Estimating neonatal length of stay for babies born very preterm
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Published version
Author(s)
Type
Journal Article
Abstract
OBJECTIVE: To predict length of stay in neonatal care for all admissions of very preterm singleton babies. SETTING: All neonatal units in England. PATIENTS: Singleton babies born at 24-31 weeks gestational age from 2011 to 2014. Data were extracted from the National Neonatal Research Database. METHODS: Competing risks methods were used to investigate the competing outcomes of death in neonatal care or discharge from the neonatal unit. The occurrence of one event prevents the other from occurring. This approach can be used to estimate the percentage of babies alive, or who have been discharged, over time. RESULTS: A total of 20 571 very preterm babies were included. In the competing risks model, gestational age was adjusted for as a time-varying covariate, allowing the difference between weeks of gestational age to vary over time. The predicted percentage of death or discharge from the neonatal unit were estimated and presented graphically by week of gestational age. From these percentages, estimates of length of stay are provided as the number of days following birth and corrected gestational age at discharge. CONCLUSIONS: These results can be used in the counselling of parents about length of stay and the risk of mortality.
Date Issued
2019-02-19
Date Acceptance
2018-03-10
Citation
Archives of Disease in Childhood. Fetal and Neonatal Edition, 2019, 104, pp.F182-F186
ISSN
1359-2998
Publisher
BMJ Publishing Group
Start Page
F182
End Page
F186
Journal / Book Title
Archives of Disease in Childhood. Fetal and Neonatal Edition
Volume
104
Copyright Statement
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29588296
PII: archdischild-2017-314405
Subjects
length of stay
neonatal
neonatal intensive care
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2018-03-27