A5068220400- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Infant Nutrition and Health
- Congenital Diaphragmatic Hernia Studies
- Child and Adolescent Health
- Congenital Heart Disease Studies
- Emergency and Acute Care Studies
- Homelessness and Social Issues
- Neuroscience of respiration and sleep
- Neonatal and Maternal Infections
- Prenatal Substance Exposure Effects
- Birth, Development, and Health
- Healthcare Policy and Management
- Breastfeeding Practices and Influences
- Congenital Anomalies and Fetal Surgery
- Substance Abuse Treatment and Outcomes
- Neonatal and fetal brain pathology
- Alcohol Consumption and Health Effects
- Global Maternal and Child Health
- Family and Patient Care in Intensive Care Units
- Cardiovascular Conditions and Treatments
- Pregnancy and preeclampsia studies
- Ultrasound in Clinical Applications
- Migration, Health and Trauma
- COVID-19 Impact on Reproduction
University of Vermont
2016-2025
Vermont Oxford Network
2016-2025
University of Vermont Medical Center
2021-2024
Oregon Health & Science University
2023
University of Vermont Children’s Hospital
2021-2023
Cleveland Clinic Lerner College of Medicine
2018-2022
Institute of Mathematical Statistics
2019-2022
Auckland District Health Board
2016
Pediatrics and Genetics
2012
Boston University
2006-2011
Hospitals use rates from the best quartile or decile as benchmarks for quality improvement aims, but to what extent these aims are achievable is uncertain.To determine proportion of neonatal intensive care units (NICUs) in 2014 that achieved death and major morbidities low shrunken adjusted 2005 time it took achieve those rates.A total 408 164 infants with a birth weight 501 1500 g born January 1, 2005, December 31, 2014, cared at 756 Vermont Oxford Network member NICUs United States were...
BACKGROUND: Very low birth weight infants often gain poorly and demonstrate growth failure during the initial hospitalization. Although many of major morbidities experienced by these their NICU stays have decreased in recent years, it is unclear whether has improved. METHODS: We studied 362 833 weighing 501 to 1500 g without defects born from 2000 2013 who were hospitalized for 15 175 days at 736 North American hospitals Vermont Oxford Network. Average velocity (GV; g/kg per day) was...
Our goal was to determine whether adverse childhood experiences predicted the age at which drinking initiated and motives in a representative sample of current or former drinkers United States.In 2006, probability 3592 US aged 18 39 were surveyed. Multinomial logistic regression examined each 10 associated with earlier ages onset, controlling for demographics, parental alcohol use, attitudes toward drinking, peers' adolescence. We also there graded relationship between number onset related...
<h3>Importance</h3> Racial and ethnic minorities receive lower-quality health care than white non-Hispanic individuals in the United States. Where minority infants role that may play quality of received is unclear. <h3>Objective</h3> To determine extent segregation inequality very low-birth-weight preterm across neonatal intensive units (NICUs) <h3>Design, Setting, Participants</h3> This cohort study 743 NICUs Vermont Oxford Network included 117 982 black, Hispanic, Asian, born at 401 g to...
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OBJECTIVES To determine the epidemiology, microbiology, and associated outcomes of late-onset sepsis among very preterm infants using a large nationally representative cohort NICUs across United States. METHODS Prospective observational study born 401 to 1500 g and/or 22 29 weeks’ gestational age (GA) from January 1, 2018, December 31, 2020, who survived &gt;3 days in 774 participating Vermont Oxford Network centers. Late-onset was defined as isolation pathogenic bacteria blood...
Abstract Objectives: Marijuana was involved in 209,563 emergency department (ED) visits 2006, according to the Drug Abuse Warning Network. Although screening and brief intervention (SBI) has been effective changing drinking among ED patients a number of studies, tests marijuana SBI pediatric (PED) have not yet reported. The aim this pilot study test whether is reducing consumption youth young adults presenting PED with diverse range clinical entities. Methods: A three‐group randomized...
Background: Earlier age of drinking onset has been associated with greater odds involvement in motor vehicle crashes, unintentional injuries, and physical fights after drinking. This study explores whether early drinkers take more risks even when sober by comparing potential associations between these outcomes relative to respondents have not Method: From a national sample, 4,021 ever‐drinkers ages 18 39 were asked onset, counting tastes or sips. They also if they ever unintentionally...
