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Effectiveness of Alberta Family Integrated Care on infant length of stay in level II neonatal intensive care units: a cluster randomized controlled trial

Karen M. Benzies, the Alberta FICare Level II NICU Study Team, Khalid Aziz, Vibhuti Shah, Peter Faris, Wanrudee Isaranuwatchai, Jeanne Scotland, Jill Larocque, Kelly J. Mrklas, Christopher Naugler, H. Thomas Stelfox, Radha Chari (+8 others)
2020 BMC Pediatrics  
Background Parents of infants in neonatal intensive care units (NICUs) are often unintentionally marginalized in pursuit of optimal clinical care.  ...  We adapted the model for level II NICUs in Alberta, Canada, and evaluated whether the new Alberta FICare™ model decreased hospital length of stay (LOS) in preterm infants without concomitant increases  ...  A special thank you to the families of preterm infants, without whom this work would not have been possible.  ... 
doi:10.1186/s12887-020-02438-6 pmid:33246430 pmcid:PMC7697372 fatcat:i6oy2bxskbfs3i5c76awnass4q

Development and validation of high definition phenotype-based mortality prediction in critical care units

Yao Sun, Ravneet Kaur, Shubham Gupta, Rahul Paul, Ritu Das, Su Jin Cho, Saket Anand, Justin J Boutilier, Suchi Saria, Jonathan Palma, Satish Saluja, Ryan M McAdams (+3 others)
2021 JAMIA Open  
sources and to determine whether different predictive models can utilize the HDP in the neonatal intensive care unit (NICU) to improve neonatal mortality prediction in clinical settings.  ...  Two different predictive models utilizing the HDP, one a logistic regression model (LRM) and the other a deep learning long–short-term memory (LSTM) model, were constructed to predict neonatal mortality  ...  ACKNOWLEGDEMENTS We want to thank Microsoft, KStartup, Oracle, T-Hub, and IIM-A for recognizing the iNICU as an innovative sustainable solution in child healthcare.  ... 
doi:10.1093/jamiaopen/ooab004 pmid:33796821 pmcid:PMC7991779 fatcat:wg6l3pzq2reqhdy2lmuwhshbni

Right cot, right place, right time: improving the design and organisation of neonatal care networks – a computer simulation study

Michael Allen, Anne Spencer, Andy Gibson, Justin Matthews, Alex Allwood, Sue Prosser, Martin Pitt
2015 Health Services and Delivery Research  
local capacity is exhausted.ObjectivesTo develop a computer model that could mimic the performance of a neonatal network and predict the effect of altering network configuration on neonatal unit workloads  ...  The aim is to provide a model to assist in planning of capacity, location and type of neonatal services.DesignDescriptive analysis of a current network, economic analysis and discrete event simulation.  ...  Acknowledgements Contribution of authors Dr Michael Allen (senior modeller, healthcare modelling) was the technical lead, built the simulation model and was the primary author of the report.  ... 
doi:10.3310/hsdr03200 fatcat:ct33updr7nh5jc5tqtisasmgim

Vasoactive-Inotropic Score Is Associated With Outcome After Infant Cardiac Surgery

Michael G. Gaies, Howard E. Jeffries, Robert A. Niebler, Sara K. Pasquali, Janet E. Donohue, Sunkyung Yu, Christine Gall, Tom B. Rice, Ravi R. Thiagarajan
2014 Pediatric Critical Care Medicine  
Maximum vasoactive-inotropic score more than or equal to 20 predicts an increased likelihood of a poor composite clinical outcome.  ...  first extubation and cardiac ICU length of stay compared with patients with low vasoactive-inotropic score.  ...  The Pediatric Critical Care Consortium and this analysis were supported in part by NICHD/NCRR grant UL1 RR024986.  ... 
doi:10.1097/pcc.0000000000000153 pmid:24777300 pmcid:PMC4159673 fatcat:f7ekqcs27ffnxktpkpvqepmvn4

