Effect of an Alternate Definition for a Clinically Significant Cardiopulmonary Event on Discharge

To evaluate a precise definition of a clinically significant cardiopulmonary event (CSCPE) on the hospital length of stay (LOS), medical provider satisfaction, and discharge complications. This is a single-center, observational study that included 139 infants before and 134 infants after the new def...

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Bibliographic Details
Published in:The Journal of pediatrics 2022-03, Vol.242, p.25-31.e2
Main Authors: Beckstrom, Andrew C., Lin, Grace, Ngoche, Leah, Perla, Sally, Clark, Reese H., Kamitsuka, Michael
Format: Article
Language:English
Subjects:
Apnea
apnea of prematurity
Humans
Infant
Length of Stay
NICU
Patient Discharge
Prospective Studies
Retrospective Studies
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Summary:To evaluate a precise definition of a clinically significant cardiopulmonary event (CSCPE) on the hospital length of stay (LOS), medical provider satisfaction, and discharge complications. This is a single-center, observational study that included 139 infants before and 134 infants after the new definition was implemented in December 2017. Retrospective data collected November 2015 to November 2017 (before) was compared with prospective data from June 2018 to July 2020 (after). Outcome measures were the proportion of infants waiting to outgrow CSCPE, LOS, provider satisfaction with the definition, and discharge complications. Multivariate regression modeling was used to evaluate variables on LOS and postmenstrual age at discharge. The proportion waiting to outgrow CSCPE decreased from 68.4% to 31.7% (P 
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2021.10.064