Associations between unit workloads and outcomes of first extubation attempts in extremely premature infants below a gestational age of 26 weeks.

Autor:	Ohnstad MO; Department of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway.; Faculty of Medicine, University of Oslo, Oslo, Norway., Stensvold HJ; Department of Neonatal Intensive Care, Division of Pediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway., Pripp AH; Oslo Centre of Biostatistics and Epidemiology, Research Support Services, Oslo, Norway.; Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway., Tvedt CR; Department of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway., Jelsness-Jørgensen LP; Department of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway.; Department of Health and Welfare, Østfold University College, Halden, Norway.; Department of Internal Medicine, Østfold Hospital Trust, Kalnes, Norway., Astrup H; Department of Pediatric and Adolescent Medicine, Sorlandet Hospital Trust, Kristiansand, Norway., Eriksen BH; Department of Pediatrics, Møre and Romsdal Hospital Trust, Ålesund, Norway.; Clinical Research Unit, Norwegian University of Science and Technology, Trondheim, Norway., Lunnay ML; Department of Pediatrics and Adolescence Medicine, University Hospital of North Norway, Tromsø, Norway., Mreihil K; Department of Pediatrics and Adolescence Medicine, Akershus University Hospital, Lørenskog, Norway., Pedersen T; Neonatal Intensive Care Unit, Department of Pediatrics, Haukeland University Hospital, Bergen, Norway., Rettedal SI; Department of Pediatrics, Stavanger University Hospital, Stavanger, Norway.; Faculty of Health Sciences, University of Stavanger, Stavanger, Norway., Selberg TR; Department of Pediatrics and Adolescence Medicine, Østfold Hospital Trust, Kalnes, Norway., Solberg R; Department of Pediatrics, Vestfold Hospital Trust, Tønsberg, Norway.; Department of Pediatric Research, Oslo University Hospital, Oslo, Norway., Støen R; Department of Neonatology, St Olavs - Trondheim University Hospital, Trondheim, Norway.; Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway., Rønnestad AE; Faculty of Medicine, University of Oslo, Oslo, Norway.; Department of Neonatal Intensive Care, Division of Pediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.; Research Group for Clinical Neonatal Medicine and Epidemiology, Department of Neonatal Intensive Care, Division of Pediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.
Jazyk:	angličtina
Zdroj:	Frontiers in pediatrics [Front Pediatr] 2023 Mar 17; Vol. 11, pp. 1090701. Date of Electronic Publication: 2023 Mar 17 (Print Publication: 2023).
DOI:	10.3389/fped.2023.1090701
Abstrakt:	Objective: The objective was to explore whether high workloads in neonatal intensive care units were associated with short-term respiratory outcomes of extremely premature (EP) infants born <26 weeks of gestational age. Methods: This was a population-based study using data from the Norwegian Neonatal Network supplemented by data extracted from the medical records of EP infants <26 weeks GA born from 2013 to 2018. To describe the unit workloads, measurements of daily patient volume and unit acuity at each NICU were used. The effect of weekend and summer holiday was also explored. Results: We analyzed 316 first planned extubation attempts. There were no associations between unit workloads and the duration of mechanical ventilation until each infant's first extubation or the outcomes of these attempts. Additionally, there were no weekend or summer holiday effects on the outcomes explored. Workloads did not affect the causes of reintubation for infants who failed their first extubation attempt. Conclusion: Our finding that there was no association between the organizational factors explored and short-term respiratory outcomes can be interpreted as indicating resilience in Norwegian neonatal intensive care units. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2023 Ohnstad, Stensvold, Pripp, Tvedt, Jelsness-Jørgensen, Astrup, Eriksen, Lunnay, Mreihil, Pedersen, Rettedal, Selberg, Solberg, Støen and Rønnestad.)
Databáze:	MEDLINE
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