Observational studyJournal of perinatology : official journal of the California Perinatal Association2025
Association of NICU design on neurodevelopmental outcomes in preterm neonates born at less than 29 weeks' gestation: a retrospective observational study.
Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
6 authors.
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Abstract
objectivesTo compare neurodevelopmental outcomes at 18-30 months corrected age (CA) in infants born <29 weeks' gestation cared for in single-family room (SFR) versus open-bay NICUs.
methodsIn this retrospective cohort study, infants born <29 weeks' gestation were admitted to a tertiary NICU that transitioned from an open-bay to an SFR design. Two eras were compared: open-bay (2010-2014) and SFR (2015-2019). The primary outcome was significant neurodevelopmental impairment (sNDI) at 18-30 months CA. Multivariable regression adjusted for potential confounders.
resultsOf 1589 eligible infants, 1017 completed follow-up (471 open-bay, 546 SFR). Infants in SFRs had lower odds of sNDI (unadjusted OR 0.67; 95% CI, 0.48-0.94; adjusted OR 0.51; 95% CI, 0.34-0.76). The open-bay group also had higher rates of hearing loss requiring amplification, retinopathy of prematurity, and mortality before discharge.
conclusionsCare in SFR NICUs was associated with improved neurodevelopmental outcomes and fewer complications compared with open-bay care.
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