Hospital volume and mortality of very low-birthweight infants in South America

Detalhes bibliográficos
Autor(a) principal: Wehby, George L.
Data de Publicação: 2012
Outros Autores: Lopez-Camelo, Jorge, Castilla, Eduardo E.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/15296
Resumo: University of Iowa. College of Public Health. Department of Health Management and Policy. Iowa City, IA, USA.
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spelling Wehby, George L.Lopez-Camelo, JorgeCastilla, Eduardo E.2016-08-17T17:15:30Z2016-08-17T17:15:30Z2012WEHBY, George L.; LOPEZ-CAMELO, Jorge; CASTILLA, Eduardo E. Hospital Volume and Mortality of Very Low-Birthweight Infants in South America. Health Services Research, v.47, n.4, p.1502-1521, Aug. 2012.1475-6773https://www.arca.fiocruz.br/handle/icict/1529610.1111/j.1475-6773.2012.01383.xengWiley Online LibrarySaúde infantilSaúde do AdolescenteHospitaisPediatriaCuidados maternos e peerinatalQualidade do cuidadoRedes de referênciaSegurança do pacienteBaixo peso de nascimentoAmérica do SulChild and adolescent healthHospitalsMaternal and perinatal care and outcomesReferrals and referral networksQuality of care/patient safety (measurement)PediatricsLow-birthweightSouth AmericaHospital volume and mortality of very low-birthweight infants in South Americainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversity of Iowa. College of Public Health. Department of Health Management and Policy. Iowa City, IA, USA.Centro de Educación Médica e Investigaciones Clínicas (CEMIC). Buenos Aires. Argentina / ECLAMC (Estudio Colaborativo Latino Americano de Malformaciones Congénitas). Imbice, La Plata, Argentina.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia de Malformações Congênitas. INAGEMP (Instituto Nacional de Genética Médica Populacional) and ECLAMC. Rio de Janeiro, RJ, Brasil.Objective. To assess the effects of hospital volume of very low-birthweight (VLBW) infants on in-hospital mortality of VLBW and very preterm birth (VPB) infants in South America. Data Sources/Study Setting. Birth-registry data for infants born in 1982–2008 at VLBWor very preterm in 66 hospitals in Argentina, Brazil, and Chile. Design. Regression analyses that adjust for several individual-level demographic, socioeconomic, and health factors; hospital-level characteristics; and country-fixed effects are employed. Data Collection/Extraction Methods. Physicians interviewed mothers before hospital discharge and abstracted hospital medical records using similar methods at all hospitals. Principal Findings. Volume has significant nonlinear beneficial effects on VLBW and VPB in-hospital survival. The largest survival benefits––more than 80 percent decrease in mortality rates––are with volume increases from low to medium or medium-high levels (from 25 to 72 infants annually) with significantly lower incremental benefits thereafter. The cumulative volume effects are maximized at the 121–144 annual VLBW infant range––about 90 percent decrease in mortality rates compared to <25 VLBW infants annually. Conclusions. Increasing the access of pregnancies at-risk of VLBW and VPB to medium- or high-volume hospitals up to 144 VLBW infants per year may substantially improve in-hospital infant survival in the study countries.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/15296/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALeduardo4_castilla_etal_IOC_2012.pdfeduardo4_castilla_etal_IOC_2012.pdfapplication/pdf243584https://www.arca.fiocruz.br/bitstream/icict/15296/2/eduardo4_castilla_etal_IOC_2012.pdfbbcaf8b77b1b00a62e4010ff4db81113MD52TEXTeduardo4_castilla_etal_IOC_2012.pdf.txteduardo4_castilla_etal_IOC_2012.pdf.txtExtracted texttext/plain46779https://www.arca.fiocruz.br/bitstream/icict/15296/3/eduardo4_castilla_etal_IOC_2012.pdf.txt98dd224d8ae269804e3dadc62587f11aMD53icict/152962023-09-14 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dc.title.pt_BR.fl_str_mv Hospital volume and mortality of very low-birthweight infants in South America
title Hospital volume and mortality of very low-birthweight infants in South America
spellingShingle Hospital volume and mortality of very low-birthweight infants in South America
Wehby, George L.
Saúde infantil
Saúde do Adolescente
Hospitais
Pediatria
Cuidados maternos e peerinatal
Qualidade do cuidado
Redes de referência
Segurança do paciente
Baixo peso de nascimento
América do Sul
Child and adolescent health
Hospitals
Maternal and perinatal care and outcomes
Referrals and referral networks
Quality of care/patient safety (measurement)
Pediatrics
Low-birthweight
South America
title_short Hospital volume and mortality of very low-birthweight infants in South America
title_full Hospital volume and mortality of very low-birthweight infants in South America
title_fullStr Hospital volume and mortality of very low-birthweight infants in South America
title_full_unstemmed Hospital volume and mortality of very low-birthweight infants in South America
title_sort Hospital volume and mortality of very low-birthweight infants in South America
author Wehby, George L.
author_facet Wehby, George L.
Lopez-Camelo, Jorge
Castilla, Eduardo E.
author_role author
author2 Lopez-Camelo, Jorge
Castilla, Eduardo E.
author2_role author
author
dc.contributor.author.fl_str_mv Wehby, George L.
Lopez-Camelo, Jorge
Castilla, Eduardo E.
dc.subject.other.pt_BR.fl_str_mv Saúde infantil
Saúde do Adolescente
Hospitais
Pediatria
Cuidados maternos e peerinatal
Qualidade do cuidado
Redes de referência
Segurança do paciente
Baixo peso de nascimento
América do Sul
topic Saúde infantil
Saúde do Adolescente
Hospitais
Pediatria
Cuidados maternos e peerinatal
Qualidade do cuidado
Redes de referência
Segurança do paciente
Baixo peso de nascimento
América do Sul
Child and adolescent health
Hospitals
Maternal and perinatal care and outcomes
Referrals and referral networks
Quality of care/patient safety (measurement)
Pediatrics
Low-birthweight
South America
dc.subject.en.pt_BR.fl_str_mv Child and adolescent health
Hospitals
Maternal and perinatal care and outcomes
Referrals and referral networks
Quality of care/patient safety (measurement)
Pediatrics
Low-birthweight
South America
description University of Iowa. College of Public Health. Department of Health Management and Policy. Iowa City, IA, USA.
publishDate 2012
dc.date.issued.fl_str_mv 2012
dc.date.accessioned.fl_str_mv 2016-08-17T17:15:30Z
dc.date.available.fl_str_mv 2016-08-17T17:15:30Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv WEHBY, George L.; LOPEZ-CAMELO, Jorge; CASTILLA, Eduardo E. Hospital Volume and Mortality of Very Low-Birthweight Infants in South America. Health Services Research, v.47, n.4, p.1502-1521, Aug. 2012.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/15296
dc.identifier.issn.pt_BR.fl_str_mv 1475-6773
dc.identifier.doi.none.fl_str_mv 10.1111/j.1475-6773.2012.01383.x
identifier_str_mv WEHBY, George L.; LOPEZ-CAMELO, Jorge; CASTILLA, Eduardo E. Hospital Volume and Mortality of Very Low-Birthweight Infants in South America. Health Services Research, v.47, n.4, p.1502-1521, Aug. 2012.
1475-6773
10.1111/j.1475-6773.2012.01383.x
url https://www.arca.fiocruz.br/handle/icict/15296
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Wiley Online Library
publisher.none.fl_str_mv Wiley Online Library
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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