Evidence map›Paper›PMID 24831523›Full record

Observational studyJournal of perinatology : official journal of the California Perinatal Association2014

Neonatal intensive care unit to home: the transition from parent and pediatrician perspectives, a prospective cohort study.

E Enlow, S L Herbert, I J Jovel, S A Lorch, C Anderson, L J Chamberlain

Open access · bronzeAbstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Implementation of a pilot electronic parent support tool in and after neonatal intensive care unit discharge.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  7. Risk factors for hospital readmission among infants with prolonged neonatal intensive care stays.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Patient Safety in Ambulatory Pediatrics.Current treatment options in pediatrics · 2020
    Review
  14. Article
  15. Article
  16. Health literacy of parents of very preterm infants at NICU admission and discharge: a prospective cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  17. Article
  18. The impact of parental primary language on communication in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Observational
  19. Neonatal Intensive Care Unit discharge preparedness among families with limited english proficiency.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  20. Homecare and Healthcare Utilization Errors Post-Neonatal Intensive Care Unit Discharge.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2017
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

E Enlow1] Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA [2] Department of Pediatrics, Pediatric Residency Program, Lucile Packard Children's Hospital, Palo Alto, CA, USA.
S L HerbertDivision of General Pediatrics, Stanford School of Medicine, Palo Alto, CA, USA.
I J JovelStanford University, Stanford, CA, USA.
S A LorchDivision of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
C AndersonDivision of Neonatology, Santa Clara Valley Medical Center, San Jose, CA, USA.
L J ChamberlainDivision of General Pediatrics, Stanford School of Medicine, Palo Alto, CA, USA.
Stanford Medicine · USChildren's Hospital of Philadelphia · USLucile Packard Children's Hospital · USSanta Clara Valley Medical Center · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the experience of a low-income population during the transition from the neonatal intensive care unit (NICU) to home and to compare these experiences with pediatrician perspectives. STUDY

designA prospective cohort study in a Level III, 40-bed NICU at a county hospital in Northern California affiliated with seven outpatient pediatric clinics. We surveyed parents in English or Spanish at discharge (n=79) and two weeks after discharge (n=49), along with outpatient pediatricians (n=17). Parents assessed experiences with discharge and the frequency with which barriers were encountered after discharge. We compared parent experiences with pediatrician estimates on four of these barriers.

resultSpanish survey participants had more difficulty finding a NICU doctor (P=0.05) or nurse (P=0.001) to answer their questions. After discharge, 16% of families experienced significant challenges with two or more barriers. In contrast, the majority of pediatricians estimated that 50% or more families had significant challenges with all four barriers.

conclusionCommunication difficulties were the most commonly reported barriers during the NICU stay and physicians overestimated the frequency that families experienced challenges after discharge. Parent input is important to create effective interventions aimed at improving care and limiting disparities.

Indexed as

Continuity of Patient CareIntensive Care Units, NeonatalPatient DischargeCaliforniaCohort StudiesFemaleHome Care ServicesHumansInfant CareInfant, NewbornLength of StayMaleParent-Child RelationsParentsPediatricsPhysicians

Identifiers

PMID24831523
OpenAlexW2065314351

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.