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Mortality and Length of Stay of Very Low Birth Weight and Very Preterm Infants: A EuroHOPE Study.pdf (311.35 kB)

Mortality and length of stay of very low birth weight and very preterm infants: a EuroHOPE study

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posted on 2015-11-26, 13:55 authored by Dino Numerato, Giovanni Fattore, Fabrizio Tediosi, Rinaldo Zanini, Mikko Peltola, Helen Banks, Peter Mihalicza, Liisa Lehtonen, Sofia Svereus, Richard Heijink, Soren T. Klitkou, Eilidh Fletcher, Amber van der Heijden, Fredrik Lundberg, Eelco Over, Unto Hakkinen, Timo T. Seppala
The objective of this paper was to compare health outcomes and hospital care use of very low birth weight (VLBW), and very preterm (VLGA) infants in seven European countries. Analysis was performed on linkable patient-level registry data from seven European countries between 2006 and 2008 (Finland, Hungary, Italy (the Province of Rome), the Netherlands, Norway, Scotland, and Sweden). Mortality and length of stay (LoS) were adjusted for differences in gestational age (GA), sex, intrauterine growth, Apgar score at five minutes, parity and multiple births. The analysis included 16,087 infants. Both the 30-day and one-year adjusted mortality rates were lowest in the Nordic countries (Finland, Sweden and Norway) and Scotland and highest in Hungary and the Netherlands. For survivors, the adjusted average LoS during the first year of life ranged from 56 days in the Netherlands and Scotland to 81 days in Hungary. There were large differences between European countries in mortality rates and LoS in VLBW and VLGA infants. Substantial data linkage problems were observed in most countries due to inadequate identification procedures at birth, which limit data validity and should be addressed by policy makers across Europe.

Funding

This project was undertaken within the European Union 7th Framework Programme European Health Care Outcomes, Performance and Efficiency (EuroHOPE), contract no 241721.

History

School

  • Sport, Exercise and Health Sciences

Published in

PLOS ONE

Volume

10

Issue

6

Pages

? - ? (12)

Citation

NUMERATO, D. ... et al, 2015. Mortality and length of stay of very low birth weight and very preterm infants: a EuroHOPE study. PLOS ONE, 10 (6), e0131685.

Publisher

Public Library of Science / © The Authors

Version

  • VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution 4.0 International (CC BY 4.0) licence. Full details of this licence are available at: http://creativecommons.org/licenses/ by/4.0/

Publication date

2015

Notes

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

ISSN

1932-6203

Language

  • en

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