Development of a Machine Learning Model Using Electronic Health Record Data to Identify Antibiotic Use Among Hospitalized Patients

Rebekah W Moehring, Matthew Phelan, Eric Lofgren, Alicia Nelson, Elizabeth Dodds Ashley, Deverick J Anderson, Benjamin A Goldstein
2021 JAMA Network Open  
Models underestimated the number of days of therapy of encounters with long lengths of stay.  ...  Two-stage models identified antimicrobial use with high fidelity (mean area under the curve, 0.85; mean absolute error, 1.0 days of therapy).  ...  ), facility type, teaching status, hospital bed size, number of beds in the intensive care unit, percentage of beds in the intensive care unit, and mean length of stay. 6 The characteristics of the patients  ... 
doi:10.1001/jamanetworkopen.2021.3460 pmid:33779743 pmcid:PMC8008288 fatcat:3zk7znta7fchhiaxsu2b45spzu

Developing a team performance framework for the intensive care unit*

Tom W. Reader, Rhona Flin, Kathryn Mearns, Brian H. Cuthbertson
2009 Critical Care Medicine  
The purpose of this review is to consolidate the most robust findings from this research into an intensive care unit (ICU) team performance framework.  ...  Objective: There is a growing literature on the relationship between teamwork and patient outcomes in intensive care, providing new insights into the skills required for effective team performance.  ...  being shown as predictive of patient length of stay and staff turnover (24) .  ... 
doi:10.1097/ccm.0b013e31819f0451 pmid:19325474 fatcat:nyth3ek73jfvjkagshydxkip2y

Dynamic Electronic Tracking and Escalation to reduce Critical care Transfers (DETECT): the protocol for a stepped wedge mixed method study to explore the clinical effectiveness, clinical utility and cost-effectiveness of an electronic physiological surveillance system for use in children

Gerri Sefton, Bernie Carter, Steven Lane, Matthew Peak, Ceu Mateus, Jen Preston, Fulya Mehta, Bruce Hollingsworth, Roger Killen, Enitan D. Carrol
2019 BMC Pediatrics  
Day-case, neonatal surgery and Paediatric Intensive Care Unit (PICU) patients will be excluded.  ...  The secondary outcomes are critical deterioration events (CDE), the timeliness of critical care transfer, the critical care interventions required, critical care length of stay and outcome.  ...  The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care. Mrs.  ... 
doi:10.1186/s12887-019-1745-7 pmid:31623583 pmcid:PMC6796473 fatcat:zdfprhcqebcflfs6repek5yiiu

Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol

Meredith Brockway, Karen M. Benzies, Eloise Carr, Khalid Aziz
2018 International Breastfeeding Journal  
Barriers incurred through hospital care practices as well as the physical environment of the neonatal intensive care unit (NICU) can result in physical and emotional separation of infants from their parents  ...  Methods: Family Integrated Care (FICare) integrates and supports parents to actively participate in the care of their infant while in the NICU.  ...  Acknowledgements The authors acknowledge the contributions of the Alberta FICare in Level II NICU team, Pilar Zanoni for study coordination, and Arfan Afzal for statistical expertise.  ... 
doi:10.1186/s13006-018-0168-7 pmid:29989087 pmcid:PMC6035466 fatcat:sihvorgvkbh3xlvgt4ilylfvvq

Selected Abstracts of the 3rd Edition of Transport of High Risk Infants; Oxford (UK); August 31st-September 2nd, 2017

--- Various Authors
2017 Journal of Pediatric and Neonatal Individualized Medicine  
doi:10.7363/060214 doaj:3de78bf07e2d4cb09e603eb3aed06df4 fatcat:gxini46ksngezhrqdqnmntugpi

Identification of Risk Factors for Poor Feeding in Infants with Congenital Heart Disease and a Novel Approach to Improve Oral Feeding

