The impact of transfers from neonatal intensive care to paediatric intensive care: NICU transfers to PICU

Emma Williams, Rebecca Lee, Nia Williams, Akash Deep, Nadisha Subramaniam, Buvana Dwarakanathan, Theodore Dassios, Anne Greenough

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
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Abstract

Objectives: Infants receiving care from neonatal intensive care unit (NICU) can develop chronic problems and be transferred to a paediatric intensive care unit (PICU) for ongoing care. There is concern that such infants may take up a large amount of PICU resource, but this is not evidence based. We determined the impact of such transfers. Methods: We reviewed 10 years of NICU admissions to two tertiary PICUs, which had approximately 12,000 admissions during that period. Results: Sixty-seven infants, gestational age at birth 34.7 (IQR 27.1–38.8) weeks and postnatal age on transfer 81 (IQR 9–144) days were admitted from NICUs. The median (IQR) length of stay was 12 (4–41) days. The 19 infants born <28 weeks of gestation had a greater median length of stay (32, range IQR 10–93 days) than more mature born infants (7.5, IQR 4–26 days) (p=0.003). The median cost of PICU stay for NICU transfers was £23,800 (range 1,205–1,034,000) per baby. The total cost of care for infants transferred from NICUs was £6,457,955. Conclusions: Infants transferred from NICUs were a small proportion of PICU admissions but, particularly those born <28 weeks of gestation, had prolonged stays which needs to be considered when determining bed capacity.

Original languageEnglish
Pages (from-to)630-631
Number of pages2
JournalJournal of Perinatal Medicine
Volume49
Issue number5
DOIs
Publication statusPublished - 1 Jun 2021

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