摘要
Objectives: To examine whether admission hospital type (13 perinatal centers v s 4 freestanding pediatric hospitals) was associated with differences in risk an d illness severity adjusted mortality and morbidity among outborn preterm infant s. Study design: Records of singleton outborn infants ≤32 weeks’gestational ag e (n = 605) admitted to 17 tertiary level neonatal intensive care units particip ating in the Canadian Neonatal Network for the period 1996 to 1997 were examined . Results: Outborn infants admitted to freestanding pediatric hospitals were at higher risk of death (adjusted odds ratio [AOR], 2.25; 95%confidence interval [ CI], 1.20, 4.20), nosocomial infection (AOR, 2.48; 95%CI, 1.64, 3.73), and oxyg en dependency at 28 days of age (AOR, 1.77; 95%CI, 1.14, 2.75) when compared wi th outborn infants admitted to perinatal centers. Conclusions: After adjustment for perinatal risks and admission illness severity, outborn infants had better o utcomes if they were admitted to perinatal centers compared with freestanding pe diatric hospitals.
Objectives: To examine whether admission hospital type (13 perinatal centers v s 4 freestanding pediatric hospitals) was associated with differences in risk an d illness severity adjusted mortality and morbidity among outborn preterm infant s. Study design: Records of singleton outborn infants ≤32 weeks'gestational ag e (n = 605) admitted to 17 tertiary level neonatal intensive care units particip ating in the Canadian Neonatal Network for the period 1996 to 1997 were examined . Results: Outborn infants admitted to freestanding pediatric hospitals were at higher risk of death (adjusted odds ratio [AOR], 2.25; 95%confidence interval [ CI], 1.20, 4.20), nosocomial infection (AOR, 2.48; 95%CI, 1.64, 3.73), and oxyg en dependency at 28 days of age (AOR, 1.77; 95%CI, 1.14, 2.75) when compared wi th outborn infants admitted to perinatal centers. Conclusions: After adjustment for perinatal risks and admission illness severity, outborn infants had better o utcomes if they were admitted to perinatal centers compared with freestanding pe diatric hospitals.
