Neonatal Intensive Care Unit Length of Stay Reduction by Heart Rate Characteristics Monitoring

Jonathan R. Swanson, William E. King, Robert A. Sinkin, Douglas E. Lake, Waldemar A. Carlo, Robert L. Schelonka, Peter J. Porcelli, Christina T. Navarrete, Eduardo Bancalari, Judy L. Aschner, Jose A. Perez, T. Michael O'Shea, M. Whit Walker

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To examine the effect of heart rate characteristics (HRC) monitoring on length of stay among very low birth weight (VLBW; <1500 g birth weight) neonates in the HeRO randomized controlled trial (RCT). Study design: We performed a retrospective analysis of length of stay metrics among 3 subpopulations (all patients, all survivors, and survivors with positive blood or urine cultures) enrolled in a multicenter, RCT of HRC monitoring. Results: Among all patients in the RCT, infants randomized to receive HRC monitoring were more likely than controls to be discharged alive and prior to day 120 (83.6% vs 80.1%, P =.014). The postmenstrual age at discharge for survivors with positive blood or urine cultures was 3.2 days lower among infants randomized to receive HRC monitoring when compared with controls (P =.026). Although there were trends in other metrics toward reduced length of stay in HRC-monitored patients, none reached statistical significance. Conclusions: HRC monitoring is associated with reduced mortality in VLBW patients and a reduction in length of stay among infected surviving VLBW infants. Trial registration: ClinicalTrials.gov: NCT00307333.

Original languageEnglish (US)
JournalJournal of Pediatrics
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Neonatal Intensive Care Units
Length of Stay
Heart Rate
Survivors
Randomized Controlled Trials
Urine
Very Low Birth Weight Infant
Birth Weight
Newborn Infant
Mortality

Keywords

  • blood stream infection
  • neonate
  • sepsis
  • UTI
  • very low birth weight

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Swanson, J. R., King, W. E., Sinkin, R. A., Lake, D. E., Carlo, W. A., Schelonka, R. L., ... Walker, M. W. (Accepted/In press). Neonatal Intensive Care Unit Length of Stay Reduction by Heart Rate Characteristics Monitoring. Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2018.02.045

Neonatal Intensive Care Unit Length of Stay Reduction by Heart Rate Characteristics Monitoring. / Swanson, Jonathan R.; King, William E.; Sinkin, Robert A.; Lake, Douglas E.; Carlo, Waldemar A.; Schelonka, Robert L.; Porcelli, Peter J.; Navarrete, Christina T.; Bancalari, Eduardo; Aschner, Judy L.; Perez, Jose A.; O'Shea, T. Michael; Walker, M. Whit.

In: Journal of Pediatrics, 01.01.2018.

Research output: Contribution to journalArticle

Swanson, JR, King, WE, Sinkin, RA, Lake, DE, Carlo, WA, Schelonka, RL, Porcelli, PJ, Navarrete, CT, Bancalari, E, Aschner, JL, Perez, JA, O'Shea, TM & Walker, MW 2018, 'Neonatal Intensive Care Unit Length of Stay Reduction by Heart Rate Characteristics Monitoring', Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2018.02.045
Swanson, Jonathan R. ; King, William E. ; Sinkin, Robert A. ; Lake, Douglas E. ; Carlo, Waldemar A. ; Schelonka, Robert L. ; Porcelli, Peter J. ; Navarrete, Christina T. ; Bancalari, Eduardo ; Aschner, Judy L. ; Perez, Jose A. ; O'Shea, T. Michael ; Walker, M. Whit. / Neonatal Intensive Care Unit Length of Stay Reduction by Heart Rate Characteristics Monitoring. In: Journal of Pediatrics. 2018.
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