Titre : | Obstetrical volume and early neonatal mortality in preterm infants. (2007) |
Auteurs : | BARTELS (Dorothee-B) : DEU. Department of Epidemiology. Public Medicine and Healthcare Systems Research. Hannover Medical School. Hannover. ; POETS (Christian-F) : DEU. Department of Neonatology. University of Tiibingen. Tubingen. ; WENZLAFF (Paul) : DEU. Center for Quality and Management in Health Care. Hannover. |
Type de document : | Article |
Dans : | European journal of epidemiology (vol. 22, n° 11, 2007) |
Pagination : | 791-798 |
Langues: | Anglais |
Mots-clés : | Obstétrique ; Unité soin ; Structure hospitalière ; Spécialité médicale ; Nouveau né ; Mortalité périnatale ; Mortalité néonatale ; Mortalité ; Epidémiologie ; Prématurité ; Soins hospitaliers ; Hôpital ; Soins ; Qualité soins ; Qualité ; Homme |
Résumé : | [BDSP. Notice produite par INIST-CNRS YR0x0O0U. Diffusion soumise à autorisation]. Objective : Regionalised perinatal care with antenatal transfer of high risk pregnancies to Level III centres is beneficial. However, levels of care are usually not linked to caseload requirements, which remain a point for discussion. We aimed to investigate the impact of annual delivery volume on early neonatal mortality among very preterm births. Methods : All neonates with gestational age 24-30 weeks, born 1991-1999 in Lower Saxony were included into this population-based cohort study (n=5,083). Large units were defined as caring for more than 1,000 deliveries/year, large NICUs as those with at least 36 annual very low birthweight ( |