Neonatal mortality among outborn versus inborn babies
Background: Most previous studies reported there were higher survival rates if low birth weight babies were born in tertiary perinatal centers (inborn) than elsewhere (outborn). The objective of this study is to examine whether the number and ratio of outborn babies decrease and the neonatal mortali...
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doaj-7077387d7808470690d90b4223bd2f932021-07-09T04:42:50ZengElsevierPediatrics and Neonatology1875-95722021-07-01624412418Neonatal mortality among outborn versus inborn babiesWan-Hsuan Chen0Chung-Hao Su1Li-Chun Lin2Hsin-Ching Lin3Ying-Jui Lin4Hsin-Yi Hsieh5Jiunn-Ming Sheen6Chien-Te Lee7Department of Pediatrics, Chiayi Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Chiayi, TaiwanDepartment of Pediatrics, Chiayi Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Chiayi, TaiwanCenter for Quality Management, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, TaiwanCenter for Quality Management, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Pediatrics, Chiayi Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Chiayi, Taiwan; Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; Corresponding author. Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung, 123 Ta-Pei Rd., Niao-Song District, Kaohsiung, 833, Taiwan.Center for Quality Management, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; Corresponding author. Center for Quality Management, Kaohsiung Chang Gung Memorial Hospital, 123 Ta-Pei Rd., Niao-Song District, Kaohsiung 833, Taiwan.Background: Most previous studies reported there were higher survival rates if low birth weight babies were born in tertiary perinatal centers (inborn) than elsewhere (outborn). The objective of this study is to examine whether the number and ratio of outborn babies decrease and the neonatal mortality differs between inborn and outborn babies. Methods: We used the pooled data of the Taiwan Clinical Effectiveness Index for the years 2011–2016 obtained from the Joint Commission of Taiwan to study the outborn/inborn number and neonatal mortality rate. Results: We found that the number of outborn babies did not decrease year by year. The ratio of outborn to total babies was lower in the groups of birth body weight 750–999 g and ≧ 2500 g than the other groups. The neonatal mortality rate in outborns was significantly higher than the inborns in the groups of birth body weight 1000–1499 g, 2000–2499 g and ≧ 2500 g (6.9 ± 2.4 vs. 3.8 ± 0.9, P = 0.009, 2.6 ± 0.6 vs. 0.6 ± 0.3, P = 0.002 and 1.52 ± 0.67 vs. 0.08 ± 0.02, P = 0.002, respectively) in medical centers. Conclusion: Improved maternal transport which promotes in utero transfer of patients may further improve neonatal outcome.http://www.sciencedirect.com/science/article/pii/S1875957221000607inbornneonatal mortalityoutborn |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wan-Hsuan Chen Chung-Hao Su Li-Chun Lin Hsin-Ching Lin Ying-Jui Lin Hsin-Yi Hsieh Jiunn-Ming Sheen Chien-Te Lee |
spellingShingle |
Wan-Hsuan Chen Chung-Hao Su Li-Chun Lin Hsin-Ching Lin Ying-Jui Lin Hsin-Yi Hsieh Jiunn-Ming Sheen Chien-Te Lee Neonatal mortality among outborn versus inborn babies Pediatrics and Neonatology inborn neonatal mortality outborn |
author_facet |
Wan-Hsuan Chen Chung-Hao Su Li-Chun Lin Hsin-Ching Lin Ying-Jui Lin Hsin-Yi Hsieh Jiunn-Ming Sheen Chien-Te Lee |
author_sort |
Wan-Hsuan Chen |
title |
Neonatal mortality among outborn versus inborn babies |
title_short |
Neonatal mortality among outborn versus inborn babies |
title_full |
Neonatal mortality among outborn versus inborn babies |
title_fullStr |
Neonatal mortality among outborn versus inborn babies |
title_full_unstemmed |
Neonatal mortality among outborn versus inborn babies |
title_sort |
neonatal mortality among outborn versus inborn babies |
publisher |
Elsevier |
series |
Pediatrics and Neonatology |
issn |
1875-9572 |
publishDate |
2021-07-01 |
description |
Background: Most previous studies reported there were higher survival rates if low birth weight babies were born in tertiary perinatal centers (inborn) than elsewhere (outborn). The objective of this study is to examine whether the number and ratio of outborn babies decrease and the neonatal mortality differs between inborn and outborn babies. Methods: We used the pooled data of the Taiwan Clinical Effectiveness Index for the years 2011–2016 obtained from the Joint Commission of Taiwan to study the outborn/inborn number and neonatal mortality rate. Results: We found that the number of outborn babies did not decrease year by year. The ratio of outborn to total babies was lower in the groups of birth body weight 750–999 g and ≧ 2500 g than the other groups. The neonatal mortality rate in outborns was significantly higher than the inborns in the groups of birth body weight 1000–1499 g, 2000–2499 g and ≧ 2500 g (6.9 ± 2.4 vs. 3.8 ± 0.9, P = 0.009, 2.6 ± 0.6 vs. 0.6 ± 0.3, P = 0.002 and 1.52 ± 0.67 vs. 0.08 ± 0.02, P = 0.002, respectively) in medical centers. Conclusion: Improved maternal transport which promotes in utero transfer of patients may further improve neonatal outcome. |
topic |
inborn neonatal mortality outborn |
url |
http://www.sciencedirect.com/science/article/pii/S1875957221000607 |
work_keys_str_mv |
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