To examine quality measures for moderate and late preterm (MLP) infants.
By prospectively analyzing Vermont Oxford Network’s all NICU admissions database, we adapted Baby-MONITOR, a composite quality measure for extremely/very preterm infants, for MLP infants. We examined correlations between the adapted MLP quality measure (MLP-QM) in MLP infants and Baby-MONITOR in extremely and very preterm infants.
We studied 376,219 MLP (30–36 weeks GA) and 57,595 extremely/very preterm (25–29 weeks GA) infants from 465 U.S. hospitals born from 2016 to 2020. MLP-QM summary scores in MLP infants had weak correlation with Baby-MONITOR scores in extremely and very preterm infants (r = 0.47). There was weak correlation among survival (r = 0.19), no pneumothorax (r = 0.35), and no infection after 3 days (r = 0.45), but strong correlation among human milk at discharge (r = 0.79) and no hypothermia (r = 0.76).
Modest correlation among hospital care measures in two preterm populations suggests the need for MLP-specific care measures.
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We are indebted to our colleagues who submit data to VON on behalf of infants and their families. The list of centers contributing data to this study is in Supplementary Table 4.
Erika M Edwards receives salary support from Vermont Oxford Network. Lucy T Greenberg is an employee of Vermont Oxford Network. T32HL098054 (to EGS). There are no additional conflicts of interest to disclose.
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Salazar, E.G., Handley, S.C., Greenberg, L.T. et al. Measuring quality of care in moderate and late preterm infants. J Perinatol 42, 1294–1300 (2022). https://doi.org/10.1038/s41372-022-01377-7