Improved outcomes of outborn preterm infants if admitted to perinatal centers versus freestanding pediatric hospitals.

Abstract

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, Vibhuti Shah, Zhenguo Qiu, Arne Ohlsson, Shoo K Lee, Canadian Neonatal Network
• Journal: The Journal of pediatrics (J Pediatr) Vol. 146 Issue 5 Pg. 626-31 (May 2005) ISSN: 0022-3476 [Print] United States
• PMID: 15870665 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Apgar Score
• Canada (epidemiology)
• Cross Infection (epidemiology)
• Databases, Factual
• Female
• Gestational Age
• Hospitals, Pediatric
• Humans
• Infant, Newborn
• Infant, Newborn, Diseases (epidemiology, mortality)
• Infant, Premature
• Intensive Care Units, Neonatal
• Male
• Severity of Illness Index
• Treatment Outcome