{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T09:39:34Z","timestamp":1787996374089,"version":"build-2784847793"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Amer J Perinatol"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>\n            Objective\u2003Many critically ill neonates have an existing brain injury or are at risk of neurologic injury. We developed a \u201cNeuroNICU\u201d (neurologic neonatal intensive care unit) to better provide neurologically focused intensive care.<\/jats:p><jats:p>\n            Study Design\u2003Demographic and clinical variables, services delivered, and patient outcomes were recorded in a prospective database for all neonates admitted to the NeuroNICU between April 23, 2013, and June 25, 2015.<\/jats:p><jats:p>\n            Results\u2003In total, 546 neonates were admitted to the NeuroNICU representing 32% of all NICU admissions. The most common admission diagnoses were congenital heart disease (30%), extreme prematurity (18%), seizures (10%), and hypoxic\u2013ischemic encephalopathy (9%). Neuromonitoring was common, with near-infrared spectroscopy used in 69%, amplitude-integrated electroencephalography (EEG) in 45%, and continuous video EEG in 35%. Overall, 43% received neurology or neurosurgery consultation. Death prior to hospital discharge occurred in 11%. Among survivors, 87% were referred for developmental follow-up, and among those with a primary neurologic diagnosis 57% were referred for neurology or neurosurgical follow-up.<\/jats:p><jats:p>\n            Conclusion\u2003The NeuroNICU-admitted newborns with or at risk of brain injury comprise a high percentage of NICU volume; 38% had primary neurologic diagnoses, whereas 62% had medical diagnoses. We found many opportunities to provide brain focused intensive care, impacting a substantial proportion of newborns in our NICU.<\/jats:p>","DOI":"10.1055\/s-0038-1646954","type":"journal-article","created":{"date-parts":[[2018,4,27]],"date-time":"2018-04-27T18:47:15Z","timestamp":1524854835000},"page":"1197-1205","source":"Crossref","is-referenced-by-count":30,"title":["Development of a NeuroNICU with a Broader Focus on All Newborns at Risk of Brain Injury: The First 2 Years"],"prefix":"10.1055","volume":"35","author":[{"given":"Elisabeth","family":"Yan","sequence":"first","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathi","family":"Randall","sequence":"first","affiliation":[{"name":"Department of Neonatology, Lucile Packard Children's Hospital Stanford, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Chock","sequence":"first","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Davis","sequence":"first","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecelia","family":"Glennon","sequence":"first","affiliation":[{"name":"Department of Neonatology, Lucile Packard Children's Hospital Stanford, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Clark","sequence":"first","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California"},{"name":"Division of Child Neurology, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Wusthoff","sequence":"first","affiliation":[{"name":"Division of Child Neurology, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Bonifacio","sequence":"first","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krisa","family":"Van Meurs","sequence":"additional","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,4,27]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1646954.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T18:33:53Z","timestamp":1537900433000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1646954"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,27]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2018,9,25]]},"published-print":{"date-parts":[[2018,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1646954","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,27]]}}}