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Balakrishnan M, Falk-Smith N, Detman LA, Miladinovic B, Sappenfield WM, Curran JS, Ashmeade TL. Promoting teamwork may improve infant care processes during delivery room management: Florida perinatal quality collaborative's approach. J Perinatol 2017; 37:886-892. [PMID: 28406486 DOI: 10.1038/jp.2017.27] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Revised: 02/08/2017] [Accepted: 02/14/2017] [Indexed: 11/09/2022]
Abstract
BACKGROUND LOCAL PROBLEM: Inadequate understanding of compliance with standardized evidence-based DR management. INTERVENTIONS Promote inter-professional teamwork and a bundle of interventions focusing on resuscitation team roles, equipment check, and debriefing using QI methodology. Optimize delivery room (DR) management to achieve 10-min SPO2 targets, delayed-cord clamping (DCC), team role assignment and debriefings in >50% of deliveries, and achieve normothermia in >75% of infants. METHODS Over 15 months (Epoch 1 to 5), nine Florida hospitals implemented a DR management plan for infants <31 weeks gestational age or <1500 g (N=814) using quality improvement methodology. RESULTS There was increased compliance of DCC (36 to 66%), role assignment (53 to 98%), debriefing rates (33 to 76%) and having all seven pre-delivery preparedness components fulfilled (34 to 75%). There were no significant improvements in admission temperatures or SPO2 targeting. When 7 vs 0 items of pre-delivery preparedness were completed, we saw improvements in thermoregulation (57% vs 72%), SPO2 targeting (60% vs 78%) and DCC compliance (43 to 67%). CONCLUSION Promoting teamwork by increasing pre-delivery preparedness is associated with improvement of thermoregulation, SPO2 targeting and DCC compliance.
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Affiliation(s)
- M Balakrishnan
- Division of Neonatology, Department of Pediatrics, University of South Florida Health, Tampa, FL, USA
| | - N Falk-Smith
- Lawton and Rhea Chiles Center for Healthy Mothers and Babies, Department of Community and Family Health, College of Public Health, University of South Florida Health, Tampa, FL, USA
| | - L A Detman
- Lawton and Rhea Chiles Center for Healthy Mothers and Babies, Department of Community and Family Health, College of Public Health, University of South Florida Health, Tampa, FL, USA
| | - B Miladinovic
- Center for Comparative Effectiveness Research, Division of Evidence-Based Medicine, Department of Internal Medicine, University of South Florida Health, Tampa, FL, USA
| | - W M Sappenfield
- Lawton and Rhea Chiles Center for Healthy Mothers and Babies, Department of Community and Family Health, College of Public Health, University of South Florida Health, Tampa, FL, USA
| | - J S Curran
- Division of Neonatology, Department of Pediatrics, University of South Florida Health, Tampa, FL, USA
| | - T L Ashmeade
- Division of Neonatology, Department of Pediatrics, University of South Florida Health, Tampa, FL, USA
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Curran JS, Domenech J, Jaffrezic-Renault N, Philippe R. Kinetics and mechanism of platinum deposition by photoelectrolysis in illuminated suspensions of semiconducting titanium dioxide. ACTA ACUST UNITED AC 2002. [DOI: 10.1021/j100252a014] [Citation(s) in RCA: 65] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abstract
Acoustic noise levels for fast MRI pulse sequences were surveyed on 14 systems with field strengths ranging from 0.2 T to 3 T. A microphone insensitive to the magnetic environment was placed close to the magnet isocenter and connected via an extension cable to a sound level meter outside the scan room. Measured noise levels varied from 82.5 +/- 0.1 dB(A) for a 0.23 T system to 118.4 +/- 1.3 dB(A) for a 3 T system. Further measurements on four of the closed-bore systems surveyed showed that: 1) pulse sequence parameters (particularly FOV and TR) were more influential in determining noise level than field strength, 2) the noise level was found to vary along the z-direction with a maximum near the bore entrance, and 3) in one of two systems tested there was a significant increase in noise with a volunteer present instead of a test object. The results underline the importance of hearing protection for patients and for staff spending extended periods in the scan room.