Gitanjali Indramohan, Tiffany P. Pedigo, Nicole Rostoker, Mae Cambare, Tristan Grogan, Myke D. Federman
2017 Journal of Pediatric Nursing : Nursing Care of Children and Families  
study in the neonatal and cardiac intensive care units of a tertiary children's hospital. 23 neonates born at ≥ 37 weeks gestation and diagnosed with single-ventricle physiology requiring a surgical shunt  ...  Although we did not detect a statistically significant impact of oral motor intervention, we found clinically meaningful differences in hospital length of stay and feeding tube requirement.  ...  Acknowledgments We would like to thank Debra Beckman for allowing us to include a description of her exercises as well as Courtney Jarrard and Sandra Fucile for providing assistance with developing the  ... 
doi:10.1016/j.pedn.2017.01.009 pmid:28169036 pmcid:PMC5522347 fatcat:jzyc65obfnasvmmjpk3pjvfati

A review of statistical estimators for risk-adjusted length of stay: analysis of the Australian and new Zealand intensive care adult patient data-base, 2008–2009

John L Moran, Patricia J Solomon
2012 BMC Medical Research Methodology  
Stata Journal 2005, and length of stay in intensive care units.  ...  The ANZICS APD was interrogated to define an appro- Length of stay during an intensive care unit (ICU) or hos- priate patient set, over the time period 2008–2009.  ... 
doi:10.1186/1471-2288-12-68 pmid:22591115 pmcid:PMC3522544 fatcat:speshskp6vcvhmes7u7dtnvtmi

Team Models in Interfacility Transport-Building and Maintaining Competencies

Hilary E. Whyte, Michael Narvey
2017 Current Treatment Options in Pediatrics  
Opinion statement Purpose of review Transport teams have evolved their capability to provide mobile intensive care units to optimize patient outcomes in most regionalized systems of health care.  ...  Summary For teams to be dedicated to the transport service, we often need to combine neonatal, (with or without high-risk mothers) with paediatric volumes, to ensure a critical mass of patients to build  ...  with reduced length of stay in PICU [90] .  ... 
doi:10.1007/s40746-017-0107-7 fatcat:eqlgvemhhzawrh5zwgad5iuwva

Models of antenatal care to reduce and prevent preterm birth: a systematic review and meta-analysis

Cristina Fernandez Turienzo, Jane Sandall, Janet L Peacock
2016 BMJ Open  
Objective: To assess the effectiveness of models of antenatal care designed to prevent and reduce preterm birth (PTB) in pregnant women.  ...  Future research should evaluate the impact of antenatal care models which include more recent interventions and predictive tests, and which also offer continuity of care by midwives throughout pregnancy  ...  Acknowledgements The authors thank information specialist Clare Crowley, who has been truly dedicated in supporting us in the search strategies across the electronic databases; and also Dr Alex Dregan  ... 
doi:10.1136/bmjopen-2015-009044 pmid:26758257 pmcid:PMC4716175 fatcat:uiaguctjfzdbtftv7dg7jfkx7q

Cardiology 2010, 13th Annual Update on Pediatric Cardiovascular Disease: Abstracts

2010 Cardiology in the Young  
in neonatal intensive care units across the globe.  ...  Delayed sternal closure was used in five patients. Length of stay in intensive care unit was 7 days (1-25) and hospital stay was 14 days (1-84).  ...  Feeding intolerance increases the hospital length of stay in patients with hypoplastic left heart syndrome.  ... 
doi:10.1017/s1047951110001241 fatcat:kcsu6sj4xjb4jlichi7xk2c5uy

Intensive Care Foundation Research Poster Presentations

2015 Journal of the Intensive Care Society  
avoid over-sedation in intensive care units (ICUs), which is associated with adverse outcomes. 1 We recently described a novel  ...  G Atkins, D McWilliams and C Snelson 24R Mapping physical activity in critically ill patients in a UK intensive care unit: A prospective observational service study J Mortimore, J Rose, N Hart, S Berney  ...  Funding The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was conducted in part fulfilment of a Master of Research  ... 
doi:10.1177/1751143715615287 fatcat:ucre5n7x75echhuoksjyrtbfgi
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