Care for neonatal abstinence syndrome (NAS), a postnatal drug withdrawal syndrome, remains variable. We designed and implemented multicenter quality improvement collaborative infants with NAS. Our objective was to determine if the effective in standardizing hospital policies improving patient outcomes.
<h3>Importance</h3> Although evidence of antenatal steroids (ANS) efficacy at 22 to 25 weeks’ gestation is limited, increasingly these infants are treated with postnatal life support. <h3>Objectives</h3> To estimate the proportion receiving support who had exposure ANS, and examine if provision ANS was associated a higher rate survival hospital discharge without major morbidities. <h3>Design, Setting, Participants</h3> This multicenter observational cohort study consisted 33 472 eligible...
The Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network (NRN) extremely preterm birth outcome model is widely used for prognostication by practitioners caring families expecting birth. provides information on mean outcomes from 1998 to 2003 does not account substantial variation in among US hospitals.To update validate the NRN most infants United States.This prognostic study included 3 observational cohorts January 1, 2006, December 31,...
To identify the relative risks of mortality and morbidities for small gestational age (SGA) infants in comparison with non-SGA born at 22 to 29 weeks' gestation.Data were collected (2006-2014) on 156 587 from 852 US centers participating Vermont Oxford Network. We defined SGA as sex-specific birth weight <10th centile (GA) days. Binomial generalized additive models a thin plate spline term GA by used calculate adjusted 95% confidence intervals outcomes GA.Compared infants, risk patent ductus...
To determine the epidemiology and microbiology of early-onset sepsis (EOS) among very preterm infants using a nationally representative cohort from academic community hospitals to inform empirical antibiotic guidance, highlight risk factors for infection, aid in prognostication infected infants.
BACKGROUND Mortality and morbidity for very preterm infants in the United States decreased years. The current study describes recent changes to assess whether pace of improvement has changed. METHODS Vermont Oxford Network members contributed data on born at 24 28 weeks’ gestation from 1997 2021. We modeled mortality, late-onset sepsis, necrotizing enterocolitis, chronic lung disease, severe intraventricular hemorrhage, retinopathy prematurity, death or by year birth using segmented relative...
OBJECTIVE: To provide contemporary data on infants inborn at 22 to 25 weeks’ gestation and receiving care level 3 4 neonatal intensive units in the United States. METHODS: Vermont Oxford Network members submitted born a hospital with or NICU from 2020 2022. The primary outcome was survival discharge. Secondary outcomes included without severe complications, length of stay, technology dependence. RESULTS: Overall, 953 636 US hospitals were included. Postnatal life support increased 68.0%...
Neonatal encephalopathy (NE) is a major predictor of death and long-term neurologic disability, but there are few studies antecedents NE.To identify in large registry infants who had NE.This was maternal infant record review 4165 singleton neonates, gestational age ≥ 36 weeks, meeting criteria for inclusion the Vermont Oxford Network Encephalopathy Registry.Clinically recognized seizures were most prevalent condition (60%); 49% 5-minute Apgar score ≤ 3 18% reduced level consciousness. An...
Objective: We explored among people who ever consumed alcohol whether early age at drinking onset and dependence predicted drug use dependence. also examined drinkers have used drugs they predict driving under the influence of motor-vehicle crash involvement because drugs. Method: A U.S. national sample 42,867 persons 18 older was surveyed in 1991-1992 (response rate = 90%). Logistic regression these potential associations 27,616 respondents drank alcohol, controlling for numerous...
To identify changes in clinical practices for infants with birth weights of 501 to 1500 g born from 2000 2009.We used prospectively collected registry data 355,806 2009 and cared at 669 North American hospitals the Vermont Oxford Network. Main outcome measures included obstetric neonatal practices, including cesarean delivery, antenatal steroids, delivery room interventions, respiratory neuroimaging, retinal exams, feeding discharge.Significant many obstetric, room, occurred 2009. Use...
: media-1vid110.1542/5839992664001PEDS-VA_2017-4322Video Abstract BACKGROUND: The Centers for Disease Control and Prevention (CDC) published the Core Elements of Hospital Antibiotic Stewardship Programs (ASPs), while Choosing Wisely Newborn Medicine Top 5 list identified antibiotic therapy as an area overuse. We identify baseline prevalence makeup newborn-specific ASPs assess variability NICU use rates (AURs).Data were collected using a cross-sectional audit Vermont Oxford Network members in...