Langley, D. and Hollis, S. and Friede, T. and MacGregor, D. and Gatrell, Anthony C. (2002) Impact of community neonatal services : a multicentre survey. Archives of Disease in Childhood, 87. pp. 204-208. ISSN 0003-9888Full text not available from this repository.
Objectives: To explore the impact of a community neonatal service on high risk infant survivors in the first year of life. Design: Retrospective multicentre survey. Postal questionnaires were sent to selected parents. Setting: Thirty two neonatal units in England and Wales. Patients: Inclusion criteria: infants over 12 months of age with birth weight 1500 g, or who received level I intensive care for at least 48 hours. Exclusion criteria: multiple births, infants who had died or had severe congenital abnormalities. A total of 3367 eligible infants were selected, and their parents were sent a questionnaire; 65% responded. Main outcome measures: Length of stay on the neonatal unit from birth to initial discharge. Readmission to hospital during the first year of life. Results: The median length of stay in units with a community neonatal service was 35 days compared with 37 days in units without. When adjusted for infant and parent characteristics, the median length of stay was reduced by 12.6% where a community neonatal service was provided (95% confidence interval 5.3% to 19.3%). The readmission rates were 44.6% in units with a community neonatal service and 43.5% in units without. There was no significant reduction in the adjusted odds of readmission. Conclusions: The retrospective nature of this study means that these findings cannot be definitely attributed to the presence of a community neonatal service. However, the results suggest that community neonatal services may reduce the length of stay without any subsequent increase in readmission.
|Journal or Publication Title:||Archives of Disease in Childhood|
|Uncontrolled Keywords:||community neonatal service ; hospital stay ; readmission ; high risk infants|
|Subjects:||R Medicine > R Medicine (General)|
|Departments:||Faculty of Health and Medicine > Health Research|
Faculty of Science and Technology > Mathematics and Statistics
Faculty of Science and Technology > Lancaster Environment Centre
Faculty of Arts & Social Sciences
Faculty of Health and Medicine
|Deposited By:||Mr Richard Ingham|
|Deposited On:||26 Sep 2008 09:50|
|Last Modified:||26 Jul 2012 15:10|
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