Impact of the environmental layout of the neonatal intensive care unit on clinical outcomes and neurological development in very/extremely preterm infants.
10.7499/j.issn.1008-8830.2302060
- Author:
Lu WEI
1
;
Sha-Sha HE
1
;
Xian-Hong ZHANG
1
Author Information
1. Department of Neonatology, Children's Hospital of Chongqing Medical University/National Clinical Research Center for Child Health and Disorders/Ministry of Education Key Laboratory of Child Development and Disorders/Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China.
- Publication Type:Journal Article
- Keywords:
Clinic outcome;
Environmental layout;
Neonatal intensive care unit;
Neurological development;
Perterm infant
- MeSH:
Humans;
Infant, Newborn;
Infant, Extremely Premature;
Infant, Premature, Diseases;
Infant, Very Low Birth Weight;
Intensive Care Units, Neonatal;
Retrospective Studies
- From:
Chinese Journal of Contemporary Pediatrics
2023;25(8):812-817
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To investigate the impact of the environmental layout of the neonatal intensive care unit (NICU) on clinical outcomes and neurological development in very/extremely preterm infants.
METHODS:A total of 304 very/extremely preterm infants admitted to Children's Hospital of Chongqing Medical University between January 2021 and June 2022 within 24 hours after birth were included in this retrospective cohort study. Based on different environmental layouts in the NICU, the infants were divided into two groups: centralized layout group (n=157) and decentralized layout group (n=147). The clinical outcomes and Test of Infant Motor Performance (TIMP) scores at corrected gestational age between 34 to 51+6 weeks were compared between the two groups.
RESULTS:The decentralized layout group had lower incidence rates of bronchopulmonary dysplasia (44.9% vs 62.4%, P<0.05) and intracranial hemorrhage (17.7% vs 28.0%, P<0.05) than the centralized layout group. The cure rate was higher in the decentralized layout group compared to the centralized layout group (68.7% vs 56.7%, P<0.05). The decentralized layout group had higher TIMP scores than the centralized layout group at corrected gestational age between 34 to 51+6 weeks (P<0.05).
CONCLUSIONS:The decentralized layout of the NICU exhibits positive effects on the clinical outcomes and early neurological development compared to the centralized layout in very/extremely preterm infants.