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Affiliation(s)
- D L Price
- MagNET, Department of Electrical Engineering, Imperial College of Science Technology and Medicine, London
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Resnick MB, Gueorguieva RV, Carter RL, Ariet M, Sun Y, Roth J, Bucciarelli RL, Curran JS, Mahan CS. The impact of low birth weight, perinatal conditions, and sociodemographic factors on educational outcome in kindergarten. Pediatrics 1999; 104:e74. [PMID: 10586008 DOI: 10.1542/peds.104.6.e74] [Citation(s) in RCA: 68] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To assess the relative effects and the impact of perinatal and sociodemographic risk factors on long-term morbidity within a total birth population in Florida. METHODS School records for 339 171 children entering kindergarten in Florida public schools in the 1992-1993, 1993-1994, or 1994-1995 academic years were matched with Florida birth records from 1985 to 1990. Effects on long-term morbidity were assessed through a multivariate analysis of an educational outcome variable, defined as placement into 9 mutually exclusive categories in kindergarten. Of those categories, 7 were special education (SE) classifications determined by statewide standardized eligibility criteria, 1 was academic problems, and the reference category was regular classroom. Generalized logistic regression was used to simultaneously estimate the odds of placement in SE and academic problems. The impact of all risk factors was assessed via estimated attributable excess/deficit numbers, based on the multivariate analysis. RESULTS Educational outcome was significantly influenced by both perinatal and sociodemographic factors. Perinatal factors had greater adverse effects on the most severe SE types, with birth weight <1000 g having the greatest effect. Sociodemographic predictors had greater effects on the mild educational disabilities. Because of their greater prevalence, the impact attributable to each of the factors (poverty, male gender, low maternal education, or non-white race) was between 5 and 10 times greater than that of low birth weight and >10 times greater than that of very low birth weight, presence of a congenital anomaly, or prenatal care. CONCLUSIONS Results are consistent with the hypothesis that adverse perinatal conditions result in severe educational disabilities, whereas less severe outcomes are influenced by sociodemographic factors. Overall, sociodemographic factors have a greater total impact on adverse educational outcomes than perinatal factors.
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Affiliation(s)
- M B Resnick
- University of Florida, College of Medicine, Department of Pediatrics, PO Box 100296, Gainesville, FL 32610-0296, USA.
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Resnick MB, Gomatam SV, Carter RL, Ariet M, Roth J, Kilgore KL, Bucciarelli RL, Mahan CS, Curran JS, Eitzman DV. Educational disabilities of neonatal intensive care graduates. Pediatrics 1998; 102:308-14. [PMID: 9685431 DOI: 10.1542/peds.102.2.308] [Citation(s) in RCA: 62] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To determine the relationship between perinatal and sociodemographic factors in low birth weight and sick infants hospitalized at regional neonatal intensive care units (NICUs) and subsequent educational disabilities. METHOD NICU graduates born between 1980 and 1987 at nine statewide regionalized level III centers were located in Florida elementary schools (kindergarten through third grade) during academic year 1992-1993 (n = 9943). Educational disability was operationalized as placement into eight mutually exclusive types of special education (SE) classifications determined by statewide standardized eligibility criteria: physically impaired, sensory impaired (SI), profoundly mentally handicapped, trainable mentally handicapped, educable mentally handicapped, specific learning disabilities, emotionally handicapped, and speech and language impaired (SLI). Logistic regression was used to estimate the odds of placement in SE for selected perinatal and sociodemographic variables. RESULTS Placement into SE ranged from .8% for SI to 9.9% for SLI. Placement was related to four perinatal factors (birth weight, transport, medical conditions [congenital anomalies, seizures or intraventricular hemorrhage] and ventilation), and five sociodemographic factors (child's sex, mother's marital status, mother's race, mother's educational level, and family income). Perinatal factors primarily were associated with placement in physically impaired, SI, profoundly mentally handicapped, and trainable mentally handicapped. Perinatal and sociodemographic factors both were associated with placement in educable mentally handicapped and specific learning disabilities whereas sociodemographic factors primarily were associated with placement in emotionally handicapped and SLI. CONCLUSIONS Educational disabilities of NICU graduates are influenced differently by perinatal and sociodemographic variables. Researchers must take into account both sets of these variables to ascertain the long-term risk of educational disability for NICU graduates. Birth weight alone should not be used to assess NICU morbidity outcomes.
