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Inter-center variability in neonatal outcomes of preterm infants: A longitudinal evaluation of 298 neonatal units in 11 countries

Lui, Kei (författare)
Royal Hospital for Women, National Perinatal Epidemiology and Statistic Unit, University of New South Wales, Randwick, Australia
Vento, Maximo (författare)
Division of Neonatology and Health Research Institute, University and Polytechnic Hospital La Fe, Avenida Fernando Abril Martorell 106, Valencia, Spain
Modi, Neena (författare)
Neonatal Data Analysis Unit, Section of Neonatal Medicine, Department of Medicine, Imperial College London, Chelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, United Kingdom
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Kusuda, Satoshi (författare)
Department of Pediatrics, Kyorin University, 6-20-2 Mitaka, Tokyo, Japan
Lehtonen, Liisa (författare)
Department of Pediatrics and Adolescent Medicine, Turku University Hospital, Department of Clinical Medicine, University of Turku, Kiinamyllynkatu 4-8, Turku, Finland
Håkansson, Stellan (författare)
Umeå universitet,Pediatrik
Rusconi, Franca (författare)
Unit of Epidemiology, Meyer Children's University Hospital, Viale Pieraccini 24, Florence, Italy
Bassler, Dirk (författare)
Department of Neonatology, University Hospital Zurich and University of Zurich, Frauenklinikstrasse 10, Zurich, Switzerland
Reichman, Brian (författare)
Women and Children's Health Research Unit, Gertner Institute for Epidemiology and Health Policy Research, Tel Hashomer, Israel
Yang, Jie (författare)
Department of Pediatrics and Maternal-infant Care Research Centre, Mount Sinai Hospital, 600 University Avenue, M5G 1X5, Toronto, Ontario, Canada
Shah, Prakesh S. (författare)
Department of Pediatrics and Maternal-infant Care Research Centre, Mount Sinai Hospital, Toronto, Ontario, Canada
Lee, Shoo K. (bidragsgivare)
Darlow, Brian A. (bidragsgivare)
Helenius, Kjell (bidragsgivare)
Adams, Mark (bidragsgivare)
Norman, Mikael (bidragsgivare)
Isayama, Tetsuya (bidragsgivare)
Battin, Malcolm (bidragsgivare)
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 (creator_code:org_t)
Elsevier, 2021
2021
Engelska.
Ingår i: Seminars in Fetal & Neonatal Medicine. - : Elsevier. - 1744-165X .- 1878-0946. ; 26:1
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
http://kipublication...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Collaboration and cooperation of clinicians and neonatal units at regional, national, and international levels are key features of many networks or systems that aim to improve neonatal outcomes. Network performance is typically assessed by comparing individual, unit-level outcomes. In this paper, we provide insight into another dimension, i.e., inter-center outcome variation in 10 national/regional neonatal collaborations from 11 high-income countries. We illustrate the use of coefficients of variation for evaluation of mortality and a composite outcome of mortality, severe neurological injury, treated retinopathy of prematurity, and bronchopulmonary dysplasia, as a measure of inter-center variation. These inter-center variation estimates could help to identify areas of opportunities and challenges for each country/region; they also provide “macro”-level evaluations that can be useful for clinicians, administrators, managers and policy makers.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

Nyckelord

Infant
International networks
Outcomes
Preterm
Quality improvement
Variations

Publikations- och innehållstyp

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