Stefan Johansson Posted April 1, 2012 Share Posted April 1, 2012 Regionalization of level-3 neonatal care is advocated by many, as several studies have showed that outcome is better in large/regional NICUs. However, the question of regionalization might be more complicated when it comes to implementation. The 99nicu Poll in april is about policies of regionalization, and how they seem to work in practise. Take the opportunity to post your comments too! Link to comment Share on other sites More sharing options...
Francesco Cardona Posted April 1, 2012 Share Posted April 1, 2012 Do you have any links for some of the articles, Stefan? Link to comment Share on other sites More sharing options...
Stefan Johansson Posted April 1, 2012 Author Share Posted April 1, 2012 Here's a few studies, I take the opportunity to cite myself in the first one Preterm Delivery, Level of Care, and Infant Death in Sweden: A Population-Based Study The Effect of Birth in Secondary- or Tertiary-Level Hospitals in Finland on Mortality in Very Preterm Infants: A Birth-Register Study Perinatal Regionalization for Very Low-Birth-Weight and Very Preterm Infants Level and Volume of Neonatal Intensive Care and Mortality in Very-Low-Birth-Weight Infants Examining the effect of hospital-level factors on mortality of very low birth weight infants using multilevel modeling Link to comment Share on other sites More sharing options...
Plyon0962 Posted April 2, 2012 Share Posted April 2, 2012 There was a pretty good study published by the march of dimes in 2001 by Dr Ellen R Shaffer, her email was ershaffer@earthlink.net I do not know if it is still correct but you can still see her paper on line. Link to comment Share on other sites More sharing options...
Francesco Cardona Posted April 2, 2012 Share Posted April 2, 2012 Thanks for the excellent links! I found the study you mentioned, plyon0962 http://www.centerforpolicyanalysis.org/wp-content/uploads/Final-NICU-Report.pdf Link to comment Share on other sites More sharing options...
Stefan Johansson Posted April 12, 2012 Author Share Posted April 12, 2012 And, here's a study from the UK about re-organisation, published in BMJ just a few days ago. Survival increased during recent years. http://www.bmj.com/content/344/bmj.e2105 Link to comment Share on other sites More sharing options...
Francesco Cardona Posted April 12, 2012 Share Posted April 12, 2012 Ah yes! I had the chance to meet the author in London - he said the paper was coming up. Nice bloke! Link to comment Share on other sites More sharing options...
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