Outcome comparison of very preterm infants cared for in the neonatal intensive care units in Australia and New Zealand and in Canada
Aim To compare risk‐adjusted neonatal intensive care unit outcomes between regions of similar population demography and health‐care systems in Australia–New Zealand and Canada to generate meaningful hypothesis for outcome improvements. Methods Retrospective study of data from preterm infants (
Gespeichert in:
| Veröffentlicht in: | Journal of paediatrics and child health 2015-09, Vol.51 (9), p.881-888 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 888 |
|---|---|
| container_issue | 9 |
| container_start_page | 881 |
| container_title | Journal of paediatrics and child health |
| container_volume | 51 |
| creator | Hossain, Sadia Shah, Prakesh S Ye, Xiang Y Darlow, Brian A Lee, Shoo K Lui, Kei |
| description | Aim
To compare risk‐adjusted neonatal intensive care unit outcomes between regions of similar population demography and health‐care systems in Australia–New Zealand and Canada to generate meaningful hypothesis for outcome improvements.
Methods
Retrospective study of data from preterm infants ( |
| doi_str_mv | 10.1111/jpc.12863 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1710665981</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3794839721</sourcerecordid><originalsourceid>FETCH-LOGICAL-i3503-a155d82a846d5516f06dc51e1a6a2fdd1a51010f45de0862d0ad40089337ac483</originalsourceid><addsrcrecordid>eNqNkUtv1DAUhSMEog9Y8AeQJTZs0l7HcexZVqNSClWLeBWxsS7xjfCQOMF2WmbPD8czU7pghaVrH9vfubJ1iuIZhyOex_Fqao94pRvxoNjndQ0lV7J-mDWIuqw1h73iIMYVAFRS6sfFXiU1aF2p_eL31ZzacSCWpwmDi6NnY8duKKzZFChRGJjzHfoUWYuBLOvGkE9Y-k7M0-gxYZ_3iXx0N7Rl2OxdxjN0MscUsHfI0Ft2SbfsK2G_0ZvKwBI9WnxSPOqwj_T0bj0sPr06_bh8XV5cnZ0vTy5KJySIErmUVleo68ZKyZsOGttKThwbrDprOUoOHLpaWgLdVBbQ1gB6IYTCttbisHi56zuF8edMMZnBxZb6_CIa52i44tA0cqH5f6CwUCAViIy--AddjXPw-SMbSmupcySZen5Hzd8GsmYKbsCwNn-jyMDxDrh1Pa3v7zmYTcYmZ2y2GZs375ZbkR3lzuFiol_3Dgw_TKOEkub68sxUXz6r6_fqrfkg_gAIYqcB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1708858440</pqid></control><display><type>article</type><title>Outcome comparison of very preterm infants cared for in the neonatal intensive care units in Australia and New Zealand and in Canada</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Hossain, Sadia ; Shah, Prakesh S ; Ye, Xiang Y ; Darlow, Brian A ; Lee, Shoo K ; Lui, Kei</creator><creatorcontrib>Hossain, Sadia ; Shah, Prakesh S ; Ye, Xiang Y ; Darlow, Brian A ; Lee, Shoo K ; Lui, Kei ; Canadian Neonatal Network ; Australian and New Zealand Neonatal Network</creatorcontrib><description>Aim
To compare risk‐adjusted neonatal intensive care unit outcomes between regions of similar population demography and health‐care systems in Australia–New Zealand and Canada to generate meaningful hypothesis for outcome improvements.
Methods
Retrospective study of data from preterm infants (<32 weeks gestational age) cared for in 29 ANZNN (Australian and New Zealand Neonatal Network) and 26 Canadian Neonatal Network (CNN) intensive care unit admitted between 2005 and 2007. Moribund infants or those with major congenital malformation were excluded.
