规范化护理对妊娠22-23周新生儿的影响。

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Perinatology Pub Date : 2025-02-04 DOI:10.1038/s41372-025-02214-3

Faris N Al Gharaibeh, DonnaMaria E Cortezzo, Amy T Nathan, James M Greenberg

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摘要

目的：探讨规范化护理和咨询对妊娠22 ~ 23周新生儿生存和发病率的影响。设计：回顾性队列研究244名2015年至2023年间在大型医疗保健系统中出生的22-23周的新生儿。主要结局是接受重症监护至新生儿重症监护病房出院的新生儿存活率。次要结局包括发病率和资源利用。结果：22-23周出生的新生儿在护理标准化后获得了更多的重症监护（OR 5.4 (95% CI 2.3-12.6), p）。结论：标准化的咨询和护理增加了22周出生的新生儿的产前类固醇和重症监护的提供。这使得22周出生的新生儿存活至出院，而不会增加发病率和资源利用率。

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The impact of standardization of care for neonates born at 22-23 weeks gestation.

Objective: Determine the impact of standardization of care and counseling on survival and morbidities of neonates born at 22-23 weeks gestation.

Design: Retrospective cohort study of 244 neonates born at 22-23 weeks gestation between 2015 and 2023 in a large healthcare system. The primary outcome was survival of neonates receiving intensive care to NICU discharge. Secondary outcomes included morbidities and resource utilization.

Results: Neonates born at 22-23 weeks received more intensive care after care standardization (OR 5.4 (95% CI 2.3-12.6), p < 0.0001). Survival remained stable (aOR 0.93 (95% CI 0.32-2.7), p = 0.89) despite more neonates born at 22 weeks receiving intensive care. Resource utilization remained stable.

Conclusions: Standardizing counseling and care increased the provision of antenatal steroids and intensive care for neonates born at 22 weeks gestation. This allowed neonates born at 22 weeks to survive to discharge without increasing morbidity and resource utilization.

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.