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Affiliation(s)
- M B Resnick
- College of Medicine, University of Florida, Gainesville, Florida 32610-0296, USA
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Roth J, Resnick MB, Ariet M, Carter RL, Eitzman DV, Curran JS, Cupoli JM, Mahan CS, Bucciarelli RL. Changes in survival patterns of very low-birth-weight infants from 1980 to 1993. Arch Pediatr Adolesc Med 1995; 149:1311-7. [PMID: 7489066 DOI: 10.1001/archpedi.1995.02170250017002] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
OBJECTIVE To determine changes in survival patterns among very low-birth-weight ( < 1500 g) infants between 1980 and 1993. METHODS The records of 12,960 infants treated in nine perinatal intensive care centers in Florida were analyzed on the basis of survival (discharged alive from hospital) according to four independent variables: birth weight, race, sex, and transport status. Survival curves were generated using log linear regression techniques for each race by sex by transport status group. RESULTS Race, sex, and transport status correlated significantly with survival: survival percentages were higher among black infants, female infants, and infants transported to the perinatal intensive care centers than among white infants, male infants, and those admitted initially to the tertiary care centers. After 1985, 95% of neonates with birth weights between 1200 and 1500 g survived. In addition, survival of 500- to 500-g transported black male infants increased from zero to near 80% during the 13-year period; that of 500- to 550-g inborn white female infants rose from 35% to 70%. CONCLUSIONS These results illustrate the value of taking into account race, sex, and transport status in efforts to understand the contribution that neonatal intensive care of extremely low-birth-weight infants makes to the lowering of infant mortality, and of using multivariable statistical procedures to generate predicted survival probabilities for different subpopulations. These probabilities can be applied to (1) predicting survival for specific subgroups of extremely low-birth-weight infants, and (2) helping physicians develop clinical guidelines for extending care to infants at the threshold of viability.
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Affiliation(s)
- J Roth
- Department of Pediatrics, University of Florida, USA
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Torres BA, Weibley RE, Curran JS. Sudden infant death syndrome. Comparison of incidence in four urban Florida counties. J Fla Med Assoc 1991; 78:811-4. [PMID: 1774554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The observed incidence of sudden infant death syndrome (SIDS) in Hillsborough County is significantly higher than corrected rates in three other metropolitan areas of the state which have common demographic features. An eight year analysis of data (1979-1986) demonstrates the consistency of the observation. Since SIDS is a postmortem diagnosis of exclusion utilized for deaths of infants for whom no anatomic or biochemical cause can be determined and represents a large segment of deaths between 28 days and one year of age, there is a need to assure that all areas of the state utilize similar criteria for assignment of the diagnosis.
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Affiliation(s)
- B A Torres
- Department of Pediatrics, University of South Florida College of Medicine, Tampa
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Curran JS, Halpert RD, Straatman A. Patient "no-shows"--are we scheduling failure? Radiol Manage 1990; 11:44-8. [PMID: 10294232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
Radiology departments may inadvertently be contributing to their patient "no show" problems. This article continues the analysis of patients' failure to keep scheduled radiology appointments first described in "Patient 'No Shows'--A Costly Problem" (Radiology Management, 11:1) and illustrates "no-show" patterns in three examination groups in the Department of Radiology at the University of Texas Medical Branch, Galveston, Texas. The study shows a strong link between patients' failure to keep appointments and the length of time between scheduling and the performance of the examination.
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Abstract
Auditory brain stem responses (ABRs) of 33 high risk, full term or near term newborns with transient elevation of ABR threshold (transient group) were compared with those of normal infants (normal group) and high-risk infants with known conductive (conductive group) and known sensorineural hearing loss (sensorineural group). ABRs of infants in the transient group initially were not significantly different from those of the conductive group in terms of wave I latency, wave V latency, and the slope of the latency-intensity (L-l) function of wave V. In infants with transient unilateral threshold elevation, significantly shorter interpeak latencies were recorded in the affected ear than in the ear that passed. This finding has been previously described in infants with conductive disorders. On follow-up, ABRs in the transient group closely resembled those of the normal group with respect to the same measures. Otologic histories in the transient group were unremarkable in the majority of cases. Increased slope of the L-l function in infants with confirmed conductive disorders was an unexpected finding. Previous studies of patients with conductive loss had not revealed a significant deviation from normal for this measure. An age interaction for the effect might explain the discrepancy between this and previous studies.
