Navigation Links
High Level ICU Facilities Afford Greater Survival Chances for Small Infants

A recent survey that appears in the May 24th issue of the New England Journal of Medicine states that, very low birth weight infants delivered in hospitals with high-level neonatal intensive care units, have better survival chances. These hospitals care for more than 100 babies annually as compared to facilities that care for less than 100 babies per year.

The research was supported by the Agency for Healthcare Research and Quality and the National Institutes of Health (agencies within the U.S. Department of Health and Human Services) and the National Institute of Child Health and Human Development.

Neonatal intensive care units (NICUs) are specialized hospital facilities offering medical care for newborn infants. NICUs are classified according to the level of services they provide. High-level neonatal intensive care units provide mechanical ventilationthe use of a device that assists with breathing. Depending on the level of care, some high-level NICUs provide major surgery.

Very low birth weight infants are those weighing less than 1500 grams, or about 3.3 pounds, at birth. Very low birth weight infants are highly vulnerable to medical complications. In 2000, these infants comprised just 1.4 percent of U.S. births but 51 percent of infant deaths. The latest research indicates some of these newborn deaths may be preventable.

Based on their analyses of California birth records, the researchers reported that less than a quarter of very low birth weight infants are born in hospitals with high-level, high-volume NICUs, and this percentage has been declining over time. The study examined differences in death rates across hospitals with different NICU levels and their volume (how many very low birth weight infants they care for in a year).

The researchers found that hospitals with lower-volume, lower-level NICUs had a significantly higher newborn death rate for very low birth weight infants when compa red with the newborn death rate among this group in hospitals with high-level and high-volume NICUs.

"Previous studies have established a link between high volume and high quality among NICUs, and this study offers further evidence of that relationship," said Carolyn M. Clancy, M.D., AHRQs Director. "It is becoming increasingly clear that some very low birth weight infants are not getting the care they need, and that we need to make sure that patients and clinicians know how important high-quality NICU care is."

The researchers were led by Ciaran Phibbs, Ph.D., Health Economist at the Health Economics Resource Center at the Veterans Affairs Palo Alto Health Care System and Associate Professor at the Department of Pediatrics at Stanford University.

The researchers analyzed data from more than 48,000 very low birth weight infants born in California hospitals from 1991 to 2000. They calculated newborn death rates by linking birth certificates, hospital discharge abstracts, and fetal and infant death certificates.

Despite the increased survival rate for very low birth weight infants in large, high-level NICUs, the researchers found that an increasing number of high-risk newborns are receiving care in low-volume, mid-level units.

In the past 20 years, a growing number of community hospitals have built NICUs, but most have been lower level facilities that see only a few very low birth weight infants.

"While lower-level NICUs are required to have formal relationships with high-level NICUs, the mere fact that they have such a relationship is no guarantee that the lower-level NICUs are going to get the same level of results as can be obtained at the large high volume NICUs," Dr. Phibbs said.

Dr. Phibbs and his colleagues determined that as much as 21 percent of very low birth weight infant deaths in California could have been avoided.

"The increasing number of NICU s in community hospitals does not serve all very low birth weight infants in all instances," said Dr. Phibbs. "These results indicate that increased regionalizationthat is, ensuring that more very low birth weight infants are born at higher level NICUsmight reduce infant mortality."


'"/>




Related medicine news :

1. Virus Level could Predict Cervical Cancer Risk
2. Levels Of Blood Proteins May Help Heart Disease Care
3. Elevated Ozone Levels Hurt Sperm Count
4. Elevating Manganese Levels hold back HIV
5. High Levels of Protein Linked to Brain Shrinkage
6. Fitness Level Predicts Stroke
7. Chickens Found To Have High Levels of Arsenic
8. Low Protein Levels A Possible Indicator For A Miscarriage
9. Low Testosterone Levels the Cause Of Depression In Men
10. Weather Found To Play An Important Role In Cholesterol Levels
11. Education Levels Found To Predict Stress
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/26/2017)... ... June 26, 2017 , ... The Centers ... announced the hiring of Richard Robinson as chief operating officer (COO). In this ... with a proven track record of simplifying business processes and developing growth strategies ...
(Date:6/26/2017)... , ... June 26, 2017 , ... ... staff, and consumers are seeing lots of red these days. According to recent ... charges that result from medical coding errors(1). Some studies point to Electronic Health ...
(Date:6/25/2017)... ... ... lyric music video in Final Cut Pro X with ProLyric from Pixel Film Studios. Users ... to any song. ProLyric flies in the text for each section and it hovers around ... for optimal control. ProLyric makes editing any music video or text-based production easier than ever. ...
(Date:6/25/2017)... ... June 25, 2017 , ... With a heatwave currently bearing down on Northern California ... at the pool. Being swimsuit ready is easy with laser hair removal. , The ... can be a burdensome routine when all you want to do is get out, dive ...
(Date:6/24/2017)... ... June 24, 2017 , ... Dr. Mitchell Mehlman ... Road in Lake Ronkonkoma, Dental365 offers patients high-quality and affordable routine and emergency ... the dentist fit into their patients’ busy lifestyles. Dental365 also gladly work with ...
Breaking Medicine News(10 mins):
(Date:5/30/2017)... May 30, 2017 Therapix Biosciences Ltd. (Nasdaq: ... in the development of cannabinoid-based drugs, today announced ... overview at three upcoming scientific and investor conferences ... Micro Invitational: ... Date:                     Wednesday, ...
(Date:5/24/2017)... , May 24, 2017  ivWatch LLC today ... Manufacturer (OEM) Board to enable seamless integration of ... monitoring systems, infusion pumps and other devices. By ... be able to help health care customers deliver ... risks related to IV therapy. "The ...
(Date:5/18/2017)... WHIPPANY, N.J. , May 18, 2017  Two ... Healthcare Businesswomen,s Association (HBA) during its recent 28 th ... New York City.  The event showcases HBA,s longstanding mission ... the business of healthcare. Cindy Powell-Steffen ... in Bayer,s U.S. Radiology division, and Libby Howe ...
Breaking Medicine Technology: