To estimate the population based requirement for neonatal intensive care (NIC) cots by investigating NIC utilisation in a large population based study.
This was a two year, non-randomised, prospective cohort study of neonates receiving NIC in hospitals in the Trent Regional Health Authority (RHA).
The main study considered the 2979 neonates born to Trent RHA residents who had begun high dependency care in Trent RHA or neighbouring health authorities between 1 April 1990 and 31 March 1992 and met any of the following criteria :
(i) birth weight<1500 g ;
(ii) gestation<32 weeks ;
(iii) need for active respiratory support other than initial resuscitation ;
(iv) need for in utero or neonatal transfer to receive high dependency care ;
(v) severe asphyxial brain insult after delivery ;
and (vi) death.
The analysis here is restricted to the 1730 neonates who received total parenteral nutrition or assisted ventilation, or both ; that is, those who received NIC level 1 (ICL1) on at least one day.
The treatment history of each neonate was converted into a time-line detailing the dates of beginning and stopping NIC, the dates of any transfers between units, and any gaps in NIC treatment.
The duration of ICL1 was observed directly and that of intensive care level 2 (ICL2) was imputed from a model based upon round trip transfers.
These were also recorded on the time-line.
The time-lines ...
Mots-clés Pascal : Soin intensif, Nouveau né, Lit, Utilisation, Service santé, Besoin, Organisation santé, Système santé, Homme
Mots-clés Pascal anglais : Intensive care, Newborn, Bed, Use, Health service, Need, Public health organization, Health system, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0064834
Code Inist : 002B30A04D. Création : 199608.