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Newborn Intensive Care and Neonatal Mortality in Low-Birth-Weight Infants: A Population Study
Abstract
We examined the neonatal mortality rates of low-birth-weight infants (501 to 2250 g) born between 1976 and 1978 in three kinds of hospitals in New York City: those with newborn-intensive-care units (Level 3), those with capabilities for the care of most premature infants (Level 2), and those without any special facilities for premature newborns (Level 1). Among 13,560 singleton low-birth-weight infants, the adjusted neonatal mortality rate for Level 3 hospitals was 128.5 per thousand live births - significantly lower (P less than 0.001) than the rates for both level 2 (168.1) and Level 1 units (163.0). The association of level of care with mortality could not be accounted for by differences between groups in social or demographic status, in prenatal care, or in medical complication of pregnancy. We infer that birth at a Level 3 center lowers neonatal mortality in low-birth-weight infants. However, only 34 per cent of the patients in this study were born in such units.
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Citations
Cited by
The contribution of low birth weight to infant mortality and childhood morbidity
McCormick, M. C. (1985) · New England Journal of Medicine · doi:10.1056/nejm198501103120204 · Cited by 2,119
The International Neonatal Network (1993) · The Lancet · doi:10.1016/0140-6736(93)92296-6 · Cited by 773
Level and Volume of Neonatal Intensive Care and Mortality in Very-Low-Birth-Weight Infants
Phibbs, C. S., Baker, L. C., Caughey, A. B., Danielsen, B., Schmitt, S. K., & Phibbs, R. H. (2007) · New England Journal of Medicine · doi:10.1056/nejmsa065029 · Cited by 526
Chung, J. H., Phibbs, C. S., Boscardin, W. J., Kominski, G. F., Ortega, A. N., & Needleman, J. (2010) · Medical Care · doi:10.1097/mlr.0b013e3181dbe887 · Cited by 393
Metadata
- Authors
- Paneth, N., Kiely, J. L., Wallenstein, S., Marcus, M., Pakter, J., & Susser, M.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1982-07-15
- Volume
- 307
- Issue
- 3
- Pages
- 149-155
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2034405778
- Cited by
- 259
- References
- 0
- FWCI
- 13.51
- Type
- journal article
- Language
- en
- Open access
- closed
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- Paneth, N., Kiely, J. L., Wallenstein, S., Marcus, M., Pakter, J., & Susser, M. (1982). Newborn Intensive Care and Neonatal Mortality in Low-Birth-Weight Infants: A Population Study. New England Journal of Medicine. https://doi.org/10.1056/nejm198207153070303
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