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
Language English Country England, Great Britain Media print
Document type Journal Article
PubMed
26633869
DOI
10.1002/hec.3261
Knihovny.cz E-resources
- Keywords
- Finland, Hungary, Italy, Norway, Sweden, length of stay, mortality, regional variation, the Netherlands, very low birth weight infants, very preterm infants,
- MeSH
- Length of Stay * MeSH
- Gestational Age MeSH
- Hospitalization MeSH
- Infant MeSH
- Infant Mortality * MeSH
- Humans MeSH
- Infant, Premature * MeSH
- Infant, Very Low Birth Weight * MeSH
- Infant, Newborn MeSH
- Registries MeSH
- Risk Factors MeSH
- Pregnancy MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Europe epidemiology MeSH
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.
Carlo F Dondena Centre for Research on Social Dynamics Bocconi University Milan Italy
Centre for Research on Health and Social Care Management CERGAS Bocconi University Milan Italy
Department of Health Management and Health Economics University of Oslo Oslo Norway
Department of Policy Analysis and Public Management Bocconi University Milan Italy
Department of Sociology Faculty of Social Sciences Charles University Prague Czech Republic
Lothian Analytical Services NHS Lothian Edinburgh UK
Medical Management Centre Karolinska Institutet Stockholm Sweden
National Institute for Public Health and the Environment Bilthoven The Netherlands
References provided by Crossref.org