Measuring quality of care in moderate and late preterm infants.

TitleMeasuring quality of care in moderate and late preterm infants.
Publication TypeJournal Article
Year of Publication2022
AuthorsSalazar EG, Handley SC, Greenberg LT, Edwards EM, Lorch SA
JournalJ Perinatol
Date Published2022 Mar 30
ISSN1476-5543
Abstract

OBJECTIVE: To examine quality measures for moderate and late preterm (MLP) infants.

STUDY DESIGN: By prospectively analyzing Vermont Oxford Network's all NICU admissions database, we adapted Baby-MONITOR, a composite quality measure for extremely/very preterm infants, for MLP infants. We examined correlations between the adapted MLP quality measure (MLP-QM) in MLP infants and Baby-MONITOR in extremely and very preterm infants.

RESULT: We studied 376,219 MLP (30-36 weeks GA) and 57,595 extremely/very preterm (25-29 weeks GA) infants from 465 U.S. hospitals born from 2016 to 2020. MLP-QM summary scores in MLP infants had weak correlation with Baby-MONITOR scores in extremely and very preterm infants (r = 0.47). There was weak correlation among survival (r = 0.19), no pneumothorax (r = 0.35), and no infection after 3 days (r = 0.45), but strong correlation among human milk at discharge (r = 0.79) and no hypothermia (r = 0.76).

CONCLUSION: Modest correlation among hospital care measures in two preterm populations suggests the need for MLP-specific care measures.

DOI10.1038/s41372-022-01377-7
Alternate JournalJ Perinatol
PubMed ID35354940
Grant ListT32HL098054 / / Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) /