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Underimmunization of very low birth weight infants at discharge from the neonatal intensive care unit.

Publication ,  Journal Article
Quiett, V; Thompson, E; Raman, SR; DeMeo, SD; Hornik, CP; Clark, R; Zimmerman, KO; Smith, PB; Greenberg, RG
Published in: J Perinatol
January 2024

OBJECTIVE: To quantify immunization status among premature infants discharged from neonatal intensive care units (NICUs), and identify risk factors for underimmunization. STUDY DESIGN: We performed a cohort study of infants <33 weeks gestation discharged home between 2011 and 2020 from 241 NICUs. Using multivariable logistic regression, we examined the association between risk factors and underimmunization at discharge, defined as <1 dose of 5 vaccine types when discharged at 60-119 days of age and <2 doses when discharged at 120-179 days of age. RESULTS: Of 30,766 infants discharged at 60-119 days of age, 14% were underimmunized. Among 4358 infants discharged at 120-179 days of age, 53% were underimmunized. For infants discharged at 60-119 days of age, ventilator support within 30 days of discharge was associated with underimmunization. Having a surgical procedure was associated with underimmunization in both groups. CONCLUSION: A large proportion of premature infants discharged from the NICU are underimmunized.

Duke Scholars

Published In

J Perinatol

DOI

EISSN

1476-5543

Publication Date

January 2024

Volume

44

Issue

1

Start / End Page

55 / 61

Location

United States

Related Subject Headings

  • Pediatrics
  • Patient Discharge
  • Intensive Care Units, Neonatal
  • Infant, Very Low Birth Weight
  • Infant, Premature
  • Infant, Newborn
  • Infant
  • Humans
  • Cohort Studies
  • 3213 Paediatrics
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Quiett, V., Thompson, E., Raman, S. R., DeMeo, S. D., Hornik, C. P., Clark, R., … Greenberg, R. G. (2024). Underimmunization of very low birth weight infants at discharge from the neonatal intensive care unit. J Perinatol, 44(1), 55–61. https://doi.org/10.1038/s41372-023-01806-1

Published In

J Perinatol

DOI

EISSN

1476-5543

Publication Date

January 2024

Volume

44

Issue

1

Start / End Page

55 / 61

Location

United States

Related Subject Headings

  • Pediatrics
  • Patient Discharge
  • Intensive Care Units, Neonatal
  • Infant, Very Low Birth Weight
  • Infant, Premature
  • Infant, Newborn
  • Infant
  • Humans
  • Cohort Studies
  • 3213 Paediatrics