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Affiliation(s)
- J E Stockard
- University of South Florida College of Medicine, Department of Pediatrics, Tampa
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Resnick MB, Stralka K, Carter RL, Ariet M, Bucciarelli RL, Furlough RR, Evans JH, Curran JS, Ausbon WW. Effects of birth weight and sociodemographic variables on mental development of neonatal intensive care unit survivors. Am J Obstet Gynecol 1990; 162:374-8. [PMID: 2309818 DOI: 10.1016/0002-9378(90)90389-o] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Neonatal intensive care unit survivors (N = 494) from 10 tertiary care centers were evaluated over the first 4 to 5 years of life to determine the relative contributions of birth weight and sociodemographic factors to mental development. Six sociodemographic factors were studied: sex, race, family income, and mother's marital status, age, and educational level; the last five factors also are known to be associated with premature birth. Mental development was measured with the Bayley Scales of Infant Development (12 to 24 months) and the Stanford Binet Intelligence Test (4 to 5 years). Each factor's influence was assessed by multivariate analysis. Birth weight had limited long-term implications; at 4 to 5 years, only infants with birth weights less than 1000 gm had significantly lower scores than those in other birth weight categories. Sociodemographic variables had a greater impact on mental development, with age-dependent differences found between nonwhite and white children and between children with mothers of low, medium, and high educational levels.
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Affiliation(s)
- M B Resnick
- Department of Pediatrics, University of Florida College of Medicine, Gainesville
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Curran JS, Halpert RD, Straatman A. Patient "no-shows"--a costly problem. Radiol Manage 1989; 11:20-3. [PMID: 10291948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
The cost of patients' failure to keep scheduled appointments can be significant. This article examines two methods of reducing this problem and evaluates their effectiveness: the reminder phone call and computer-generated reminder letters. The varying success rates of these two methods are discussed as they relate to several areas of the Radiology Department at the University of Texas Medical Branch at Galveston, Texas.
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Resnick MB, Carter RL, Ariet M, Bucciarelli RL, Evans JH, Furlough RR, Ausbon WW, Curran JS. Effect of birth weight, race, and sex on survival of low-birth-weight infants in neonatal intensive care. Am J Obstet Gynecol 1989; 161:184-7. [PMID: 2750802 DOI: 10.1016/0002-9378(89)90262-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Survival for low-birth-weight infants has traditionally been analyzed by birth weight categories spanning considerable ranges of weight. We developed a finer description of survival rates to allow estimation of survival percentages for infants of any specific birth weight between 500 and 2500 gm. Our sample consisted of 16,183 infants treated in tertiary neonatal intensive care between 1980 and 1987. Their survival data were analyzed by 50 gm increments between 500 and 2500 gm, and a continuous survival curve was constructed by log linear regression methods. Mortality differences between males and females and blacks and whites were analyzed. Survival for females was higher than males between 500 and 1500 gm and higher for blacks than whites between 650 and 1500 gm. Between 1500 and 2500 gm, no significant effects of birth weight, race, or sex were observed, with survival remaining stable at approximately 95% across all combinations of variables.
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Affiliation(s)
- M B Resnick
- Department of Pediatrics, University of Florida, Gainesville
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Resnick MB, Ariet M, Carter RL, Bucciarelli RL, Furlough RR, Evans JH, McCloud AJ, Cruz AC, Curran JS, Ausbon WW. Prospective pricing model for neonatologists and obstetricians in tertiary care centers. Pediatrics 1988; 82:442-6. [PMID: 3136435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
According to the new federal diagnosis-related group (DRG) system, hospitals are reimbursed fixed sums based on discharge diagnoses, rather than variable sums that depend on specific goods and services consumed and number of days hospitalized. The government is now exploring DRGs as a potential mechanism for reimbursing physicians. In Florida, two DRG-type reimbursement systems were developed for neonatal and obstetrical hospitalizations in tertiary care settings, as departures from the federal DRG system. Called neonatal care groups (NCGs) and obstetrical care groups (OBCGs), both classification systems predicted hospital charges in these settings more accurately than did federal DRGs. The feasibility of a prospective pricing system for neonatologists and obstetricians based on NCGs and OBCGs was investigated. The data showed that neonatologists' charges had a high correlation with hospital charges (r = .90) and that increasing levels of intensity of care as defined by the NCGs were reflected by consistent increases in reimbursement to neonatologists. If the NCG system were to be applied, neonatologists would receive compensation equivalent to that which they currently earn according to the fee-for-service system. In contrast, obstetricians' charges bore almost no relationship to hospital charges. However, modest differences in obstetrician's charges did emerge as a reflection of number of complications, which are incorporated into the OBCG categories; this suggests that a reimbursement system based on hospital OBCG categories might be applied to obstetricians.
