Twenty-four-hour in-house neonatologist coverage and long-term neurodevelopmental outcomes of preterm infants

Paediatrics & Child Health
Abhay LodhaN Singhal

Abstract

To compare short- and long-term neurodevelopmental outcomes at 3 years of corrected age of preterm infants cared for by 24-hour in-house staff neonatologists and those cared for by staff neonatologists during daytime only. Retrospective analysis of prospectively collected follow-up data on all nonanomalous preterm infants from 1998 to 2004 excluding year 2001 as a washout period. Infants were divided into two groups based on care provided by staff neonatologists: 24-hour in-house coverage (24-hour coverage 1998-2000) and daytime coverage (day coverage 2002-2004). Short- and long-term outcomes were compared. A total of 387 (78%) of the screened infants were included. Twenty-four-hour coverage (n=179) and day coverage (n=208) groups had a median birth weight (BW) of 875 g (range 470-1250) and 922 g (480-1530; P=0.028), respectively, and both had a median gestational age of 27 weeks. In the day coverage group, a smaller proportion of mothers had chorioamnionitis (20% vs. 30%; P=0.025), received less antibiotics (62% vs. 73%; P=0.023), and infants had fewer cases of confirmed sepsis (14% vs. 23%; P=0.022). In the day coverage group, a larger number of infants had respiratory distress syndrome (87% vs. 77%; P=0.011) and required pro...Continue Reading

References

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Citations

Jun 5, 2019·Critical Care Medicine·Robin V HorakUNKNOWN Pediatric Acute Lung Injury and Sepsis Investigator’s (PALISI) Network
May 6, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Wafa Sattam M AlotaibiSaif A Alsaif
Oct 2, 2019·Neonatology·Maher ShahroorUNKNOWN on behalf of the International Network for Evaluation of Outcomes (iNeo) of neonates

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