Impact of the environmental layout of the neonatal intensive care unit on clinical outcomes and neurological development in very/extremely preterm infants

WEI Lu; HE Sha-Sha; ZHANG Xian-Hong

doi:10.7499/j.issn.1008-8830.2302060

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Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (8) : 812-817. DOI: 10.7499/j.issn.1008-8830.2302060

CLINICAL RESEARCH

Impact of the environmental layout of the neonatal intensive care unit on clinical outcomes and neurological development in very/extremely preterm infants

WEI Lu, HE Sha-Sha, ZHANG Xian-Hong

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Abstract

Objective To investigate the impact of the environmental layout of the neonatal intensive care unit (NICU) on clinical outcomes and neurological development in very/extremely preterm infants. Methods A total of 304 very/extremely preterm infants admitted to Children's Hospital of Chongqing Medical University between January 2021 and June 2022 within 24 hours after birth were included in this retrospective cohort study. Based on different environmental layouts in the NICU, the infants were divided into two groups: centralized layout group (n=157) and decentralized layout group (n=147). The clinical outcomes and Test of Infant Motor Performance (TIMP) scores at corrected gestational age between 34 to 51⁺⁶ weeks were compared between the two groups. Results The decentralized layout group had lower incidence rates of bronchopulmonary dysplasia (44.9% vs 62.4%, P<0.05) and intracranial hemorrhage (17.7% vs 28.0%, P<0.05) than the centralized layout group. The cure rate was higher in the decentralized layout group compared to the centralized layout group (68.7% vs 56.7%, P<0.05). The decentralized layout group had higher TIMP scores than the centralized layout group at corrected gestational age between 34 to 51⁺⁶ weeks (P<0.05). Conclusions The decentralized layout of the NICU exhibits positive effects on the clinical outcomes and early neurological development compared to the centralized layout in very/extremely preterm infants.

Key words

Neonatal intensive care unit / Environmental layout / Clinic outcome / Neurological development / Perterm infant

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WEI Lu, HE Sha-Sha, ZHANG Xian-Hong. Impact of the environmental layout of the neonatal intensive care unit on clinical outcomes and neurological development in very/extremely preterm infants[J]. Chinese Journal of Contemporary Pediatrics. 2023, 25(8): 812-817 https://doi.org/10.7499/j.issn.1008-8830.2302060

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