The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
The Effect of Neonatal Intensive Care Level and Hospital Volume on Mortality of Very Low Birth Weight Infants
Abstract
OBJECTIVE: To determine the adjusted effect of hospital level of care and volume on mortality of very low birth weight (VLBW) infants in the state of California, where deregionalization of perinatal care has occurred. RESEARCH DESIGN: Secondary data analysis of California maternal-infant hospital discharge data from 1997 to 2002 was performed. Logistic regression was used to evaluate the odds of mortality among VLBW infants by hospital level of neonatal intensive care and volume of VLBW deliveries, in the context of differences in antenatal and delivery factors by hospital site of delivery. RESULTS: Both maternal and fetal antenatal risk profiles and delivery characteristics vary by hospital site of delivery. After risk adjustment, lower-level, lower-volume units were associated with a higher odds of mortality. The highest odds of mortality occurred in level-1 units with < or =10 VLBW deliveries per year (odds ratio, 1.69; 95% confidence interval, 1.43-1.99). In isolation, hospital volume, rather than level of care, had the greater effect. CONCLUSIONS: Although deregionalization of perinatal services may increase access to care for high-risk mothers and newborns, its impact on hospital volume may outweigh its potential benefit.
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Cites
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Should Operations Be Regionalized?: The Empirical Relation between Surgical Volume and Mortality
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COMMITTEE ON FETUS AND NEWBORN, Barfield, W. D., Papile, L.-A., Baley, J. E., Benitz, W., Cummings, J., Carlo, W. A., Kumar, P., Polin, R. A., Tan, R. C., et al. (2012) · Pediatrics · doi:10.1542/peds.2012-1999 · Cited by 959
Data Analysis: A Model-Comparison Approach
Vining, G., Judd, C. M., & McClelland, G. H. (1992) · Technometrics · doi:10.2307/1269570 · Cited by 922
Data Analysis: A Model-Comparison Approach.
Clark, V., Judd, C. M., & McClelland, G. H. (1990) · Journal of the American Statistical Association · doi:10.2307/2289821 · Cited by 580
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
Self-citationOutcomes in Type 1 Diabetic Pregnancies
Jensen, D. M., Damm, P., Moelsted-Pedersen, L., Ovesen, P., Westergaard, J. G., Moeller, M., & Beck-Nielsen, H. (2004) · Diabetes Care · doi:10.2337/diacare.27.12.2819 · Cited by 486
The Effects of Patient Volume and Level of Care at the Hospital of Birth on Neonatal Mortality
Phibbs, C. S. (1996) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1996.03540130052029 · Cited by 376
Self-citationMortality in Low Birth Weight Infants According to Level of Neonatal Care at Hospital of Birth
Cifuentes, J., Bronstein, J., Phibbs, C. S., Phibbs, R. H., Schmitt, S. K., & Carlo, W. A. (2002) · Pediatrics · doi:10.1542/peds.109.5.745 · Cited by 268
Self-citationNewborn Intensive Care and Neonatal Mortality in Low-Birth-Weight Infants: A Population Study
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Cited by
COMMITTEE ON FETUS AND NEWBORN, Barfield, W. D., Papile, L.-A., Baley, J. E., Benitz, W., Cummings, J., Carlo, W. A., Kumar, P., Polin, R. A., Tan, R. C., et al. (2012) · Pediatrics · doi:10.1542/peds.2012-1999 · Cited by 959
Metadata
- Authors
- Chung, J. H., Phibbs, C. S., Boscardin, W. J., Kominski, G. F., Ortega, A. N., & Needleman, J.
- Venue
- Medical Care
- Published
- 2010-07
- Volume
- 48
- Issue
- 7
- Pages
- 635-644
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W1978169633
- Cited by
- 393
- References
- 28
- FWCI
- 14.53
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: The Effect of Neonatal Intensive Care Level and Hospital Volume on Mortality of Very Low Birth Weight Infants. https://app.cochat.ai/papers/10.1097/mlr.0b013e3181dbe887
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- Chung, J. H., Phibbs, C. S., Boscardin, W. J., Kominski, G. F., Ortega, A. N., & Needleman, J. (2010). The Effect of Neonatal Intensive Care Level and Hospital Volume on Mortality of Very Low Birth Weight Infants. Medical Care. https://doi.org/10.1097/mlr.0b013e3181dbe887
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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