2024
Maternal stress and breastfeeding outcomes in the NICU couplet care experience: a prospective cohort study
Doughty K, Nichols C, Henry C, Shabanova V, Taylor S. Maternal stress and breastfeeding outcomes in the NICU couplet care experience: a prospective cohort study. Journal Of Perinatology 2024, 44: 1624-1629. PMID: 38755256, DOI: 10.1038/s41372-024-02000-7.Peer-Reviewed Original ResearchNeonatal intensive care unitProspective cohort studyBreastfeeding outcomesCouplet careCohort studyInfant length of stayNICU-related stressMaternal stressIntensive care unitLength of stayGestational ageInfant lengthStudy designWeMother-infant dyadsInfant feeding outcomesCare unitFeeding outcomesPostpartum careCare dyadsBreastfeedingCare experiencesTraditional careParent-infant relationshipMarital statusInfants
2023
Diabetes in Pregnancy, Neonatal Morbidities, and Early Growth in Moderate or Late Preterm Infants.
Buck C, Shabanova V, Clark R, Taylor S. Diabetes in Pregnancy, Neonatal Morbidities, and Early Growth in Moderate or Late Preterm Infants. Pediatrics 2023, 152 PMID: 37969002, DOI: 10.1542/peds.2023-061285.Peer-Reviewed Original ResearchConceptsLate preterm infantsPreterm infantsGestational ageNeonatal morbidityBirth weightDay 14Pediatrix Clinical Data WarehouseNeonatal intensive care unitCommon neonatal morbiditiesShort-term morbidityIntensive care unitFirst postnatal dayPercent weight changeFirst postnatal weekClinical data warehouseDM groupRespiratory supportTerm morbidityCare unitDiabetes exposureAdjusted differenceCongenital anomaliesPostnatal dayHealth characteristicsPostnatal week
2021
A novel and accurate method for estimating umbilical arterial and venous catheter insertion length
Tambasco CJ, Shabanova V, Peterec SM, Bizzarro MJ. A novel and accurate method for estimating umbilical arterial and venous catheter insertion length. Journal Of Perinatology 2021, 41: 1633-1637. PMID: 34103672, DOI: 10.1038/s41372-021-01121-7.Peer-Reviewed Original Research
2020
Current training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal–perinatal medicine fellows
Levit O, Shabanova V, Bizzarro MJ, Johnston L. Current training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal–perinatal medicine fellows. Journal Of Perinatology 2020, 40: 589-594. PMID: 31932714, DOI: 10.1038/s41372-019-0587-3.Peer-Reviewed Original ResearchMeSH KeywordsCatheterization, Central VenousCatheterization, PeripheralChi-Square DistributionClinical CompetenceCross-Sectional StudiesCurriculumEducation, Medical, GraduateEducational MeasurementFellowships and ScholarshipsHumansInfant, NewbornIntensive Care Units, NeonatalSurveys and QuestionnairesUnited StatesConceptsNeonatal-perinatal medicineNeonatal intensive care unitCentral catheter placementIntensive care unitNeonatal-perinatal medicine fellowsProgram directorsPICC insertionStudy designACare unitPICC placementPICC teamCatheter placementResponse rateMost program directorsConclusionsWide variationsEducational statusFormal trainingTraining program directorsCurrent educational statusUmbilical catheter-associated complications in a level IV neonatal intensive care unit
Levit OL, Shabanova V, Bizzarro MJ. Umbilical catheter-associated complications in a level IV neonatal intensive care unit. Journal Of Perinatology 2020, 40: 573-580. PMID: 31911645, DOI: 10.1038/s41372-019-0579-3.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitIntensive care unitLevel IV neonatal intensive care unitCatheter-associated complicationsUmbilical arterial catheterUmbilical cathetersCare unitCatheter useArterial catheterArterial catheter useUmbilical venous catheterVenous catheter useObservational cohort studyCatheter dwell timeCohort studyComplication rateCumulative incidenceVenous cathetersCox regressionResultsFifty-oneComplicationsCatheterEvent ratesSignificant riskLower percentage
2019
Perceptions of Neonatal Palliative Care: Similarities and Differences between Medical and Nursing Staff in a Level IV Neonatal Intensive Care Unit
Kyc SJ, Bruno CJ, Shabanova V, Montgomery AM. Perceptions of Neonatal Palliative Care: Similarities and Differences between Medical and Nursing Staff in a Level IV Neonatal Intensive Care Unit. Journal Of Palliative Medicine 2019, 23: 662-669. PMID: 31808706, DOI: 10.1089/jpm.2019.0523.Peer-Reviewed Original ResearchConceptsNeonatal palliative careLevel IV neonatal intensive care unitNeonatal intensive care unitIntensive care unitPalliative careCare unitNursing staffProspective cross-sectional study designCross-sectional study designPalliative care practiceLife-threatening conditionNursing staff's attitudesPalliative care educationHealth care teamPain reliefCare teamCurative careResponse rateCare practicesMedical providersNursing perspectiveNursing practiceStudy designCareCare educationImpact of a dedicated nursing team on central line-related complications in neonatal intensive care unit
