Pediatrics Article Highlights Big Outcomes in CHOC’s Small Baby Unit

CHOC Children’s Small Baby Unit (SBU) is improving quality and outcomes in extremely low birth weight (ELBW) infants (babies born at 28 weeks gestation or less and weighing less than 1,000 grams), according to results of an article CHOC physicians and staff published in a recent issue of Pediatrics.

“In recent years, the survival rates for ELBW infants have improved with the latest advances in neonatal intensive care, but many are still released from the hospital with significant challenges, including neurodevelopmental delays and/or chronic medical problems,” said Mindy Morris, DNP, the SBU program coordinator and the article’s co-author. “Our goal was to improve these outcomes by utilizing a dedicated team with expertise in the care of these patients.”

The objective of the CHOC neonatology team was to care for ELBW infants in a single location physically separated from the main Neonatal Intensive Care Unit (NICU). This space became the 12-bed SBU, which consisted of four individual patient rooms, two of which are surgical suites, and three four-bed pods. Different from a traditional NICU, this smaller unit allows for a darker, quieter environment that encourages developmentally supportive care. The goal is to create an environment that respects and supports the physiologic needs of the baby to grow and develop after being born so prematurely. Grouping this population also provides parents an opportunity to form strong bonds with other families sharing similar experiences.

Outcomes from the two years before and four years after the SBU’s opening in March 2010 include:

• Reduction in chronic lung disease from 47.5 percent to 35.4 percent. A common condition for premature babies, chronic lung disease can have long-lasting ramifications including re-hospitalization and poor neurodevelopment.

• Rate of hospital-acquired infection decreased from 39.3 percent to 19.4 percent.

• Infants being discharged with growth restriction (combined weight and head circumference, < 10th percentile) decreased from 62.3 percent to 37.3 percent. (These factors are linked to cognitive and physical disabilities.)

• Reduction in laboratory tests (from 224 to 82) and X-rays (from 45 to 22).

Additionally, there was a reduction in illness and complications among infants after leaving the SBU.

Moving forward, the SBU’s goal is to continue to improve patient outcomes, as well as family and staff satisfaction, while also becoming a destination for the care of extremely preterm infants.

CHOC’s Small Baby Unit Helps Twins’ Succesful Outcome

On March 17, 2010, CHOC Children’s opened its Small Baby Unit within the neonatal intensive care unit, to care for the unique needs of the smallest and sickest babies. Since then, the unit has delivered specialized, high-quality care to close to 300 neonates. In honor of the unit’s fifth anniversary, read about one of the many remarkable patient stories from this special place.

For twins Damian and Victoria Daboub, timing is everything. They made their debut too early — at 27 weeks. Damian was 2 pounds, 14 inches, and Victoria was 2 pounds, 13 inches. Yet their timing was perfect because they arrived just as CHOC Children’s opened its 12-bed Small Baby Unit in March 2010.

Designed expressly for low birth weight babies born at less than 28 weeks or weighing less than 1,000 grams, the Small Baby Unit has its own dedicated team of specialists and is the only one of its kind in Southern California. Further, the unit is designed to aid in the babies’ development with dim lighting and low noise levels.

Damian stayed in the Small Baby Unit for 85 days, and Victoria was there for 105 days. Mom Miriam credits the Small Baby Unit for the twins’ survival. Today, they are “off the charts” in terms of height and weight, and are gregarious, joyful preschoolers. While their language is a bit delayed, it doesn’t stop them from enjoying all of their activities. Miriam truly believes her children’s successful outcome is the direct result of this “little wing where they can focus on growing.”

Learn more about the CHOC Small Baby Unit.

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Choco’s Gratitude Tour: The Greatest Hits

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This Choco Bear pillow was placed inside the 1964 time capsule. Read the blog post to see what else was included

When I began my gratitude tour last October to help celebrate CHOC’s 50th anniversary, I had no idea that I’d meet so many cool people and see so much fun stuff.

I’ve had a blast making my way around the hospital, meeting new people and blogging about my experiences! And even better, once my 50-week tour ends next month, I’ll always have these posts to read again and remember all these awesome times.

Here’s a look at some of my favorite posts from this past year:

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Here’s CHOC in its early days. Read this post to learn how the hospital campus has evolved in 50 years.

Sing-a-long: The Choco Bear Song: Did you know I have my very own song? Read this post to learn the lyrics and sing along with me.

CHOC Children’s Campus: Then and Now: This post was a blast from the past! Read to learn about how CHOC’s campus has changed in the last half century.

Choco Bear’s Evolving Style: I’ve had quite a few looks since 1964. This post shows photographs of yours truly throughout the years.

Inside CHOC’s 1964 Time Capsule: CHOC staff hid a time capsule to commemorate the hospital’s opening in 1964. Read this post to see what was buried inside.  

Inside CHOC’s 1993 Time Capsule: This post gave an inside look at what CHOC tucked inside its second time capsule.

During my tour, I’ve also met many really neat people. Let me introduce you to some of the new friends I made this year:

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Meet Parker, one of my new friends I met this year. Read this post to learn more about the graduate from CHOC’s Small Baby Unit.

Parker: Meet Parker, a graduate of CHOC’s Small Baby Unit, a special part of the neonatal intensive care unit dedicated to the care of micro-preemies. When we first met, she had just celebrated her first birthday.

Bill: Bill received treatment for leukemia at CHOC in the 1970s, and went on to become a hospital chaplain in Orange County.

Josh: This young man was treated at CHOC for childhood allergies and asthma. Josh was so inspired that he became a pediatrician and performed his residency here at CHOC.

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Meet Amy and Emily, two sisters who were treated at CHOC.

Amy and Emily: These ladies are sisters who both underwent treatment at the Hyundai Cancer Institute at CHOC Children’s. They are both very accomplished and so inspiring.

You can check out more posts like these from my gratitude tour at choc.org/thxchoc and look for more in coming weeks. We still have some more time until CHOC’s big day on Oct. 4, so you can bet I’ll be making the most of it.

Thank you for reading!

 

Neonatology: Then and Now

sbu_thenandnowCHOC Children’s has always done a great job of treating premature babies, and infants with heart problems, infections or birth defects. Over the last 50 years, I’ve seen technology and medicine change a lot in neonatology.

An extra special place at CHOC is its Small Baby Unit, a program within its neonatal intensive care unit (NICU). Reserved for the smallest and sickest babies, this unit gives hope to babies who wouldn’t have had a chance in 1964.

There, every newborn receives care from dedicated staff members. The space also has shrouded incubators to keep light away from the baby’s sensitive eyes and everyone (even family members) speaks gently to help create a calm, comforting and healing environment.

Kangaroo Care is another technique in neonatology that has grown in popularity since 1964. As babies spend time lying on their parents’ chests, they become more alert, cry less often and even a find feeding rhythm. Premature babies benefit from this practice by facing fewer complications, gaining weight and growing closer to their parents.

I know the doctors and nurses at CHOC care about the precious lives in the NICU. They provide exceptional service, but they’re not just focused on treating symptoms or reading monitors. They are also committed to giving newborns and families a strong chance of living healthy lives.

Tell me how CHOC helped your newborn baby and family by using the hashtag #thxCHOC on social media.

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CHOC Children’s 67-bed NICU includes four multi-patient rooms, six single care rooms, four private rooms for “rooming in,” and two four-bed suites. The unit also features a two-bed Extracorporeal Membrane Oxygenation (ECMO) unit. The life-saving ECMO unit is the only one of its kind in Orange County and CHOC also offers Orange County’s only ECMO transport unit.

Extremely Low Birth Weight Program Provides Significant Outcomes for Tiny Patients

Medical advances are improving the survival of babies born at lower gestational ages, but survival – alone – isn’t the best measure of success, says Dr. Tony Soliman, a CHOC Children’s neonatologist.

In this CHOC Radio segment, Dr. Soliman shares his and his team’s commitment to ensuring not only the survival of this very fragile patient population but to ensuring bright, healthy futures for these babies.

According to Dr. Soliman, there’s no program on the West Coast like CHOC’s extremely low birth weight program, which is designed to address the unique needs of infants born at less than 28 weeks gestation and weighing less than 1,000 grams. He says having a specialized team, specific care guidelines and a separate unit – versus the main Neonatal Intensive Care Unit – have resulted in significant outcomes for his patients.

Tune in to hear more about the success of this very special program.