Baylor Neo Database Field

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Demographics

 

Baby Factors

 

Infectious Disease

 

Name (Last & First)

Hospital

Hospital #

Funding Source

Sex

Race

 

 

Birth Weight

Admit Weight

FOC

Gestational Age (wks by maternal dates)

Gestational Age (wks by exam; start 7/1/03; prior available)

Birth Order

 

 

Early Onset Sepsis (Y/N) (+ culture DOL 1-2)

Acquired Sepsis (Y/N) (+ culture after 48 hours of life)

1st, 2nd and 3rd Episode Organisms

Meningitis (Y/N)

NEC (Pneumatosis present) (Y/N)

NEC Surgery (Y/N)

Dates

 

Resuscitation

 

Neurologic Disease

 

Birth Date

Hospital Admission

First ICU Admission

Last ICU Discharge

Hospital Discharge

 

 

 

Type of Resuscitation Performed

Meconium in Trachea (Y/N)

Cord pH < 7 (Y/N)

Apgars (1 and 5 minute)

Surfactant (any # of doses) (Y/N)

UAC (Y/N)

UVC (Y/N)

 

 

SEH/IVH (Y/N) and grade of IVH

Cystic PVL on ultrasound (Y/N)

Posthemorrhagic Hydrocephalus (Y/N)

Surgery for ROP (Y/N)

Neonatal Seizures (Y/N)

Mortality

 

Respiratory Support

 

Other Clinical Data

 

Died (Y/N)

Cause of Death

Voluntary Withdrawal/holding of Support (Y/N)

 

 

Caffeine or Apnea Drug (Y/N)

Recurrent Apnea (Y/N)

O2 and Duration (<1wk,<28d,<3mo,>3mo)

O2 @ 36 wks GA if >= 28 days old (Y/N) (start 12/31/97)

CPAP Only (Y/N)

IPPV and Duration (<1wk,<28d,<3mo,>3mo)

IPPV @ 36 wks GA if >= 28 days old (Y/N)

ECMO (Y/N)

Nitric Oxide (Y/N)

 

 

Jaundice & Phototherapy (Y/N)

PDA and Type of Treatment

Nasal CPAP complication (Y/N)

Tracheal Stenosis (Y/N)

Central Line (Y/N) (not UAC or UVC)

Spontaneous GI Perforation (Y/N) (start 7/1/01)

Unusual DX, RX, or Surgery

Referral & Transfer

 

Congenital Anomalies

 

Discharge Data

 

Newborn Section Involved (Y/N)

Referring Hospital

Referring Pedi

Referring OB

Transport Team (Y/N)

Primary Reason for Admission to Hospital

 

 

Congenital Anomalies (Y/N)

Congenital Heart Disease (Y/N)

Diaphragmatic Hernia (Y/N)

 

 

Weight & FOC

Discharge on Apnea Monitor (Y/N)

Discharge on Oxygen (Y/N)

Discharge/Signoff Physician

Follow-up Physician

Discharge Location

Maternal Factors

 

Lung Disease

 

 

 

Maternal Age, Gravidity, Parity & Abortions

# of Babies this Pregnancy

Prenatal care (Y/N)

C-Section (Y/N)

Prolonged Rupture (Y/N)

Maternal Illness

Maternal Steroids (Y/N)

Tocolytics (Y/N) (stopped 6/30/01)

 

 

Hyaline Membrane Disease (Y/N)

Transient Tachypnea (Y/N)

Persistent Pulmonary Hypertension (PPHN) (Y/N)

Congenital Pneumonia (Y/N)

Meconium Aspiration Pneumonia (Y/N)

Pulmonary Hypoplasia (Y/N)

Air Block (includes PIE) (Y/N)

Other Acute Lung Disease (Y/N)

 

 

 

 

Baylor College of Medicine - Neonatology Section

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