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Impact of community neonatal services : a multicentre survey.

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Impact of community neonatal services : a multicentre survey. / Langley, D.; Hollis, S.; Friede, T. et al.
In: Archives of Disease in Childhood, Vol. 87, 2002, p. 204-208.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Langley D, Hollis S, Friede T, MacGregor D, Gatrell AC. Impact of community neonatal services : a multicentre survey. Archives of Disease in Childhood. 2002;87:204-208.

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Langley, D. ; Hollis, S. ; Friede, T. et al. / Impact of community neonatal services : a multicentre survey. In: Archives of Disease in Childhood. 2002 ; Vol. 87. pp. 204-208.

Bibtex

@article{df9b65f75b654a92a9272f7ec3a802fc,
title = "Impact of community neonatal services : a multicentre survey.",
abstract = "Objectives: To explore the impact of a community neonatal service on high risk infant survivors in the first year of life. Design: Retrospective multicentre survey. Postal questionnaires were sent to selected parents. Setting: Thirty two neonatal units in England and Wales. Patients: Inclusion criteria: infants over 12 months of age with birth weight 1500 g, or who received level I intensive care for at least 48 hours. Exclusion criteria: multiple births, infants who had died or had severe congenital abnormalities. A total of 3367 eligible infants were selected, and their parents were sent a questionnaire; 65% responded. Main outcome measures: Length of stay on the neonatal unit from birth to initial discharge. Readmission to hospital during the first year of life. Results: The median length of stay in units with a community neonatal service was 35 days compared with 37 days in units without. When adjusted for infant and parent characteristics, the median length of stay was reduced by 12.6% where a community neonatal service was provided (95% confidence interval 5.3% to 19.3%). The readmission rates were 44.6% in units with a community neonatal service and 43.5% in units without. There was no significant reduction in the adjusted odds of readmission. Conclusions: The retrospective nature of this study means that these findings cannot be definitely attributed to the presence of a community neonatal service. However, the results suggest that community neonatal services may reduce the length of stay without any subsequent increase in readmission.",
keywords = "community neonatal service, hospital stay, readmission, high risk infants",
author = "D. Langley and S. Hollis and T. Friede and D. MacGregor and Gatrell, {Anthony C.}",
year = "2002",
language = "English",
volume = "87",
pages = "204--208",
journal = "Archives of Disease in Childhood",
issn = "0003-9888",
publisher = "BMJ Publishing Group",

}

RIS

TY - JOUR

T1 - Impact of community neonatal services : a multicentre survey.

AU - Langley, D.

AU - Hollis, S.

AU - Friede, T.

AU - MacGregor, D.

AU - Gatrell, Anthony C.

PY - 2002

Y1 - 2002

N2 - Objectives: To explore the impact of a community neonatal service on high risk infant survivors in the first year of life. Design: Retrospective multicentre survey. Postal questionnaires were sent to selected parents. Setting: Thirty two neonatal units in England and Wales. Patients: Inclusion criteria: infants over 12 months of age with birth weight 1500 g, or who received level I intensive care for at least 48 hours. Exclusion criteria: multiple births, infants who had died or had severe congenital abnormalities. A total of 3367 eligible infants were selected, and their parents were sent a questionnaire; 65% responded. Main outcome measures: Length of stay on the neonatal unit from birth to initial discharge. Readmission to hospital during the first year of life. Results: The median length of stay in units with a community neonatal service was 35 days compared with 37 days in units without. When adjusted for infant and parent characteristics, the median length of stay was reduced by 12.6% where a community neonatal service was provided (95% confidence interval 5.3% to 19.3%). The readmission rates were 44.6% in units with a community neonatal service and 43.5% in units without. There was no significant reduction in the adjusted odds of readmission. Conclusions: The retrospective nature of this study means that these findings cannot be definitely attributed to the presence of a community neonatal service. However, the results suggest that community neonatal services may reduce the length of stay without any subsequent increase in readmission.

AB - Objectives: To explore the impact of a community neonatal service on high risk infant survivors in the first year of life. Design: Retrospective multicentre survey. Postal questionnaires were sent to selected parents. Setting: Thirty two neonatal units in England and Wales. Patients: Inclusion criteria: infants over 12 months of age with birth weight 1500 g, or who received level I intensive care for at least 48 hours. Exclusion criteria: multiple births, infants who had died or had severe congenital abnormalities. A total of 3367 eligible infants were selected, and their parents were sent a questionnaire; 65% responded. Main outcome measures: Length of stay on the neonatal unit from birth to initial discharge. Readmission to hospital during the first year of life. Results: The median length of stay in units with a community neonatal service was 35 days compared with 37 days in units without. When adjusted for infant and parent characteristics, the median length of stay was reduced by 12.6% where a community neonatal service was provided (95% confidence interval 5.3% to 19.3%). The readmission rates were 44.6% in units with a community neonatal service and 43.5% in units without. There was no significant reduction in the adjusted odds of readmission. Conclusions: The retrospective nature of this study means that these findings cannot be definitely attributed to the presence of a community neonatal service. However, the results suggest that community neonatal services may reduce the length of stay without any subsequent increase in readmission.

KW - community neonatal service

KW - hospital stay

KW - readmission

KW - high risk infants

M3 - Journal article

VL - 87

SP - 204

EP - 208

JO - Archives of Disease in Childhood

JF - Archives of Disease in Childhood

SN - 0003-9888

ER -