{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:03:35Z","timestamp":1790039015329,"version":"4.0.1"},"reference-count":14,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,7,1]]},"abstract":"<jats:p>OBJECTIVE: To compare very low birth weight (VLBW) infants transported to a community hospital (CH) before discharge with infants who received convalescent care in a regional-referral NICU (RR-NICU) on 4 parameters: health indicators at the time of hospital discharge, health care use during the 4 months after discharge to home, parent satisfaction with hospital care, and cost of hospitalization.<\/jats:p><jats:p>PATIENTS AND METHODS: VLBW infants cared for in 2 RR-NICUs during 2004\u20132006 were enrolled in the study. One RR-NICU transfers infants to a CH for convalescent care and the other discharges infants directly home. Infants were followed prospectively. Information was gathered from medical charts, parent interviews, and hospital business offices.<\/jats:p><jats:p>RESULTS: A total of 255 VLBW infants were enrolled in the study, and 148 were transferred to 15 CHs. Nineteen percent of transferred infants were readmitted to a higher level of care before discharge from the hospital. Preventative health measures and screening examinations were more frequently missed, readmission within 2 weeks of discharge from the hospital was more frequent, parents were less satisfied with hospital care, and duration of hospitalization was 12 days longer, although not statistically different, if infants were transferred to a CH for convalescence rather than discharged from the RR-NICU. Total hospital charges did not differ significantly between the groups.<\/jats:p><jats:p>CONCLUSION: Transfer of infants to a CH from an RR-NICU for convalescent care has become routine but may place infants at risk. Our study indicates room for improvement by both CHs and RR-NICUs in the care of transferred VLBW infants.<\/jats:p>","DOI":"10.1542\/peds.2008-0880","type":"journal-article","created":{"date-parts":[[2009,6,29]],"date-time":"2009-06-29T15:18:44Z","timestamp":1246288724000},"page":"105-111","source":"Crossref","is-referenced-by-count":20,"title":["Convalescent Care of Infants in the Neonatal Intensive Care Unit in Community Hospitals: Risk or Benefit?"],"prefix":"10.1542","volume":"124","author":[{"given":"Pamela K.","family":"Donohue","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland"},{"name":"Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Hussey-Gardner","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie J.","family":"Sulpar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan W.","family":"Aucott","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2009,7,1]]},"reference":[{"key":"2021120902503452800_R1","unstructured":"Cohen M. Management of the Neonatal Intensive Care Unit and neonatal services. In: Sibbald WJ, Massaro T, eds. The Business of Critical Care: A Textbook for Clinicians Who Manage Special Care Units. Armonk"},{"key":"2021120902503452800_R2","unstructured":"American Hospital Association. American Hospital Association Annual Survey Database: Fiscal Year 2000. CD-ROM ed. Chicago, IL: Health Forum LLC; 2002"},{"key":"2021120902503452800_R3","unstructured":"SPSS for Windows [computer program]. Release 13.0. Chicago IL: SPSS Inc; 2004"},{"key":"2021120902503452800_R4","doi-asserted-by":"crossref","unstructured":"Profit J, McCormick MC, Escobar GJ, et al. Neonatal intensive care unit census influences discharge of moderately preterm infants. Pediatrics.\u20082007;119(2):314\u2013319","DOI":"10.1542\/peds.2005-2909"},{"key":"2021120902503452800_R5","doi-asserted-by":"crossref","unstructured":"Mills MM, Sims DC, Jacob J. 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Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA.\u20082007;297(8):831\u2013841","DOI":"10.1001\/jama.297.8.831"},{"key":"2021120902503452800_R8","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Committee on Fetus and Newborn. Hospital discharge of the high-risk neonate\u2014proposed guidelines. Pediatrics.\u20081998;102(2 pt 1):411\u2013417","DOI":"10.1542\/peds.102.2.411"},{"key":"2021120902503452800_R9","doi-asserted-by":"crossref","unstructured":"Attar MA, Bratton SL. Effect of back transport on readmissions and follow-up care. Pediatrics.\u20082007;120(2):455\u2013456","DOI":"10.1542\/peds.2007-1256"},{"key":"2021120902503452800_R10","doi-asserted-by":"crossref","unstructured":"Schaffer P, Vaughn G, Kenner C, Donohue F, Longo A. Revision of a parent satisfaction survey based on the parent perspective. 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