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
Jazyk angličtina Země Anglie, Velká Británie Médium print
Typ dokumentu časopisecké články
PubMed
26633869
DOI
10.1002/hec.3261
Knihovny.cz E-zdroje
- Klíčová slova
- Finland, Hungary, Italy, Norway, Sweden, length of stay, mortality, regional variation, the Netherlands, very low birth weight infants, very preterm infants,
- MeSH
- délka pobytu * MeSH
- gestační stáří MeSH
- hospitalizace MeSH
- kojenec MeSH
- kojenecká mortalita * MeSH
- lidé MeSH
- novorozenec nedonošený * MeSH
- novorozenec s velmi nízkou porodní hmotností * MeSH
- novorozenec MeSH
- registrace MeSH
- rizikové faktory MeSH
- těhotenství MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa epidemiologie 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
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