Results
The 9995 ANZNN infants had a higher gestational age (29 vs. 28 weeks, P < 0.0001), lower rate of outborn status (13.2% vs. 19.1%, P < 0.0001) and Apgar score <7 at 5 min (14.8% vs. 21.6%, P < 0.0001) than their 7141 CNN counterparts. After adjustment, ANZNN and CNN infants had a similar likelihood of survival (adjusted odds ratio (AOR) 1.01 (0.88, 1.16)), but ANZNN infants were at lower risk of severe retinopathy (AOR 0.71 (0.61, 0.83)), severe ultrasound neurological injury (AOR 0.68 (0.59, 0.78)), necrotising enterocolitis (AOR 0.65 (0.56, 0.76)), chronic lung disease (AOR 0.67 (0.62, 0.73)) and late‐onset sepsis (AOR 0.83 (0.76, 0.91)). ANZNN infants were at a higher risk of pulmonary air leak (AOR 1.20 (1.01, 1.42)), early‐onset sepsis (AOR 1.33 (1.02, 1.74)). More ANZNN infants received any respiratory support (AOR 1.27 (1.14, 1.41)) and continuous positive airway pressure as sole respiratory support (AOR 2.50 (2.27, 2.70)).
Conclusions
Despite similarities in settings, ANZNN infants fared better in most measures. Outcome disparities may be related to differences in tertiary service provision, referral and clinical practices.</description><identifier>ISSN: 1034-4810</identifier><identifier>ISSN: 1440-1754</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/jpc.12863</identifier><identifier>PMID: 25808827</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Australia ; Babies ; benchmarking ; Canada ; Gestational Age ; Humans ; Infant ; Infant Mortality ; Infant, Extremely Premature ; Intensive care ; Intensive Care Units, Neonatal - standards ; Logistic Models ; neonatal intensive care unit ; network ; New Zealand ; Outcome Assessment (Health Care) ; outcome measure ; Premature birth ; preterm infant ; Retrospective Studies ; Risk Assessment</subject><ispartof>Journal of paediatrics and child health, 2015-09, Vol.51 (9), p.881-888</ispartof><rights>2015 The Authors. Journal of Paediatrics and Child Health © 2015 Paediatrics and Child Health Division (Royal Australasian College of Physicians)</rights><rights>2015 The Authors. Journal of Paediatrics and Child Health © 2015 Paediatrics and Child Health Division (Royal Australasian College of Physicians).</rights><rights>Journal of Paediatrics and Child Health © 2015 Paediatrics and Child Health Division (Royal Australasian College of Physicians)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpc.12863$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpc.12863$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25808827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hossain, Sadia</creatorcontrib><creatorcontrib>Shah, Prakesh S</creatorcontrib><creatorcontrib>Ye, Xiang Y</creatorcontrib><creatorcontrib>Darlow, Brian A</creatorcontrib><creatorcontrib>Lee, Shoo K</creatorcontrib><creatorcontrib>Lui, Kei</creatorcontrib><creatorcontrib>Canadian Neonatal Network</creatorcontrib><creatorcontrib>Australian and New Zealand Neonatal Network</creatorcontrib><title>Outcome comparison of very preterm infants cared for in the neonatal intensive care units in Australia and New Zealand and in Canada</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>Aim
To compare risk‐adjusted neonatal intensive care unit outcomes between regions of similar population demography and health‐care systems in Australia–New Zealand and Canada to generate meaningful hypothesis for outcome improvements.
Methods
Retrospective study of data from preterm infants (<32 weeks gestational age) cared for in 29 ANZNN (Australian and New Zealand Neonatal Network) and 26 Canadian Neonatal Network (CNN) intensive care unit admitted between 2005 and 2007. Moribund infants or those with major congenital malformation were excluded.
Results
The 9995 ANZNN infants had a higher gestational age (29 vs. 28 weeks, P < 0.0001), lower rate of outborn status (13.2% vs. 19.1%, P < 0.0001) and Apgar score <7 at 5 min (14.8% vs. 21.6%, P < 0.0001) than their 7141 CNN counterparts. After adjustment, ANZNN and CNN infants had a similar likelihood of survival (adjusted odds ratio (AOR) 1.01 (0.88, 1.16)), but ANZNN infants were at lower risk of severe retinopathy (AOR 0.71 (0.61, 0.83)), severe ultrasound neurological injury (AOR 0.68 (0.59, 0.78)), necrotising enterocolitis (AOR 0.65 (0.56, 0.76)), chronic lung disease (AOR 0.67 (0.62, 0.73)) and late‐onset sepsis (AOR 0.83 (0.76, 0.91)). ANZNN infants were at a higher risk of pulmonary air leak (AOR 1.20 (1.01, 1.42)), early‐onset sepsis (AOR 1.33 (1.02, 1.74)). More ANZNN infants received any respiratory support (AOR 1.27 (1.14, 1.41)) and continuous positive airway pressure as sole respiratory support (AOR 2.50 (2.27, 2.70)).
