scholarly journals PREDICTING HOSPITAL LENGTH OF STAY AMONG PRE-TERM AND LOW BIRTH WEIGHT INFANTS ADMITTED TO THE NICU: EXPERIENCE IN A MANAGED CARE ORGANIZATION† 868

1997 ◽  
Vol 41 ◽  
pp. 147-147
Author(s):  
Gabriel J Escobar ◽  
Mary Anne Armstrong ◽  
Bruce F Folck ◽  
Marla N Gardner ◽  
Allen Fischer
Keyword(s):  
Birth Weight ◽  
Managed Care ◽  
Length Of Stay ◽  
Low Birth Weight ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Care Organization ◽  
Low Birth Weight Infants ◽  
Managed Care Organization

scholarly journals In-Person Interpreter Use and Hospital Length of Stay among Infants with Low Birth Weight

2018 ◽  
Vol 15 (8) ◽  
pp. 1570 ◽  
Author(s):  
Monica Eneriz-Wiemer ◽  
Lee Sanders ◽  
Mary McIntyre ◽  
Fernando Mendoza ◽  
D. Do ◽  
...  
Keyword(s):  
Birth Weight ◽  
Length Of Stay ◽  
Low Birth Weight ◽  
Healthcare Providers ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Interpreter Use ◽  
Adjusted Incidence Rate ◽  
Hospital Days ◽  
Adjusted Incidence

To ensure timely appropriate care for low-birth-weight (LBW) infants, healthcare providers must communicate effectively with parents, even when language barriers exist. We sought to evaluate whether non-English primary language (NEPL) and professional in-person interpreter use were associated with differential hospital length of stay for LBW infants, who may incur high healthcare costs. We analyzed data for 2047 infants born between 1 January 2008 and 30 April 2013 with weight <2500 g at one hospital with high NEPL prevalence. We evaluated relationships of NEPL and in-person interpreter use on length of stay, adjusting for medical severity. Overall, 396 (19%) had NEPL parents. Fifty-three percent of NEPL parents had documented interpreter use. Length of stay ranged from 1 to 195 days (median 11). Infants of NEPL parents with no interpreter use had a 49% shorter length of stay (adjusted incidence rate ratio (IRR) 0.51, 95% confidence interval (CI) 0.43–0.61) compared to English-speakers. Infants of parents with NEPL and low interpreter use (<25% of hospital days) had a 26% longer length of stay (adjusted IRR 1.26, 95% CI 1.06–1.51). NEPL and high interpreter use (>25% of hospital days) showed a trend for an even longer length of stay. Unmeasured clinical and social/cultural factors may contribute to differences in length of stay.

Effect of Breast Milk on Hospital Costs and Length of Stay Among Very Low-Birth-Weight Infants in the NICU

2012 ◽  
Vol 12 (4) ◽  
pp. 254-259 ◽  
Author(s):  
Leslie A. Parker ◽  
Charlene Krueger ◽  
Sandra Sullivan ◽  
Teresa Kelechi ◽  
Martina Mueller
Keyword(s):  
Birth Weight ◽  
Breast Milk ◽  
Length Of Stay ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Hospital Costs ◽  
Low Birth Weight Infants

scholarly journals Maternal Interleukin Genotypes Are Associated With NICU Outcomes Among Low-Birth-Weight Infants

2016 ◽  
Vol 19 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Kelley L. Baumgartel ◽  
Maureen W. Groer ◽  
Susan M. Cohen ◽  
Dianxu Ren ◽  
Diane L. Spatz ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Length Of Stay ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Fecal Calprotectin ◽  
Minor Allele ◽  
Neonatal Outcomes ◽  
Nucleotide Polymorphisms ◽  
Low Birth Weight Infants

Background: Maternal interleukin (IL) single nucleotide polymorphisms (SNPs) are associated with obstetrical outcomes. Conversely, infant SNPs are associated with subsequent neonatal intensive care unit (NICU) outcomes. Little is known about relationships between maternal SNPs and neonatal outcomes. Purpose: To examine the relationships between maternal IL genotypes and neonatal outcomes. Methods: An ancillary study was conducted among mothers ( N = 63) who delivered very low-birth-weight infants ( N = 74). Maternal DNA was extracted from breast milk and genotyped. Outcomes included fecal calprotectin, length of stay, scores for neonatal acute physiology with perinatal extension (SNAPPE-II), weight gain, oxygen needs, necrotizing enterocolitis, intraventricular hemorrhage, sepsis, retinopathy of prematurity, blood transfusions, and feeding intolerance. Multivariate analyses examined the relationships between maternal IL SNPs and outcomes, controlling for gestational age and the ratio of maternal milk to total milk. Results: Absence of a minor allele in 2 IL6 SNPs was associated with fecal calprotectin ( p = .0222, p = .0429), length of stay ( p = .0158), SNAPPE-II ( p = .0497), weight gain ( p = .0272), and days on oxygen ( p = .0316). IL6 genotype GG (rs1800795) was associated with length of stay ( p = .0034) and calprotectin ( p = .0213). Minor-allele absence in 2 IL10 SNPs was associated with days on oxygen ( p = .0320). There were associations between IL10 genotype TT (rs1800871) and calprotectin ( p = .0270) and between IL10 genotypes AA (rs1800872 and rs1800896) and calprotectin ( p = .0158, p = .0045). Conclusion: Maternal IL SNPs are associated with NICU outcomes. A potential clinical application includes an antenatal risk profile to identify neonatal needs.

Evaluation of Vaccine Coverage for Low Birth Weight Infants During the First Year of Life in a Large Managed Care Population

PEDIATRICS ◽  
2009 ◽  
Vol 123 (3) ◽  
pp. 951-958 ◽  
Author(s):  
J. S. Batra ◽  
E. M. Eriksen ◽  
K. M. Zangwill ◽  
M. Lee ◽  
S. M. Marcy ◽  
...  
Keyword(s):  
Birth Weight ◽  
Managed Care ◽  
Low Birth Weight ◽  
Vaccine Coverage ◽  
First Year ◽  
Low Birth Weight Infants ◽  
First Year Of Life
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