{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:01:54Z","timestamp":1791478914100,"version":"4.3.4"},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003The study compares the short-term outcomes of late preterm infants (LPI) at an academic center in San Diego, California after a change in protocol that eliminated a previously mandatory 12-hour neonatal intensive care unit (NICU) observation period after birth.<\/jats:p><jats:p>\n          Study Design\u2003This is a retrospective observational study examining all LPI born with gestational age 35 to 366\/7\u2009weeks between October 1, 2016 and October 31, 2017. A total of 189 infants were included in the review. Short-term outcomes were analyzed before and after the protocol change.<\/jats:p><jats:p>\n          Results\u2003Transfers to the NICU from family-centered care (FCC) were considerably higher (23.2%) following the protocol change, compared to before (8.2%). More infants were transferred to the NICU for failed car seat tests postprotocol compared to preprotocol. Length of stay before the protocol change was 5.13\u2009days compared to 4.80\u2009days after.<\/jats:p><jats:p>\n          Conclusion\u2003LPI are vulnerable to morbidities after delivery and through discharge. We found an increase in failed car seat tests in LPI cared for in FCC after elimination of a mandatory NICU observation after birth. The transitions of care from delivery to discharge are key checkpoints in minimizing complications.<\/jats:p>","DOI":"10.1055\/s-0039-1694981","type":"journal-article","created":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T23:46:33Z","timestamp":1566344793000},"page":"131-139","source":"Crossref","is-referenced-by-count":4,"title":["Short-Term Outcomes following Standardized Admission of Late Preterm Infants to Family-Centered Care"],"prefix":"10.1055","volume":"38","author":[{"given":"Jonathan","family":"Reiss","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of California San Diego School of Medicine, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavan S.","family":"Upadhyayula","sequence":"additional","affiliation":[{"name":"University of California San Diego School of Medicine, La Jolla, 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infants","volume":"33","author":"G Natarajan","year":"2016","journal-title":"Am J Perinatol"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1542\/peds.2012-1999","article-title":"Levels of neonatal care","volume":"130","author":"W Barfield","year":"2012","journal-title":"Pediatrics"},{"issue":"08","key":"ref15","first-page":"659","article-title":"Influence of neonatal practice variation on outcomes of late preterm birth","volume":"31","author":"S Aliaga","year":"2014","journal-title":"Am J Perinatol"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1111\/pde.12664","article-title":"Severe extravasation injuries in neonates: a report of 34 cases","volume":"32","author":"N Kostogloudis","year":"2015","journal-title":"Pediatr Dermatol"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.ajic.2006.07.007","article-title":"Outbreaks in neonatal intensive care units \u2013 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Edwards","year":"2018","journal-title":"Pediatrics"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.jpeds.2017.08.028","article-title":"Regional variation in neonatal intensive care admissions and the relationship to bed supply","volume":"192","author":"W N Harrison","year":"2018","journal-title":"J Pediatr"},{"issue":"01","key":"ref28","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1001\/jamapediatrics.2017.3913","article-title":"Association between neonatal intensive care unit admission rates and illness acuity","volume":"172","author":"J Schulman","year":"2018","journal-title":"JAMA Pediatr"},{"issue":"09","key":"ref29","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1001\/jamapediatrics.2015.1597","article-title":"The concern for supply-sensitive neonatal intensive care unit care: if you build them, they will come","volume":"169","author":"A E Carroll","year":"2015","journal-title":"JAMA 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(Phila)"},{"issue":"04","key":"ref40","first-page":"269","article-title":"Impact of late preterm and early term infants on Canadian neonatal intensive care units","volume":"31","author":"K L Bassil","year":"2014","journal-title":"Am J Perinatol"},{"issue":"03","key":"ref41","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1542\/peds.108.3.647","article-title":"Respiratory instability of term and near-term healthy newborn infants in car safety seats","volume":"108","author":"J R Merchant","year":"2001","journal-title":"Pediatrics"},{"issue":"01","key":"ref42","first-page":"16","article-title":"Factors associated with car seat test failure in late preterm infants: a retrospective chart review","volume":"21","author":"R W Smith","year":"2016","journal-title":"Paediatr Child Health"},{"issue":"03","key":"ref43","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/j.acap.2013.01.009","article-title":"Car seat safety for preterm neonates: implementation and testing 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