ArticleJournal of perinatology : official journal of the California Perinatal Association2018
Apnea, bradycardia and desaturation spells in premature infants: impact of a protocol for the duration of 'spell-free' observation on interprovider variability and readmission rates.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 30 citations in OpenAlex.
- Variation in NICU utilization: a narrative review and path forward.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- Dexmedetomidine for Less Invasive Surfactant Administration: A Pilot Study.Paediatric drugs · 2025Article
- Effect of Study-Duration and Time of Day on Multichannel Sleep Study Findings in Former Preterm Infants.Children (Basel, Switzerland) · 2025Article
- Incidence and Parental Perception of Cardiorespiratory Monitor Use in Preterm Infants.Journal of clinical psychology in medical settings · 2023Article
- Effects of semi-upright swings on vital signs in NICU infants.Pediatric research · 2023Article
- Inter-hospital cardiorespiratory telemonitoring of newborns and infants: a wellworking example of a hub and spoke network.Italian journal of pediatrics · 2023Article
- Clinical Evaluation of an Automatic Oxygen Control System for Premature Infants Receiving High-Flow Nasal Cannula for Respiratory Support: A Pilot Study.Journal of medical devices · 2022Article
- Implementing point of care ultrasound in the neonatal intensive care unit: a safety study.Journal of perinatology : official journal of the California Perinatal Association · 2021Observational
- Discharging Preterm Infants Home on Caffeine, a Single Center Experience.Children (Basel, Switzerland) · 2020Article
- Mechanisms of bradycardia in premature infants: Aerodigestive-cardiac regulatory-rhythm interactions.Physiological reports · 2020Article
- Pre-discharge Cardiorespiratory Monitoring in Preterm Infants. the CORE Study.Frontiers in pediatrics · 2020Article
- A family of NICU graduates!Pediatric research · 2018Article
- Discharge without alarm(s)!Journal of perinatology : official journal of the California Perinatal Association · 2018Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo study the impact of implementing a protocol to standardize the duration of observation in preterm infants with apnea/bradycardia/desaturation spells before hospital discharge on length of stay (LOS) and readmission rates. STUDY
designA protocol to standardize the duration of in-hospital observation for preterm infants with apnea, bradycardia and desaturation spells who were otherwise ready for discharge was implemented in December 2013. We evaluated the impact of this protocol on the LOS and readmission rates of very low birth weight infants (VLBW). Data on readmission for apnea and an apparent life-threatening event (ALTE) within 30 days of discharge were collected. The pre-implementation epoch (2011 to 2013) was compared to the post-implementation period (2014 to 2016).
resultsThere were 426 and 368 VLBW discharges before and after initiation of the protocol during 2011 to 2013 and 2014 to 2016, respectively. The LOS did not change with protocol implementation (66±42 vs 64±42 days before and after implementation of the protocol, respectively). Interprovider variability on the duration of observation for apneic spells (F-8.8, P=0.04) and bradycardia spells (F-17.4, P<0.001) decreased after implementation of the protocol. The readmission rate for apnea/ALTE after the protocol decreased from 12.1 to 3.4% (P=0.01).
conclusionImplementing an institutional protocol for VLBW infants to determine the duration of apnea/bradycardia/ desaturation spell-free observation period as recommended by the American Academy of Pediatrics clinical report did not prolong the LOS but effectively reduced interprovider variability and readmission rates.
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Registered trials
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