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Title: Mortality and length of stay of very low birth weight and very preterm infants: a EuroHOPE study
Authors: Numerato, Dino
Fattore, Giovanni
Tediosi, Fabrizio
Zanini, Rinaldo
Peltola, Mikko
Banks, Helen
Mihalicza, Peter
Lehtonen, Liisa
Svereus, Sofia
Heijink, Richard
Klitkou, Soren T.
Fletcher, Eilidh
van der Heijden, Amber
Lundberg, Fredrik
Over, Eelco
Hakkinen, Unto
Seppala, Timo T.
Issue Date: 2015
Publisher: Public Library of Science / © The Authors
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.
Abstract: 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.
Description: 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
Sponsor: This project was undertaken within the European Union 7th Framework Programme European Health Care Outcomes, Performance and Efficiency (EuroHOPE), contract no 241721.
Version: Published
DOI: 10.1371/journal.pone.0131685
URI: https://dspace.lboro.ac.uk/2134/19647
Publisher Link: http://dx.doi.org/10.1371/journal.pone.0131685
ISSN: 1932-6203
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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