OBJECTIVES: To examine whether admission hospital type (13 perinatal centers vs 4 freestanding pediatric hospitals) was associated with differences in risk and illness severity adjusted mortality and morbidity among outborn preterm infants. STUDY DESIGN: Records of singleton outborn infants < or =32 weeks' gestational age (n = 605) admitted to 17 tertiary level neonatal intensive care units participating in the Canadian Neonatal Network for the period 1996 to 1997 were examined. RESULTS: Outborn infants admitted to freestanding pediatric hospitals were at higher risk of death (adjusted odds ratio [AOR], 2.25; 95% confidence interval [CI], 1.20, 4.20), nosocomial infection (AOR, 2.48; 95% CI, 1.64, 3.73), and oxygen dependency at 28 days of age (AOR, 1.77; 95% CI, 1.14, 2.75) when compared with outborn infants admitted to perinatal centers. CONCLUSIONS: After adjustment for perinatal risks and admission illness severity, outborn infants had better outcomes if they were admitted to perinatal centers compared with freestanding pediatric hospitals.
OBJECTIVES: To examine whether admission hospital type (13 perinatal centers vs 4 freestanding pediatric hospitals) was associated with differences in risk and illness severity adjusted mortality and morbidity among outborn preterm infants. STUDY DESIGN: Records of singleton outborn infants < or =32 weeks' gestational age (n = 605) admitted to 17 tertiary level neonatal intensive care units participating in the Canadian Neonatal Network for the period 1996 to 1997 were examined. RESULTS: Outborn infants admitted to freestanding pediatric hospitals were at higher risk of death (adjusted odds ratio [AOR], 2.25; 95% confidence interval [CI], 1.20, 4.20), nosocomial infection (AOR, 2.48; 95% CI, 1.64, 3.73), and oxygen dependency at 28 days of age (AOR, 1.77; 95% CI, 1.14, 2.75) when compared with outborn infants admitted to perinatal centers. CONCLUSIONS: After adjustment for perinatal risks and admission illness severity, outborn infants had better outcomes if they were admitted to perinatal centers compared with freestanding pediatric hospitals.
Authors: Prakesh S Shah; Shoo K Lee; Kei Lui; Gunnar Sjörs; Rintaro Mori; Brian Reichman; Stellan Håkansson; Laura San Feliciano; Neena Modi; Mark Adams; Brian Darlow; Masanori Fujimura; Satoshi Kusuda; Ross Haslam; Lucia Mirea Journal: BMC Pediatr Date: 2014-04-23 Impact factor: 2.125
Authors: Dorothee B Bartels; Frank Schwab; Christine Geffers; Christian F Poets; Petra Gastmeier Journal: Arch Dis Child Fetal Neonatal Ed Date: 2007-04-25 Impact factor: 5.747
Authors: Huw P Jones; Stella Karuri; Catherine M G Cronin; Arne Ohlsson; Abraham Peliowski; Anne Synnes; Shoo K Lee Journal: BMC Pediatr Date: 2005-11-09 Impact factor: 2.125