of LOS for VPIs which survived in Chinese NICUs that could be used as references for medical staff and parents.Large variation of LOS independent of infant characteristics existed,indicating variation of care practices requiring further investigation and quality improvement. 关 键 词：Length of stay to discharge home Neonatal intensive care PRETERM Risk factors
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