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Prevalence and predictors of donor milk programs among U.S. advanced neonatal care facilities.
Journal of Perinatology ( IF 2.9 ) Pub Date : 2020-02-26 , DOI: 10.1038/s41372-020-0620-6
Margaret G Parker 1 , Laura A Burnham 1 , Stephen Kerr 2 , Mandy B Belfort 3 , Maryanne Perrin 4 , Michael Corwin 1, 2 , Timothy Heeren 5
Affiliation  

OBJECTIVE (1) Determine national prevalence and predictors of donor milk programs among levels 2-4 advanced neonatal care facilities; (2) describe characteristics of donor milk programs. STUDY DESIGN We randomly selected 120 U.S. hospitals with levels 2-4 advanced neonatal care facilities among each of four U.S. regions and surveyed the medical directors from July 2017 to November 2017 regarding donor milk use. We weighted responses according to the number of birthing hospitals in each region. RESULTS Response rate was 213/480 (44%). Twenty-eight percent of level 2 and 88% of levels 3 and 4 neonatal care facilities had donor milk programs. Donor milk programs occurred more often in the South vs. Northeast (aOR 3.7 [1.1, 12.5] and less often in safety-net hospitals (≥75% Medicaid patients) vs. nonsafety-net hospitals (aOR 0.3 [0.1, 0.8]). CONCLUSION In 2017, the vast majority of levels 3 and 4 neonatal care facilities had donor milk programs but disparities existed according to the safety-net hospital status and region.

中文翻译:

在美国先进的新生儿护理机构中,供体牛奶计划的流行和预测。

目的(1)确定2-4级高级新生儿护理机构中全国的供乳计划普及率和预测指标;(2)描述捐助者牛奶计划的特征。研究设计我们从美国四个地区中的每一个地区中随机选择了2-4家2-4级先进新生儿护理设施的美国医院,并于2017年7月至2017年11月对医疗主管进行了有关捐赠者乳汁使用情况的调查。我们根据每个地区的分娩医院的数量对回答进行加权。结果回应率为213/480(44%)。2级的28%,3级和4级的88%的新生儿护理机构已实施了献血计划。与非安全网医院(aOR 0.3 [0.1,0.8])相比,南部和东北(aOR 3.7 [1.1,12.5])和安全网医院(≥75%的医疗补助患者)发生供乳计划的频率更高。 。
更新日期:2020-02-26
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