The NICU Data website collects the elements of the NICU Database on-line. Starting in 2007, CPQCC as an agent of the California Perinatal Transport System (CPeTS) is also collecting data on all infants who were transported into a participating NICU for medical/diagnostic services or surgery.
Infants meeting the following criteria are eligible for the NICU Database:
- The infant's birth weight is 401 to 1,500 grams, and was born or admitted at your hospital withing 28 days of birth.
- For birth years prior to 2013, the infant's gestational age is 22 weeks to 29 weeks and 6 days (less than 30 weeks), and was born or admitted at your hospital within 28 days of birth.
- For birth years 2013 or later, the infant's gestational age is 22 weeks to 31 weeks and 6 days (less than 32 weeks), and was born or admitted at your hospital within 28 days of birth.
- The infant's birth weight is larger than 1,500 grams, was born or admitted at your hospital within 28 days of birth, and the infant experienced one of the following events:
- Infant Death, or
- Major Surgery requiring anesthesia, or
- Intubated Assisted Ventilation > 4 continuous hours, or
- Acute transport-in*, or
- Acute transport-out, or
- Early bacterial sepsis.
- Starting with birth year 2007, infants larger than 1,500 grams are also eligible for the NICU Database if they were previously home and are admitted to your hospital within 28 days of birth for Total Serum Bilirubin of ≥ 25 mg/dL (427 micromols/Liter) and/or an exchange transfusion.
- Starting with birth year 2009, infants larger than 1,500 grams are also eligible for the NICU Database if they receive Nasal IMV/SIMV > 4 continuous hours. Note: The time that an infant is on this modality should not be recorded as ventilation time in Item 25b.
- Starting with birth year 2013, infants larger than 1,500 grams are also eligible for the NICU Database if they are screened for suspected encephalopathy or suspected perinatal asphyxia defined as cardiorespiratory depression at birth based on any one (or more) of the following: (1) pH less than 7.0 on an umbilical blood sample or a blood gas obtained within one hour of life, (2) 5-minute Apgar score of less than or equal to 3, or (3) 10-minute Apgar score of less than or equal to 4.
- Starting with birth year 2013, infants larger than 1,500 grams are also eligible for the NICU Database if they underwent active therapeutic hypothermia. An infant is considered to have received active therapeutic hypothermia if the infant was actively cooled (received hypothermia therapy) during the admission to your NICU. Active cooling includes selective head cooling or whole body cooling.
Note: Passive exposure to environmental temperature or intentionally withholding standard temperature maintenance does not qualify as active cooling.
- Starting with birth year 2019, infants larger than 1,500 grams are also eligible for the NICU Database if they experienced seizures during their NICU stay. Seizures are defined as compelling clinical evidence of seizures, or of focal or multifocal clonic or tonic seizures. Included in this definition is also EEG evidence of seizures regardless of clinical status.
- Any Big Baby infant is eligible into the NICU Database if the infant is admitted to your NICU within 28 days of birth, and then fulfills one of the above criteria during the episode of care in your NICU. For hyperbilirubinemia/exchange transfusion, the infant may or may not be admitted to your NICU.
- For birth year 2010, Nasal IMV/SIMV for more than 4 continuous hours was updated to "Nasal IMV/SIMV (or any other form of non-intubated assisted ventilation) for > 4 continuous hours." Note: The time that an infant is on this modality should not be recorded as ventilation time in Item 25b.
- "A live born infant is one who breathes or has any evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscle, regardless of whether the umbilical cord has been cut or the placenta is attached. Heartbeats are to be distinguished from transient cardiac contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps."
Source: American Academy of Pediatrics: Clinical Reports: Standard Terminology for Fetal, Infant, and Perinatal Deaths. The Committee on Fetus and Newborn. Pediatrics 2011; 128:1 177-181.
Infants meeting the following acute inter-facility transport criteria are eligible for the CPeTS Acute Inter-facility Transports database:A CPeTS Acute Inter-facility Transport into your NICU is defined as: "the movement of an infant from one inpatient setting to another inpatient setting for a higher level of care on or before day 28 of life (i.e. medical, diagnostic, or surgical therapy that cannot be provided at the sending hospital.)." In the NICU Database, this is called an Acute Transport.
This definition was amended in 2019 to no longer include infants transported for insurance or staffing/bed availability issues. This definition was amended in 2017 as follows:
Transport Form Use During a Declared Disaster: When the Governor of the State of California has declared a region a "Designated Disaster Area," infants being transported from or to a facility, in order to comply with evacuation orders, do not need a completed CPeTS Neonatal Transport Form.
- Starting with birth year 2008, a CPeTS Acute Inter-facility Transport may have the following transport types (C.1): Requested Delivery Attendance (formerly called Delivery Room Attendance Requested), Emergent (formerly called ASAP Neonatal), Urgent, or Scheduled Neonatal.
- Infants who were transported into your center for growth/discharge planning or chronic/hospice care, or starting from birth year 2019 for insurance reasons or bed availability/staffing reasons should NOT have a CPeTS Acute Inter-facility transport-in form filled out.
- An infant that is Acutely Transported-in by a NICU Transport Team from another facility is also considered an Acute Transport-In and requires submission of the CPeTS Acute Inter-facility Transport Form.