Differential markers for regionalization.
J Perinatol
; 20(6): 366-72, 2000 Sep.
Article
de En
| MEDLINE
| ID: mdl-11002876
ABSTRACT
OBJECTIVE:
To examine the site of delivery for very low birth weight (VLBW) infants and infants with major congenital malformations (MCM) within an established system of perinatal regionalization. STUDYDESIGN:
A retrospective study of site of delivery for VLBW infants and infants born with MCM (tracheoesophageal fistula/esophageal atresia, diaphragmatic hernia, or gastroschisis/omphalocele) from 1990 through 1995 in Ohio.RESULTS:
A total of 59.8% of VLBW infants and 36.1% of MCM infants were born in a level III hospital. There was a significant trend toward a decrease in VLBW infants (p < 0.01) and an increase in MCM infants (p < 0.05) born in a level III hospital between 1990 and 1995. There were significant regional variations among the six perinatal regions in Ohio in the proportion of both VLBW and MCM infants born in a tertiary center.CONCLUSION:
Using the traditional marker of VLBW to assess regionalization in one state, we found significant variation in site of delivery among the perinatal regions and over the time course of the study. The delivery of infants with MCM at level III centers may be an alternative measure of regionalization.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Programmes médicaux régionaux
/
Malformations
/
Nourrisson à faible poids de naissance
/
Salles d'accouchement
/
Hôpitaux spécialisés
Type d'étude:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Female
/
Humans
/
Newborn
/
Pregnancy
Pays/Région comme sujet:
America do norte
Langue:
En
Journal:
J Perinatol
Sujet du journal:
PERINATOLOGIA
Année:
2000
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique