Evidence map›Paper›PMID 35067618›Full record

ArticleJournal of patient safety2022

Postdischarge Adverse Events Among Neonates Admitted to the Neonatal Intensive Care Unit.

Dennis Tsilimingras, Girija Natarajan, Monika Bajaj, Prashant Agarwal, Jorge Lua, Amanda Deriemacker, Areeg Zuair, Dawn Misra, James Janisse, Liying Zhang and 1 more

Abstract read
In one paragraph

Article in Journal of patient safety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Dennis TsilimingrasFrom the Department of Family Medicine & Public Health Sciences, Wayne State University School of Medicine, Detroit.
Girija Natarajan
Monika Bajaj
Prashant AgarwalNeonatology, Children's Hospital of Michigan.
Jorge Lua
Amanda DeriemackerWayne State University College of Nursing, Detroit, Michigan.
Areeg ZuairTaibah University College of Nursing, Kingdom of Saudi Arabia.
Dawn MisraDepartment of Epidemiology and Biostatistics, Michigan State University College of Human Medicine, East Lansing, Michigan.
James JanisseFrom the Department of Family Medicine & Public Health Sciences, Wayne State University School of Medicine, Detroit.
Liying ZhangFrom the Department of Family Medicine & Public Health Sciences, Wayne State University School of Medicine, Detroit.
Jeffrey SchnipperDivision of General Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

Funding

Postdischarge Adverse Events among NICU NeonatesR01HD089000 · NICHD · WAYNE STATE UNIVERSITY · PI TSILIMINGRAS, DENNIS · 2016 to 2018
$1.2M
NICHD NIH HHS R01 HD089000
6 · The paper itself

Abstract

objectivesWe aimed to determine the rate of postdischarge adverse events (AEs), classify the types of postdischarge AEs, and identify risk factors for postdischarge AEs among neonates admitted to the neonatal intensive care unit (NICU). STUDY

designThis was a prospective cohort study of neonates admitted to the NICU from February 2017 through June 2019. We enrolled 170 neonates from a level 4 NICU who were being discharged home and whose parents can speak English and could be contacted after discharge. The main outcome of the study was postdischarge AEs based on structured telephone interviews, health record review, and adjudication by 2 blinded, trained physicians using a previously established methodology.

resultsFourteen percent of 170 neonates admitted to the NICU experienced postdischarge AEs, with 48% being either preventable or ameliorable. Adverse drug events and procedural complications comprised most of the AEs (48%), but most of the preventable and ameliorable AEs were due to management, therapeutic, or diagnostic errors. Seventy-nine percent of neonates who suffered an AE experienced either a readmission to the hospital or an emergency department visit. Neonates admitted to a level 4 NICU from another NICU (level 1, 2, or 3) (adjusted odds ratio, 3.62; 95% confidence interval, 1.27-12.60; P = 0.01) and those 28 to 36 weeks (adjusted odds ratio, 11.38; 95% confidence interval, 1.67-127.98; P = 0.01) had a significantly higher risk of AEs at discharge.

conclusionsNeonates discharged from a level 4 NICU were at high risk for experiencing postdischarge AEs. The identification of AE types and risk factors can be used to guide efforts to develop interventions to improve neonatal patient safety during the postdischarge period.

Indexed as

Intensive Care Units, NeonatalPatient DischargeAftercareHospitalizationHumansInfant, NewbornProspective Studies

Identifiers

PMID35067618
PMCPMC9300771

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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.