Levit O, Shabanova V, Bizzarro M. Impact of a dedicated nursing team on central line-related complications in neonatal intensive care unit. The Journal Of Maternal-Fetal & Neonatal Medicine 2019, 33: 2618-2622. PMID: 30612486, DOI: 10.1080/14767058.2018.1555814.Peer-Reviewed Original ResearchConceptsLine-related complicationsCentral line-related complicationsDedicated nursing teamCentral line insertionNursing teamLine insertionProspective observational cohort studyNeonatal intensive care unitCatheter-related complicationsObservational cohort studyIntensive care unitNeonatal-perinatal medicine fellowsCentral line placementPost-intervention analysisCohort studyCentral cathetersCare unitCatheter maintenanceLine daysNeedle stickInsertion successComplicationsLine placementSignificant reductionPhlebitis
2015
Neonatal Sepsis 2004-2013: The Rise and Fall of Coagulase-Negative Staphylococci
Bizzarro MJ, Shabanova V, Baltimore RS, Dembry LM, Ehrenkranz RA, Gallagher PG. Neonatal Sepsis 2004-2013: The Rise and Fall of Coagulase-Negative Staphylococci. The Journal Of Pediatrics 2015, 166: 1193-1199. PMID: 25919728, PMCID: PMC4413005, DOI: 10.1016/j.jpeds.2015.02.009.Peer-Reviewed Original ResearchConceptsEarly-onset sepsisLate-onset sepsisNeonatal intensive care unitCoagulase-negative staphylococciIntensive care unitCare unitLevel IV neonatal intensive care unitEpisodes of sepsisLow birth weightInfection prevention initiativesInfection prevention effortsPercent of casesGroup B streptococciHospital courseSepsis episodesMost infantsBirth weightCommon organismB streptococciSepsisOutcome dataAdditional surveillancePrevention effortsStudy periodInfants
2014
Clinical and Laboratory Factors That Predict Death in Very Low Birth Weight Infants Presenting With Late-onset Sepsis
Levit O, Bhandari V, Li FY, Shabanova V, Gallagher PG, Bizzarro MJ. Clinical and Laboratory Factors That Predict Death in Very Low Birth Weight Infants Presenting With Late-onset Sepsis. The Pediatric Infectious Disease Journal 2014, 33: 143-146. PMID: 24418836, PMCID: PMC3917323, DOI: 10.1097/inf.0000000000000024.Peer-Reviewed Original ResearchConceptsLate-onset sepsisLow birth weight infantsBirth weight infantsIndependent risk factorLaboratory factorsWeight infantsVLBW infantsRisk factorsCases of LOSEpisodes of LOSRisk of LOSFungal LOSNeonatal intensive care unitMultivariate logistic regression analysisSepsis-related deathsIntensive care unitOnset of illnessSepsis-associated mortalityGram-positive infectionsLogistic regression analysisOnset of diseasePresentation of illnessComposite risk profileLaboratory signsNecrotizing enterocolitis
2013
Temporal quantification of oxygen saturation ranges: an effort to reduce hyperoxia in the neonatal intensive care unit
Bizzarro MJ, Li FY, Katz K, Shabanova V, Ehrenkranz RA, Bhandari V. Temporal quantification of oxygen saturation ranges: an effort to reduce hyperoxia in the neonatal intensive care unit. Journal Of Perinatology 2013, 34: 33-38. PMID: 24071904, DOI: 10.1038/jp.2013.122.Peer-Reviewed Original ResearchConceptsSevere ROPRetinopathy of prematurityNeonatal intensive care unitIntensive care unitCare unitMultivariate analysisBronchopulmonary dysplasia/deathTarget saturation rangePost-intervention evaluationPreterm neonatesOxygen saturationStaff educationSurgeryInfantsMultidisciplinary groupSignificant reductionHyperoxiaDeathExposureSignal extraction technologyMorbidityPrematurityRetinopathyNeonatesNeutrophil CD64 with Hematologic Criteria for Diagnosis of Neonatal Sepsis
Streimish I, Bizzarro M, Northrup V, Wang C, Renna S, Koval N, Li FY, Ehrenkranz RA, Rinder HM, Bhandari V. Neutrophil CD64 with Hematologic Criteria for Diagnosis of Neonatal Sepsis. American Journal Of Perinatology 2013, 31: 021-030. PMID: 23456906, DOI: 10.1055/s-0033-1334453.Peer-Reviewed Original ResearchConceptsCulture-proven sepsisClinical sepsisNeutrophil CD64CD64 indexNeonatal sepsisHematologic criteriaSingle-centre neonatal intensive care unitEarly-onset clinical sepsisNeonatal intensive care unitNeutrophil CD64 indexProspective observational cohortAbsolute neutrophil countNormal birth weightIntensive care unitAbsolute band countNegative predictive valueAdditional markersSepsis evaluationNeutrophil countObservational cohortCare unitBirth weightHematologic parametersSepsisCD64
2010
A Quality Improvement Initiative to Reduce Central Line–Associated Bloodstream Infections in a Neonatal Intensive Care Unit
Bizzarro MJ, Sabo B, Noonan M, Bonfiglio MP, Northrup V, Diefenbach K. A Quality Improvement Initiative to Reduce Central Line–Associated Bloodstream Infections in a Neonatal Intensive Care Unit. Infection Control And Hospital Epidemiology 2010, 31: 241-248. PMID: 20102278, DOI: 10.1086/650448.Peer-Reviewed Original ResearchConceptsCentral line-associated bloodstream infectionsNeonatal intensive care unitLate-onset sepsisRate of CLABSINational Healthcare Safety NetworkCentral venous cathetersIntensive care unitCLABSI ratesBloodstream infectionsCare unitLevel III neonatal intensive care unitCentral Line–Associated Bloodstream InfectionsLine-associated bloodstream infectionsLine–Associated Bloodstream InfectionsEvidence-based guidelinesQuality improvement initiativesQuality improvement committeeCVC placementVenous cathetersNICU patientsInpatient careClinical practicePreintervention dataQuasi-experimental studySepsis