Cited 0 times in Scipus Cited Count

Neonatologist staffing is related to the inter-hospital variation of risk-adjusted mortality of very low birth weight infants in Korea

DC Field Value Language
dc.contributor.authorLee, MH-
dc.contributor.authorLee, JH-
dc.contributor.authorChang, YS-
dc.date.accessioned2024-10-11T07:49:49Z-
dc.date.available2024-10-11T07:49:49Z-
dc.date.issued2024-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/32915-
dc.description.abstractThis study investigated whether hospital factors, including patient volume, unit level, and neonatologist staffing, were associated with variations in standardized mortality ratios (SMR) adjusted for patient factors in very-low-birth-weight infants (VLBWIs). A total of 15,766 VLBWIs born in 63 hospitals between 2013 and 2020 were analyzed using data from the Korean Neonatal Network cohort. SMRs were evaluated after adjusting for patient factors. High and low SMR groups were defined as hospitals outside the 95% confidence limits on the SMR funnel plot. The mortality rate of VLBWIs was 12.7%. The average case-mix SMR was 1.1; calculated by adjusting for six significant patient factors: antenatal steroid, gestational age, birth weight, sex, 5-min Apgar score, and congenital anomalies. Hospital factors of the low SMR group (N = 10) had higher unit levels, more annual volumes of VLBWIs, more number of neonatologists, and fewer neonatal intensive care beds per neonatologist than the high SMR group (N = 13). Multi-level risk adjustment revealed that only the number of neonatologists showed a significant fixed-effect on mortality besides fixed patient risk effect and a random hospital effect. Adjusting for the number of neonatologists decreased the variance partition coefficient and random-effects variance between hospitals by 11.36%. The number of neonatologists was independently associated with center-to-center differences in VLBWI mortality in Korea after adjustment for patient risks and hospital factors.-
dc.language.isoen-
dc.subject.MESHFemale-
dc.subject.MESHGestational Age-
dc.subject.MESHHospital Mortality-
dc.subject.MESHHospitals-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHInfant Mortality-
dc.subject.MESHInfant, Newborn-
dc.subject.MESHInfant, Very Low Birth Weight-
dc.subject.MESHIntensive Care Units, Neonatal-
dc.subject.MESHMale-
dc.subject.MESHNeonatology-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRisk Adjustment-
dc.titleNeonatologist staffing is related to the inter-hospital variation of risk-adjusted mortality of very low birth weight infants in Korea-
dc.typeArticle-
dc.identifier.pmid39251660-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11385627-
dc.subject.keywordInfant-
dc.subject.keywordMortality-
dc.subject.keywordPremature-
dc.subject.keywordStandardized mortality ratio-
dc.subject.keywordVery low birth weight-
dc.contributor.affiliatedAuthorLee, JH-
dc.type.localJournal Papers-
dc.identifier.doi10.1038/s41598-024-69680-1-
dc.citation.titleScientific reports-
dc.citation.volume14-
dc.citation.number1-
dc.citation.date2024-
dc.citation.startPage20959-
dc.citation.endPage20959-
dc.identifier.bibliographicCitationScientific reports, 14(1). : 20959-20959, 2024-
dc.identifier.eissn2045-2322-
dc.relation.journalidJ020452322-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
Files in This Item:
39251660.pdfDownload

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse