How Do I Determine Database Eligibility?

Question: 
How do I determine database eligibility?

Answer: 
Use the following definitions to determine eligibility.

Very Low Birth Weight (VLBW) Eligibility

  • Any live born* infant whose birth weight is from 401 to 1500 grams OR
  • whose gestational age is from 22 weeks 0 days to 29 weeks 6 days who is admitted to or dies in any location in your center within 28 days of birth.

Expanded Eligibility

  • Any infant who meets the VLBW eligibility, plus:
  • Any live born infant whose birth weight is greater than 1500 grams** and who:
  • Is admitted to a NICU*** in your center within 28 days of birth; OR
  • Dies in any location in your center within 28 days of birth.

* Definition of Live Born: 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. Please refer to: Barfield WD; Committee on Fetus and Newborn.
Standard terminology for fetal, infant, and perinatal deaths. Pediatrics. 2016; 137(5):e20160551.

** If the birth weight is unknown but the gestational age is greater than 29 weeks 6 days and the infant meets the other Expanded Database criteria, the infant is eligible.

*** Definition of Neonatal Intensive Care Unit (NICU): A NICU is any location within the hospital in which newborn infants receive continuous positive airway pressure (CPAP) or intermittent mandatory ventilation (IMV). When applying this definition, do not include those areas in which these modalities of respiratory support are used only for brief periods of stabilization prior to transfer to another location. The intent is that units designated as a NICU routinely provide these services for ongoing care beyond an initial period of stabilization.

You can find more information in the Manual of Operations. To download the Manual of Operations, CLICK HERE.