Growth disparities among NICUs: insights from the New Jersey statewide neonatal collaborative.

IF 2.3 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2026-08-17 DOI:10.1038/s41372-026-02871-y

Morris Cohen, David R Brown, Bellipady Rai, Alla Kushnir, Benjamin Planer, Deepak Jain, Michael M Myers

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引用次数: 0

Abstract

Objective: To determine how much of the variability in growth of preterm infants is related to differences among NICUs.

Study design: The contribution of NICU of care and infant characteristics to variability in growth (weight Z-scores changes, birth to discharge) were quantified for 4459 infants (23⁰-29⁶ weeks) in the New Jersey NICU Collaborative from 2014 to 2023.

Results: Despite increases in growth of preterm infants over years, substantial variability in growth persists. The largest contributor to this variability was the NICU of care. Adjusting for GA at birth and birth weight, race, ethnicity, and major morbidities, the effect of NICU of care remained highly significant (p < 0.001) and accounted for over 13% of the variance in growth.

Conclusions: There is substantial variation in growth, with NICU of care being the largest source of identified variability. Different feeding strategies and actual nutrient delivery need to be further investigated to reduce these disparities.

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新生儿重症监护病房的生长差异：来自新泽西州全州新生儿合作的见解。

目的：探讨新生儿重症监护病房差异对早产儿生长变异的影响程度。研究设计：对2014年至2023年新泽西州NICU协作中心4459名婴儿（230-296周）的新生儿NICU护理和婴儿特征对生长变异性的贡献（体重z评分变化、出生至出院）进行量化。结果：尽管早产儿的生长随着时间的推移而增加，但生长的实质性变化仍然存在。造成这种差异的最大因素是新生儿重症监护病房。调整出生时的GA和出生体重、种族、民族和主要发病率，新生儿重症监护室的护理效果仍然非常显著(p)。结论：在生长方面存在实质性变化，新生儿重症监护室是已确定的变异的最大来源。需要进一步研究不同的喂养策略和实际的营养输送，以减少这些差异。

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

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.