Evidence map›Paper›PMID 34426486›Full record

Observational studyHospital pediatrics2021

The Association of Social Factors and Time Spent in the NICU for Mothers of Very Preterm Infants.

Stephanie L Bourque, Blair W Weikel, Mauricio A Palau, Jennifer C Greenfield, Anne Hall, Susanne Klawetter, Madalynn Neu, Jessica Scott, Pari Shah, Kristi L Roybal and 1 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Hospital pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. The role of residential distance in maternal breast milk intake in preterm and very low birthweight infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Social and structural disparities in family presence and engagement in the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Association of parental holding during therapeutic hypothermia and NICU outcomes for infants with hypoxic-ischemic encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Barriers and facilitators to modeling safe sleep practices in the NICU: A qualitative study of nursing & parent perspectives.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Article
  7. Article
  8. Experiences of NICU healthcare workers serving a high-risk population in a border community in Hidalgo County, Texas.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  9. Article
  10. Article
  11. Sociodemographic characteristics of maternal presence in neonatal intensive care: an intersectional analysis.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  12. Article
  13. Impact of systematic screening for social determinants of health in a level IV neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Parent and grandparent neonatal intensive care unit visitation for preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  19. Article
  20. 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

11 authors at 3 institutions in 1 country.

Stephanie L BourqueSection of Neonatology, Department of Pediatrics, School of Medicine stephanie.bourque@childrenscolorado.org.
Blair W WeikelSection of Neonatology, Department of Pediatrics, School of Medicine.
Mauricio A PalauSection of Neonatology, Department of Pediatrics, School of Medicine.
Jennifer C GreenfieldGraduate School of Social Work, University of Denver, Denver, Colorado.
Anne HallSection of Neonatology, Department of Pediatrics, School of Medicine.
Susanne KlawetterSchool of Social Work, Portland State University, Portland, Oregon.
Madalynn NeuCollege of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Jessica ScottSection of Neonatology, Department of Pediatrics, School of Medicine.
Pari ShahGraduate School of Social Work, University of Denver, Denver, Colorado.
Kristi L RoybalGraduate School of Social Work, University of Denver, Denver, Colorado.
Sunah S HwangSection of Neonatology, Department of Pediatrics, School of Medicine.
University of Denver · USPortland State University · USUniversity of Colorado Anschutz Medical Campus · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
NW Center of Excellence & K12 in Patient Centered Learning Health Systems ScienceK12HS026370 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI EDEN, KAREN BEEKMAN, GUISE, JEANNE-MARIE · 2018 to 2022
$4.0M
AHRQ HHS K12 HS026370NCATS NIH HHS UL1 TR002535
6 · The paper itself

Abstract

objectivesEvaluate the association between maternal social factors and maternal time spent in the NICU for very preterm infants admitted to 4 level III and IV NICUs.

methodsIn this prospective observational cohort study, we enrolled mother-infant dyads whose infants were born <32 weeks' gestation. Enrollment occurred after 2 weeks of NICU exposure, when maternal social factors and demographic information was collected. Maternal time spent in the NICU was abstracted from the electronic medical record and was dichotomized into 0 to 6 days and ≥6 days per week. Demographic differences between the 2 groups were compared by using χ

resultsA total of 169 mother-infant dyads were analyzed. Maternal social factors associated with more time spent in the NICU included an annual household income of >$100 000, compared with those with an annual household income of <$50 000 (adjusted odds ratio [aOR]: 5.68; 95% confidence interval [CI] 1.77-18.19), a travel time <30 minutes to the NICU (compared with those who traveled >60 minutes [aOR: 7.85; 95% CI 2.81-21.96]), and the lack of other children in the household, compared with women with other children (aOR: 3.15; 95% CI 1.39-7.11).

conclusionsMaternal time spent in the NICU during a prolonged birth hospitalization of a very preterm infant differed by socioeconomic status, travel time, and presence of other dependents. Strategies to better identify and reduce these disparities to optimize engagement and, subsequently, improve infant health outcomes is needed.

Indexed as

Intensive Care Units, NeonatalMothersChildFemaleHumansInfantInfant, NewbornInfant, PrematureProspective StudiesSocial Factors

Identifiers

PMID34426486
PMCPMC10037762
OpenAlexW3194220265

What OpenQuestion holds

Textmetadata
LicenceTDM
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.