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• W2110052449 abstract "<h3>Background:</h3> Concurrent admission of a mother and her newborn to separate intensive care units (herein referred to as co-ICU admission), possibly in different centres, can magnify family discord and stress. We examined the prevalence and predictors of mother–infant separation and mortality associated with co-ICU admissions. <h3>Methods:</h3> We completed a population-based study of all 1 023 978 singleton live births in Ontario between Apr. 1, 2002, and Mar. 31, 2010. We included data for maternal–infant pairs that had co-ICU admission (<i>n</i> = 1216), maternal ICU admission only (<i>n</i> = 897), neonatal ICU (NICU) admission only (<i>n</i> = 123 236) or no ICU admission (<i>n</i> = 898 629). The primary outcome measure was mother–infant separation because of interfacility transfer. <h3>Results:</h3> The prevalence of co-ICU admissions was 1.2 per 1000 live births and was higher than maternal ICU admissions (0.9 per 1000). Maternal–newborn separation due to interfacility transfer was 30.8 (95% confidence interval [CI] 26.9–35.3) times more common in the co-ICU group than in the no-ICU group and exceeded the prevalence in the maternal ICU group and NICU group. Short-term infant mortality (< 28 days after birth) was higher in the co-ICU group (18.1 per 1000 live births; maternal age–adjusted hazard ratio [HR] 27.8, 95% CI 18.2–42.6) than in the NICU group (7.6 per 1000; age-adjusted HR 11.5, 95% CI 10.4–12.7), relative to 0.7 per 1000 in the no-ICU group. Short-term maternal mortality (< 42 days after delivery) was also higher in the co-ICU group (15.6 per 1000; age-adjusted HR 328.7, 95% CI 191.2–565.2) than in the maternal ICU group (6.7 per 1000; age-adjusted HR 140.0, 95% CI 59.5–329.2) or the NICU group (0.2 per 1000; age-adjusted HR 4.6, 95% CI 2.8–7.4). <h3>Interpretation:</h3> Mother–infant pairs in the co-ICU group had the highest prevalence of separation due to interfacility transfer and the highest mortality compared with those in the maternal ICU and NICU groups." @default.
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• W2110052449 date "2012-10-22" @default.
• W2110052449 modified "2023-10-17" @default.
• W2110052449 title "Maternal and neonatal separation and mortality associated with concurrent admissions to intensive care units" @default.
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• W2110052449 doi "https://doi.org/10.1503/cmaj.121283" @default.
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