A comprehensive benchmark of very preterm and extremely preterm infant care in Shenzhen: insights from the triple aim framework.

IF 3.2 3区医学 Q1 PEDIATRICS

Italian Journal of Pediatrics Pub Date : 2025-06-10 DOI:10.1186/s13052-025-02043-2

Lu Ding, Jinjie Huang, Xudong Yan, Guichao Zhong, Zhangbin Yu, Dong Liu, Benqing Wu

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引用次数: 0

Abstract

Background: To assess the baseline level of care for very preterm (VPI) and extremely preterm infants (EPI) in Shenzhen using the Triple Aim framework.

Methods: This retrospective analysis utilized data from the Shenzhen Neonatal Data Network (SNDN) for 2022-2023. We assessed mortality rate, major morbidity rate, benefit metric (a risk-adjusted composite morbidity index), and per capita costs.

Results: The study included 995 infants from 11 NICUs in the SNDN, with an overall mortality rate of 7.5%. The rates for the eight major morbidities were: bronchopulmonary dysplasia 22.6%, grade III-IV intraventricular hemorrhage 5.2%, periventricular leukomalacia 2.2%, stage II-III necrotizing enterocolitis 3.9%, focal intestinal perforation 0.8%, stage 3-5 retinopathy of prematurity 3.8%, discharge weight < 10th percentile 12.1%, and late-onset infections 9.4%. The benefit metric ranged from 0.7 to 3.3, with per capita costs between $212.3 and $342.4.

Conclusion: This study provides baseline data on NICU preterm infant management in Shenzhen using the Triple Aim framework, highlights areas for quality improvement.

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深圳极早产儿和极早产儿护理的综合基准：来自三重目标框架的见解。

背景：利用三重目标框架评估深圳市非常早产儿（VPI）和极早产儿（EPI）的基线护理水平。方法：回顾性分析利用深圳新生儿数据网络（SNDN） 2022-2023年的数据。我们评估了死亡率、主要发病率、获益指标（风险调整后的综合发病率指数）和人均成本。结果：本研究纳入SNDN 11个新生儿重症监护病房的995名婴儿，总死亡率为7.5%。8种主要疾病的发生率为：支气管肺发育不良22.6%，III-IV级脑室内出血5.2%，脑室周围白质症2.2%，II-III期坏死性小肠结肠炎3.9%，局灶性肠穿孔0.8%，3-5期早产儿视网膜病变3.8%，出院体重。结论：本研究为深圳新生儿重症监护病房早产儿管理提供了使用Triple Aim框架的基线数据，突出了质量改进的领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Italian Journal of Pediatrics PEDIATRICS-

CiteScore

6.10

自引率

13.90%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Italian Journal of Pediatrics is an open access peer-reviewed journal that includes all aspects of pediatric medicine. The journal also covers health service and public health research that addresses primary care issues. The journal provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field. Italian Journal of Pediatrics, which commenced in 1975 as Rivista Italiana di Pediatria, provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.