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Affiliation(s)
- M B Resnick
- University of Florida, College of Medicine, Gainesville 32610
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Resnick MB, Ariet M, Carter RL, Cao A, Furlough RR, Evans JH, McLeod AG, Cruz AC, Bucciarelli RL, Curran JS. Prospective pricing system by diagnosis-related groups: comparison of federal diagnosis-related groups with high-risk obstetric care groups. Am J Obstet Gynecol 1987; 156:567-73. [PMID: 3103450 DOI: 10.1016/0002-9378(87)90052-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Of 468 diagnosis-related groups identified by the federal government for Medicaid reimbursement, 15 are related to obstetric hospital care. Each diagnosis-related group is considered a distinct group in which cases are homogeneous with respect to resource consumption. Because the diagnosis-related group system is based primarily on data from community and secondary care hospitals, it does not differentiate sufficiently among high-risk obstetric patients seen at tertiary care institutions, such as Florida's Regional Perinatal Intensive Care Centers. We developed an alternative scheme for diagnosis-related groups, called obstetric care groups, using the federal diagnosis-related groups as the model from which to depart. Data collected for 4192 women during a 2 1/2-year period indicate that obstetric care groups provide more homogeneous groups than diagnosis-related groups for our population of high-risk patients. The obstetric care groups differentiate between no complications, one complication, and two or more complications, while the diagnosis-related groups differentiate only between no complications and one or more complications. Also, complications for obstetric care groups are based on only 19 diagnoses that contribute significantly to resource consumption, while the list of possible complications exceeds 200 for diagnosis-related groups. Although the obstetric care group classification system is simpler than that for diagnosis-related groups, it results in a more accurate reimbursement of hospitalization charges for high-risk obstetric care.
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Resnick MB, Ariet M, Carter RL, Fletcher JW, Evans JH, Furlough RR, Ausbon WW, Curran JS. Prospective pricing system for tertiary neonatal intensive care. Pediatrics 1986; 78:820-8. [PMID: 3093967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
This study assessed the potential impact of the federal neonatal diagnosis-related group (DRG) pricing system upon reimbursement to a state neonatal intensive care program. Data for length of intensive care unit stay, procedures, hospital charges, and audited cost reports from the state of Florida's ten regional neonatal intensive care centers were analyzed for 8,492 neonates whose charges totaled $118 million. Mean lengths of stay in these tertiary care centers were substantially longer than those reported for the federal DRGs, which were based on community hospital data. If federal DRG-based reimbursement to hospitals were implemented in Florida's perinatal intensive care program, compensation would range from 9% to 56% of actual hospital care charges. Federal DRG price rates were not predictive of hospital charges. Only 16% of the total variation in hospital charges was explained by differences among federal DRG rates (R2 = .16). Analysis of data by major determinants of resource consumption provided groups more homogeneous with respect to hospital charges and, hence, cost. Therefore, we developed a prospective pricing system that used modifications of federal newborn DRG system. These modifications resulted in a threefold increase in R2 (.52). Our proposed system permits prediction of cost and reimbursement for infants by three criteria: birth weight, need for mechanical ventilation and/or major surgery, and survival status and length of survival for those who die.
