NICUs in the US: levels of acuity, number of beds, and relationships to population factors.
Publication Title
Journal of perinatology : official journal of the California Perinatal Association
Document Type
Article
Publication Date
6-1-2023
Keywords
oregon; portland; psvmc; Infant, Newborn; Child; Humans; United States; Intensive Care Units, Neonatal; Cohort Studies; Minority Groups; Hospitals
Abstract
OBJECTIVE: To 1) define the number and characteristics of NICUs in the United States (US) and 2) identify hospital and population characteristics related to US NICUs.
STUDY DESIGN: Cohort study of US NICUs.
RESULTS: There were 1424 NICUs identified in the US. Higher number of NICU beds was positively associated with higher NICU level (p < 0.0001). Higher acuity level and number of NICU beds related to being in a children's hospital (p < 0.0001;p < 0.0001), part of an academic center (p = 0.006;p = 0.001), and in a state with Certificate of Need legislation (p = 0.023;p = 0.046). Higher acuity level related to higher population density (p < 0.0001), and higher number of beds related to increasing proportions of minorities in the population up until 50% minorities. There was also significant variation in NICU level by region.
CONCLUSIONS: This study contributes new knowledge by describing an updated registry of NICUs in the US in 2021 that can be used for comparisons and benchmarking.
Clinical Institute
Women & Children
Specialty/Research Institute
Perinatology/Neonatology
Specialty/Research Institute
Pediatrics
Specialty/Research Institute
Critical Care Medicine
DOI
10.1038/s41372-023-01693-6
