| Literature DB >> 31413956 |
Kjell Helenius1,2, Mika Gissler3, Liisa Lehtonen1,2.
Abstract
Very preterm infants are at high risk of death and complications of prematurity. Optimal outcomes are achieved if these infants are delivered in hospitals with the highest level of neonatal expertise. Centralization of very preterm deliveries to such hospitals has been recommended for decades, and is supported by a large body of literature. However, centralization may not be easy to implement due to financial, organizational and workforce-related issues. In this review, we present the scientific background for centralization, how it has been successfully implemented in Finland and how neonatal survival has changed following this implementation.Entities:
Keywords: Premature infant; centralized hospital services; infant mortality; neonatal intensive care; neonatal mortality; patient transport
Year: 2019 PMID: 31413956 PMCID: PMC6675682 DOI: 10.21037/tp.2019.07.05
Source DB: PubMed Journal: Transl Pediatr ISSN: 2224-4336