The Impact of Neonatal Care Resources on Regional Variation in Neonatal Mortality Among Very Low Birthweight Infants in Korea
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| Název: | The Impact of Neonatal Care Resources on Regional Variation in Neonatal Mortality Among Very Low Birthweight Infants in Korea |
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| Autoři: | Myo Jing Kim, Hyun Seung Jin, Soon Min Lee, Jang Hoon Lee, Ee-Kyung Kim, Eun Sun Kim, Yun Sil Chang, Hyun Kyung Park, Jae Won Shim, Eun Song Song |
| Přispěvatelé: | Jae Won Shim, Myo Jing Kim, Ee-Kyung Kim, Hyun Kyung Park, Eun Song Song, Soon Min Lee, Jang Hoon Lee, Hyun-Seung Jin, Eun Sun Kim, Yun Sil Chang, Lee, Soon Min |
| Zdroj: | Paediatric and Perinatal Epidemiology. 27:216-225 |
| Informace o vydavateli: | Wiley, 2013. |
| Rok vydání: | 2013 |
| Témata: | Neonatal/economics, Male, neonatal mortality, neonatology, 03 medical and health sciences, 0302 clinical medicine, Intensive Care Units, Neonatal, Health Resources/economics, neonatal intensive care, Infant Mortality, Republic of Korea, Humans, Infant, Very Low Birth Weight, Neonatal/statistics & numerical data, Birth Rate, 2. Zero hunger, Health Resources/statistics & numerical data, level of care, Very Low Birth Weight, Infant, Newborn, Infant, Newborn, Hospitals, 3. Good health, Intensive Care Units, Health Resources, Female, international child health |
| Popis: | BackgroundFaced with extremely low fertility rates and increasing numbers of low‐birthweight births in Korea, we examined the factors affecting the mortality of very‐low‐birthweight (VLBW) infants in Korea.MethodsA survey was conducted in 91 of 93 hospitals providing neonatal intensive care in Korea in 2009. Data included information on number of neonatal intensive care unit (NICU) beds, medical workforce, resources in the NICU, birth and death.ResultsThere was approximately one NICU per 4888 births, one NICU bed per 355 births, one mechanical ventilator per 739 births, one incubator per 327 births and one board‐certified neonatologist per 4683 births. Regional disparity existed in neonatal care resources and consequently in mortality rates. VLBW infants’ mortality was related to the NICU facility level, volume of VLBW infants and geographic regions. The capital city, Seoul, has the best NICU facilities and workforce, and the least mortality. Overall mortality rates before hospital discharge for NICU facility level and volume of VLBW infants admissions, regional difference in mortality rates was markedly reduced in the VLBW groups.ConclusionsRegional disparity in mortality of VLBW infants in Korea is most marked in the lowest‐birthweight group |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 1365-3016 0269-5022 |
| DOI: | 10.1111/ppe.12033 |
| Přístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/23374067 https://www.ncbi.nlm.nih.gov/pubmed/23374067 https://core.ac.uk/display/159801211 https://snucm.elsevierpure.com/en/publications/the-impact-of-neonatal-care-resources-on-regional-variation-in-ne http://onlinelibrary.wiley.com/doi/10.1111/ppe.12033/abstract https://ir.ymlib.yonsei.ac.kr/handle/22282913/89030 |
| Rights: | Wiley Online Library User Agreement CC BY NC ND |
| Přístupové číslo: | edsair.doi.dedup.....427017b15675942f95b1070e52849045 |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | BackgroundFaced with extremely low fertility rates and increasing numbers of low‐birthweight births in Korea, we examined the factors affecting the mortality of very‐low‐birthweight (VLBW) infants in Korea.MethodsA survey was conducted in 91 of 93 hospitals providing neonatal intensive care in Korea in 2009. Data included information on number of neonatal intensive care unit (NICU) beds, medical workforce, resources in the NICU, birth and death.ResultsThere was approximately one NICU per 4888 births, one NICU bed per 355 births, one mechanical ventilator per 739 births, one incubator per 327 births and one board‐certified neonatologist per 4683 births. Regional disparity existed in neonatal care resources and consequently in mortality rates. VLBW infants’ mortality was related to the NICU facility level, volume of VLBW infants and geographic regions. The capital city, Seoul, has the best NICU facilities and workforce, and the least mortality. Overall mortality rates before hospital discharge for NICU facility level and volume of VLBW infants admissions, regional difference in mortality rates was markedly reduced in the VLBW groups.ConclusionsRegional disparity in mortality of VLBW infants in Korea is most marked in the lowest‐birthweight group |
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| ISSN: | 13653016 02695022 |
| DOI: | 10.1111/ppe.12033 |