Q: Big baby eligibility criterion: infant death

A: An infant with a birth weight greater than 1,500 grams is eligible for CPQCC if the infant is born alive and dies in your hospital's delivery room, or if the infant dies after being admitted to your NICU within 28 days of life.


"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 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


Examples:

  1. An infant with a birth weight of 1,800 grams is admitted to your NICU at 10 days old and dies at age 12 days. This infant is eligible for CPQCC.
  2. An infant with a birth weight of 1,800 grams is admitted to your NICU at 10 days old after a previous discharge and dies at age 12 days. This infant is eligible for CPQCC.
  3. An infant with a birth weight of 1,800 grams is admitted to your NICU at 30 days old after a previous discharge home and dies at age 35 days. This infant is not eligible for CPQCC.
  4. An infant with a birth weight of 1,800 grams is transported to your NICU at 30 days old and dies at age 60 days. This infant is not eligible for CPQCC.
  5. An infant with a birth weight of 1,800 grams is stillborn in your hospital's delivery room. This infant is not eligible for CPQCC.
  6. An infant with a birth weight of 1,800 grams is brought to your hospital's emergency room at 26 days old. The infant dies in the emergency room and is never admitted to your NICU. This infant is not eligible for CPQCC.


Q: What are the big baby eligibility criteria?

A: Infants with a birth weight of greater than 1,500 grams who were born or admitted at your NICU within 28 days of birth meeting any of the criteria below are eligible for the CPQCC database. Note that the admission to your NICU might have occurred after one or more previous discharges home, but it has to occur

    within 28 days of birth.

  • Infant Death, or
  • Major Surgery requiring anesthesia, or
  • Intubated Assisted Ventilation > 4 continuous hours, or
  • Acute transfer in, or
  • Acute transfer out, or
  • Early bacterial sepsis, or
  • Total Serum Bilirubin of ≥ 25 mg/dL (427 micromols/liter), or
  • Exchange transfusion, or
  • Nasal IMV/SIMV or any other form of non-intubated assisted ventilation > 4 continuous hours, or
  • Diagnosis of encephalopathy or perinatal asphyxia, or
  • Treatment with active therapeutic hypothermia