Morris Cohen, David R Brown, Bellipady Rai, Alla Kushnir, Benjamin Planer, Deepak Jain, Michael M Myers
{"title":"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。","authors":"Morris Cohen, David R Brown, Bellipady Rai, Alla Kushnir, Benjamin Planer, Deepak Jain, Michael M Myers","doi":"10.1038/s41372-026-02871-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To determine how much of the variability in growth of preterm infants is related to differences among NICUs.</p><p><strong>Study design: </strong>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 (23<sup>0</sup>-29<sup>6</sup> weeks) in the New Jersey NICU Collaborative from 2014 to 2023.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Growth disparities among NICUs: insights from the New Jersey statewide neonatal collaborative.\",\"authors\":\"Morris Cohen, David R Brown, Bellipady Rai, Alla Kushnir, Benjamin Planer, Deepak Jain, Michael M Myers\",\"doi\":\"10.1038/s41372-026-02871-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To determine how much of the variability in growth of preterm infants is related to differences among NICUs.</p><p><strong>Study design: </strong>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 (23<sup>0</sup>-29<sup>6</sup> weeks) in the New Jersey NICU Collaborative from 2014 to 2023.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":16690,\"journal\":{\"name\":\"Journal of Perinatology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2026-08-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Perinatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1038/s41372-026-02871-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perinatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41372-026-02871-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Growth disparities among NICUs: insights from the New Jersey statewide neonatal collaborative.
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.
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.
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