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Curran JS, Dickstein RE, Ausbon WW. Development and evaluation of a statewide communication and referral system (CARE line). J Fla Med Assoc 1983; 70:768-71. [PMID: 6631391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Sidebottom R, Curran JS, Williams PR, Kanarek KS, Bramson RT. Effects of long-chain vs medium-chain triglycerides on gastric emptying time in premature infants. J Pediatr 1983; 102:448-50. [PMID: 6827420 DOI: 10.1016/s0022-3476(83)80674-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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Barness LA, Curran JS. Lactobezoars in infants. Am J Dis Child 1982; 136:1029-30. [PMID: 7124698 DOI: 10.1001/archpedi.1982.03970470073023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Kanarek KS, Williams PR, Curran JS. Total parenteral nutrition in infants and children. Adv Pediatr 1982; 29:151-81. [PMID: 6817616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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Curran JS, Barness LA, Brown DR, Holzman IR, Rathi ML, Silverio J, Tomarelli R. Results of feeding a special formula to very low birth weight infants. J Pediatr Gastroenterol Nutr 1982; 1:327-32. [PMID: 7186045 DOI: 10.1097/00005176-198201030-00008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Fifty-eight premature infants weighing less than 1,600 g at birth were fed a special formula. The formula contained nutrients in amounts recommended by the Committee ono Nutrition of the American Academy of Pediatrics for very low birth weight (VLBW) infants. The feeding studies were carried out at newborn nurseries in Tampa, Florida (study A, n = 25), Pittsburgh, Pennsylvania (study B, n = 20), and Oaklawn, Illinois (study C, n = 13). Study subjects were comparable in birth weight, gestational age, and in the duration of follow-up in the nurseries. All study subjects grew at rates of weight acquisition equivalent to the comparative fetal counterpart. Routine anthropometric measurements were similar to those of fetal development curves. Mean protein intake ranged from 2.3 to 3.7 g/kg/day and mean caloric intake from 105 to 150 kcal/kg/day. Late metabolic acidosis in association with prematurity was absent in all subjects studied as demonstrated by normal pH values, bicarbonate, and partial pressure of carbon dioxide. Serum sodium and serum chloride levels were normal. Serum calcium ranged from 8.3 to 10.1 mg/dl and serum phosphorus from 6.0 to 7.5 mg/dl. Total serum protein levels ranged from 4.5 to 5.1 g/dl. Blood urea nitrogen diminished progressively from 5.1 to 2 mg/dl in the course of the study. Serum glucose levels in samples taken prior to and 2 h after feeding did not demonstrate any evidence of reactive hypoglycemia.
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Curran JS. Birth-associated injury. Clin Perinatol 1981; 8:111-29. [PMID: 7016387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Curran JS, Ruge W. A restraint and transillumination device for neonatal arterial/venipuncture: efficacy and thermal safety. Pediatrics 1980; 66:128-30. [PMID: 7402776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
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Curran JS. Sodium homeostasis in the newborn and low-birth-weight infant. Semin Perinatol 1979; 3:363-8. [PMID: 395646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Sodium homeostatic mechanisms and clinical disturbances in the VLBW infant have been reviewed. Attention has been given to the unique natriuresis experienced to the greatest degree by the smallest and most ill infants reflecting unique differences in renal and neuroendocrine mechanisms. The precise requirement for sodium in relation to protein feeding practices may not yet be fully elucidated and will require further clinical evaluation.
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Curran JS, Shepherd TM. Intermolecular energy transfer and fluorescence in solid benzoyltrifluoroacetylacetonate lanthanide complexes. ACTA ACUST UNITED AC 1973. [DOI: 10.1039/f29736900126] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Albery WJ, Curran JS, Campbell-Crawford AN. Kinetic isotope effects and aliphatic diazo-compounds. Part II. Experiments at high buffer concentrations. ACTA ACUST UNITED AC 1972. [DOI: 10.1039/p29720002185] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Albery WJ, Campbell-Crawford AN, Curran JS. Kinetic isotope effects and aliphatic diazo-compounds. Part VI. The values of ? and the Marcus theory. ACTA ACUST UNITED AC 1972. [DOI: 10.1039/p29720002206] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Kreider JW, Breedis C, Curran JS. Interactions of Shope papilloma virus and rabbit skin cells in vitro. I. Immunofluorescent localization of virus inocula. J Natl Cancer Inst 1967; 38:921-31. [PMID: 4165066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
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