Perinatal risk and severity of illness in newborns at 6 neonatal intensive care units

OBJECTIVES: This multisite study sought to identify (1) any differences in admission risk (defined by gestational age and illness severity) among neonatal intensive care units (NICUs) and (2) obstetric antecedents of newborn illness severity. METHODS: Data on 1476 babies born at a gestational age of less than 32 weeks in 6 perinatal centers were abstracted prospectively. Newborn illness severity was measured with the Score for Neonatal Acute Physiology. Regression models were constructed to predict scores as a function of perinatal risk factors. RESULTS: The sites differed by several obstetric case-mix characteristics. Of these, only gestational age, small for gestational age. White race, and severe congenital anomalies were associated with higher scores. Antenatal corticosteroids, low Apgar scores, and neonatal hypothermia also affected illness severity. At 2 sites, higher mean severity could not be explained by case mix. CONCLUSIONS: Obstetric events and perinatal practices affect newborn illness severity. These risk factors differ among perinatal centers and are associated with elevated illness severity at some sites. Outcomes of NICU care may be affected by antecedent events and perinatal practices

Apgar score · Gestational age · Illness severity · Intensive care · Intensive care medicine · Obstetrics · Pregnancy · Severity of illness · Internal Medicine · Medicine · Neonatal and Maternal Infections · Neonatal Respiratory Health Research · Preterm Birth and Chorioamnionitis · Pediatrics

• Head Start Impact on Children’s Obesity

  Open Access•Kyunghee Lee, Siobhan O’ Laoire•Research on Social Work Practice•2012

  Incluir item

• The Effects of Children’s Head Start Enrollment Age on Their Short‐ and Long‐Term Developmental Outcomes

  Kyunghee Lee•Social Service Review•2008

  Incluir item

• Developmental Trajectories of Head Start Children's Reading and Home Environment Scores

  Kyunghee Lee•Journal of Social Service Research•2010

  Incluir item

• Impacts of the duration of Head Start enrollment on children's academic outcomes

  Open Access•Kyunghee Lee•Journal of Community Psychology•2011

  Incluir item

• Maternal coping strategies and emotional distress

  Pamela Kato Klebanov, Jeanne Brooks-Gunn et al.•Developmental Psychology•2001

  Incluir item

• Neonatal mortality in intensive care units of Central Brazil

  Open Access•Claci Fátima Weirich, Ana Lúcia Sampaio Sgambatti De Andrade et al.•Revista de Saúde Pública•2005

  Incluir item

• Intervention Effects on Maternal Concepts of Development for Children's Cognitive Outcomes

  Kyunghee Lee•Journal of Human Behavior in the…•2005

  Incluir item