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Variations and Determinants of Mortality and Length of Stay of Very Low Birth Weight and Very Low for Gestational Age Infants in Seven European Countries

G. Fatttore, D. Numerato, M. Peltola, H. Banks, R. Graziani, R. Heijink, E. Over, ST. Klitkou, E. Fletcher, P. Mihalicza, S. Sveréus, . ,

. 2015 ; 24 Suppl 2 (-) : 65-87.

Language English Country England, Great Britain

Document type Journal Article

Persistent link   https://www.medvik.cz/link/bmc16027866

The EuroHOPE very low birth weight and very low for gestational age infants study aimed to measure and explain variation in mortality and length of stay (LoS) in the populations of seven European nations (Finland, Hungary, Italy (only the province of Rome), the Netherlands, Norway, Scotland and Sweden). Data were linked from birth, hospital discharge and mortality registries. For each infant basic clinical and demographic information, infant mortality and LoS at 1 year were retrieved. In addition, socio-economic variables at the regional level were used. Results based on 16,087 infants confirm that gestational age and Apgar score at 5 min are important determinants of both mortality and LoS. In most countries, infants admitted or transferred to third-level hospitals showed lower probability of death and longer LoS. In the meta-analyses, the combined estimates show that being male, multiple births, presence of malformations, per capita income and low population density are significant risk factors for death. It is essential that national policies improve the quality of administrative datasets and address systemic problems in assigning identification numbers at birth. European policy should aim at improving the comparability of data across jurisdictions.

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$a Numerato, Dino $u Centre for Research on Health and Social Care Management, CERGAS, Bocconi University, Milan, Italy. Department of Sociology,Faculty of Social Sciences, Charles University, Prague, Czech Republic.
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$a Peltola, Mikko $u National Institute for Health and Welfare, Centre for Health and Social Economics CHESS, Helsinki, Finland.
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$a Banks, Helen $u Centre for Research on Health and Social Care Management, CERGAS, Bocconi University, Milan, Italy.
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$a Graziani, Rebecca $u Department of Policy Analysis and Public Management, Bocconi University, Milan, Italy. Carlo F. Dondena Centre for Research on Social Dynamics, Bocconi University, Milan, Italy.
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$a Heijink, Richard $u National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
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$a Over, Eelco $u National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
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$a Klitkou, Søren Toksvig $u Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.
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$a Fletcher, Eilidh $u Lothian Analytical Services, NHS Lothian, Edinburgh, UK.
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$a Mihalicza, Péter $u Semmelweis University, Budapest, Hungary.
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$a Sveréus, Sofia $u Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.
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