Predicting NICU admissions in near-term and term infants with low illness acuity.

Journal of Perinatology : Official Journal of the California Perinatal Association
Malini MahendraR Adams Dudley

Abstract

Describe NICU admission rate variation among hospitals in infants with birthweight ≥2500 g and low illness acuity, and describe factors that predict NICU admission. Retrospective study from the Vizient Clinical Data Base/Resource Manager®. Support vector machine methodology was used to develop statistical models using (1) patient characteristics (2) only the indicator for the inborn hospital and (3) patient characteristics plus indicator for the inborn hospital. NICU admission rates of 427,449 infants from 154 hospitals ranged from 0 to 28.6%. C-statistics for the patient characteristics model: 0.64 (Confidence Interval (CI) 0.62-0.65), hospital only model: 0.81 (CI, 0.81-0.82), and patient characteristic plus hospital variable model: 0.84 (CI, 0.83-0.84). There is wide variation in NICU admission rates in infants with low acuity diagnoses. In all cohorts, birth hospital better predicted NICU admission than patient characteristics alone.

References

Jul 16, 2004·Journal of Perinatology : Official Journal of the California Perinatal Association·Vinod K BhutaniMarshalyn Yeargin-Allsopp
Aug 3, 2004·Pediatrics·Marvin L WangElizabeth A Catlin
Sep 27, 2005·The Journal of Pediatrics·Susan L BrattonHeather T Keenan
Nov 1, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Swati K BasuGary H Lyman
Nov 26, 2009·Pediatric Cardiology·Darren KlugmanAnthony D Slonim
Feb 9, 2010·Congenital Heart Disease·Kimberly E McHughHoward P Gutgesell
May 1, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jason M KaneRaj Behal
Jan 17, 2015·American Journal of Perinatology·Jason M KaneTricia Johnson
Apr 4, 2015·Pediatric Clinics of North America·Michael J Horgan
Apr 16, 2015·The New England Journal of Medicine·Catherine L ChenR Adams Dudley
Apr 29, 2015·Pediatrics·William E Benitz, UNKNOWN Committee on Fetus and Newborn, American Academy of Pediatrics
Jul 28, 2015·JAMA Pediatrics·Wade Harrison, David Goodman
Apr 28, 2016·Hospital Pediatrics·Kathryn A ZieglerRobert Locke
Oct 4, 2017·The Journal of Pediatrics·Wade N HarrisonDavid C Goodman
Nov 29, 2017·JAMA Pediatrics·Joseph SchulmanJeffrey B Gould
Oct 5, 2018·Pediatrics·Erika M Edwards, Jeffrey D Horbar

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Methods Mentioned

BETA
cesarean section

Software Mentioned

- DRG® grouper
learn
Vizient
APR
scikit
Clinical Classifications Software ( CCS )
Platt
3M

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