Conclusions
Despite similarities in settings, ANZNN infants fared better in most measures. Outcome disparities may be related to differences in tertiary service provision, referral and clinical practices.</description><subject>Australia</subject><subject>Babies</subject><subject>benchmarking</subject><subject>Canada</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Mortality</subject><subject>Infant, Extremely Premature</subject><subject>Intensive care</subject><subject>Intensive Care Units, Neonatal - standards</subject><subject>Logistic Models</subject><subject>neonatal intensive care unit</subject><subject>network</subject><subject>New Zealand</subject><subject>Outcome Assessment (Health Care)</subject><subject>outcome measure</subject><subject>Premature birth</subject><subject>preterm infant</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><issn>1034-4810</issn><issn>1440-1754</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAUhSMEog9Y8AeQJTZs0l7HcexZVqNSClWLeBWxsS7xjfCQOMF2WmbPD8czU7pghaVrH9vfubJ1iuIZhyOex_Fqao94pRvxoNjndQ0lV7J-mDWIuqw1h73iIMYVAFRS6sfFXiU1aF2p_eL31ZzacSCWpwmDi6NnY8duKKzZFChRGJjzHfoUWYuBLOvGkE9Y-k7M0-gxYZ_3iXx0N7Rl2OxdxjN0MscUsHfI0Ft2SbfsK2G_0ZvKwBI9WnxSPOqwj_T0bj0sPr06_bh8XV5cnZ0vTy5KJySIErmUVleo68ZKyZsOGttKThwbrDprOUoOHLpaWgLdVBbQ1gB6IYTCttbisHi56zuF8edMMZnBxZb6_CIa52i44tA0cqH5f6CwUCAViIy--AddjXPw-SMbSmupcySZen5Hzd8GsmYKbsCwNn-jyMDxDrh1Pa3v7zmYTcYmZ2y2GZs375ZbkR3lzuFiol_3Dgw_TKOEkub68sxUXz6r6_fqrfkg_gAIYqcB</recordid><startdate>201509</startdate><enddate>201509</enddate><creator>Hossain, Sadia</creator><creator>Shah, Prakesh S</creator><creator>Ye, Xiang Y</creator><creator>Darlow, Brian A</creator><creator>Lee, Shoo K</creator><creator>Lui, Kei</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201509</creationdate><title>Outcome comparison of very preterm infants cared for in the neonatal intensive care units in Australia and New Zealand and in Canada</title><author>Hossain, Sadia ; Shah, Prakesh S ; Ye, Xiang Y ; Darlow, Brian A ; Lee, Shoo K ; Lui, Kei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3503-a155d82a846d5516f06dc51e1a6a2fdd1a51010f45de0862d0ad40089337ac483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Australia</topic><topic>Babies</topic><topic>benchmarking</topic><topic>Canada</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant Mortality</topic><topic>Infant, Extremely Premature</topic><topic>Intensive care</topic><topic>Intensive Care Units, Neonatal - standards</topic><topic>Logistic Models</topic><topic>neonatal intensive care unit</topic><topic>network</topic><topic>New Zealand</topic><topic>Outcome Assessment (Health Care)</topic><topic>outcome measure</topic><topic>Premature birth</topic><topic>preterm infant</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hossain, Sadia</creatorcontrib><creatorcontrib>Shah, Prakesh S</creatorcontrib><creatorcontrib>Ye, Xiang Y</creatorcontrib><creatorcontrib>Darlow, Brian A</creatorcontrib><creatorcontrib>Lee, Shoo K</creatorcontrib><creatorcontrib>Lui, Kei</creatorcontrib><creatorcontrib>Canadian Neonatal Network</creatorcontrib><creatorcontrib>Australian and New Zealand Neonatal Network</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hossain, Sadia</au><au>Shah, Prakesh S</au><au>Ye, Xiang Y</au><au>Darlow, Brian A</au><au>Lee, Shoo K</au><au>Lui, Kei</au><aucorp>Canadian Neonatal Network</aucorp><aucorp>Australian and New Zealand Neonatal Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome comparison of very preterm infants cared for in the neonatal intensive care units in Australia and New Zealand and in Canada</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>2015-09</date><risdate>2015</risdate><volume>51</volume><issue>9</issue><spage>881</spage><epage>888</epage><pages>881-888</pages><issn>1034-4810</issn><issn>1440-1754</issn><eissn>1440-1754</eissn><abstract>Aim
To compare risk‐adjusted neonatal intensive care unit outcomes between regions of similar population demography and health‐care systems in Australia–New Zealand and Canada to generate meaningful hypothesis for outcome improvements.
