Evidence map›Paper›PMID 30255218›Full record

ArticleMaternal and child health journal2019

Prevalence and Predictors of Back-Transport Closer to Maternal Residence After Acute Neonatal Care in a Regional NICU.

Stephanie L Bourque, Claire Levek, Diane L Melara, Theresa R Grover, Sunah S Hwang

Abstract read
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In one paragraph

Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Mothers' Experiences in the NICU Before Family-Centered Care and in NICUs Where It Is the Standard of Care.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2020
    Article
  9. Article
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

5 authors at 2 institutions in 1 country.

Stephanie L BourqueSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, 13121 E. 17th Ave., Neonatology MS 8402, Aurora, CO, 80045, USA. stephanie.bourque@childrenscolorado.org.ORCID http://orcid.org/0000-0003-4938-7296
Claire LevekSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, 13121 E. 17th Ave., Neonatology MS 8402, Aurora, CO, 80045, USA.
Diane L MelaraSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, 13121 E. 17th Ave., Neonatology MS 8402, Aurora, CO, 80045, USA.
Theresa R GroverSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, 13121 E. 17th Ave., Neonatology MS 8402, Aurora, CO, 80045, USA.
Sunah S HwangSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, 13121 E. 17th Ave., Neonatology MS 8402, Aurora, CO, 80045, USA.
University of Colorado Denver · USChildren's Hospital Colorado · US

Funding

National Institutes of Health 5T32HD007186-37
6 · The paper itself

Abstract

Objectives To describe the demographics, clinical characteristics and referral patterns of premature infants to a regional level IV neonatal intensive care unit (NICU); to determine the prevalence and predictors of back-transport of infants ≤ 32 weeks gestational age in a level IV NICU; for infants not back-transported closer to maternal residence, determine the length of stay beyond attainment of clinical stability. Methods Data (2010-2014) from the Children's Hospital Neonatal Database and individual chart review for infants ≤ 32 weeks admitted to a level IV NICU whose maternal residence was outside the metro area were included. Bivariate associations of maternal and infant characteristics with back-transport were estimated using two-sample t tests and Fisher's exact test. Multivariable logistic regression was used to measure independent predictors of back-transport. Clinical stability was defined as the attainment of full volume enteral feedings and low flow nasal cannula. Results A total of 223 infants were eligible for analysis; of whom 26% were back-transported after acute care. In the adjusted analysis, insurance status, distance from maternal residence and gestational age were significantly associated with back-transport. For infants not back-transported closer to maternal residence, median length of stay in the level IV NICU beyond attainment of clinical stability was 28.5 days. Conclusion for Practice Predictors of back-transport include private insurance, greater distance of maternal residence from NICU and younger gestational age. Many preterm infants admitted to a regional NICU for acute care remained hospitalized in a level IV NICU after achieving clinical stability, for which care in a NICU closer to maternal residence may be appropriate.

Indexed as

Geographic MappingCohort StudiesColoradoFemaleHealth Services AccessibilityHousingHumansInfantInfant, NewbornIntensive Care Units, NeonatalLength of StayLogistic ModelsMaleMothersPrevalenceRetrospective StudiesBack-transportNeonatologyRegionalization of care

Identifiers

PMID30255218
OpenAlexW2893272917

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.