Methods
Retrospective study of data from preterm infants (<32 weeks gestational age) cared for in 29 ANZNN (Australian and New Zealand Neonatal Network) and 26 Canadian Neonatal Network (CNN) intensive care unit admitted between 2005 and 2007. Moribund infants or those with major congenital malformation were excluded.
Results
The 9995 ANZNN infants had a higher gestational age (29 vs. 28 weeks, P < 0.0001), lower rate of outborn status (13.2% vs. 19.1%, P < 0.0001) and Apgar score <7 at 5 min (14.8% vs. 21.6%, P < 0.0001) than their 7141 CNN counterparts. After adjustment, ANZNN and CNN infants had a similar likelihood of survival (adjusted odds ratio (AOR) 1.01 (0.88, 1.16)), but ANZNN infants were at lower risk of severe retinopathy (AOR 0.71 (0.61, 0.83)), severe ultrasound neurological injury (AOR 0.68 (0.59, 0.78)), necrotising enterocolitis (AOR 0.65 (0.56, 0.76)), chronic lung disease (AOR 0.67 (0.62, 0.73)) and late‐onset sepsis (AOR 0.83 (0.76, 0.91)). ANZNN infants were at a higher risk of pulmonary air leak (AOR 1.20 (1.01, 1.42)), early‐onset sepsis (AOR 1.33 (1.02, 1.74)). More ANZNN infants received any respiratory support (AOR 1.27 (1.14, 1.41)) and continuous positive airway pressure as sole respiratory support (AOR 2.50 (2.27, 2.70)).
Conclusions
Despite similarities in settings, ANZNN infants fared better in most measures. Outcome disparities may be related to differences in tertiary service provision, referral and clinical practices.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>25808827</pmid><doi>10.1111/jpc.12863</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1034-4810 |
| ispartof | Journal of paediatrics and child health, 2015-09, Vol.51 (9), p.881-888 |
| issn | 1034-4810 1440-1754 1440-1754 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1710665981 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Australia Babies benchmarking Canada Gestational Age Humans Infant Infant Mortality Infant, Extremely Premature Intensive care Intensive Care Units, Neonatal - standards Logistic Models neonatal intensive care unit network New Zealand Outcome Assessment (Health Care) outcome measure Premature birth preterm infant Retrospective Studies Risk Assessment |
| title | Outcome comparison of very preterm infants cared for in the neonatal intensive care units in Australia and New Zealand and in Canada |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T12%3A23%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Outcome%20comparison%20of%20very%20preterm%20infants%20cared%20for%20in%20the%20neonatal%20intensive%20care%20units%20in%20Australia%20and%20New%20Zealand%20and%20in%20Canada&rft.jtitle=Journal%20of%20paediatrics%20and%20child%20health&rft.au=Hossain,%20Sadia&rft.aucorp=Canadian%20Neonatal%20Network&rft.date=2015-09&rft.volume=51&rft.issue=9&rft.spage=881&rft.epage=888&rft.pages=881-888&rft.issn=1034-4810&rft.eissn=1440-1754&rft_id=info:doi/10.1111/jpc.12863&rft_dat=%3Cproquest_pubme%3E3794839721%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1708858440&rft_id=info:pmid/25808827&rfr_iscdi=true |