Regional Analysis on the Incidence of Preterm and Low Birth Weight Infant and the Current Situation on the Neonatal Intensive Care Units in Korea, 2009

Kang, Byung Ho; Jung, Kyung‐Hwan; Hahn, Won Ho; Shim, Kye Shik; Chang, Ji Young; Bae, Chong Woo

doi:10.5385/jksn.2011.18.1.70

Cited by 13 publications

(3 citation statements)

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“…The results of our survey are consistent with similar observations made by others . Studies have shown that both the neonatal facility level and volume of admissions were closely associated with mortality outcome, critical importance of regionalisation and volume of admissions in reducing neonatal mortality . In addition, our study shows that with progressive diffusion of neonatal intensive care throughout all regions of the country, the regional disparity in mortality would gradually disappear from the higher‐birthweight groups to the lower ones.…”

Section: Commentsupporting

confidence: 92%

The Impact of Neonatal Care Resources on Regional Variation in Neonatal Mortality Among Very Low Birthweight Infants in Korea

Shim

Kim

et al. 2013

Paediatric Perinatal Epid

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Section: Commentsupporting

confidence: 92%

The Impact of Neonatal Care Resources on Regional Variation in Neonatal Mortality Among Very Low Birthweight Infants in Korea

Shim

Kim

et al. 2013

Paediatric Perinatal Epid

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“…From 1993 through 2010, the average birth weight of Korea was reduced from 3.31 kg in 1993 to 3.22 kg in 2010 by approximately 0.1kg. This is attributed to the increase of LBWI and multiple fetus 28 - 30) , increase of LBWI including improved survival of LBWIs, and multiple births 28 - 30) , increase of LBWI including improved survival of LBWIs, and multiple births resulting from both improved survival of non-singletons and use of assisted reproductive techniques.…”

Section: Discussionmentioning

confidence: 99%

Birth statistics of high birth weight infants (macrosomia) in Korea

et al. 2012

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PurposeThe authors analyzed the trend from the birth-related statistics of high birth weight infants (HBWIs) over 50 years in Korea from 1960 to 2010.MethodsWe used 2 data sources, namely, the hospital units (1960's to 1990's) and Statistics Korea (1993 to 2010). The analyses include the incidence of HBWIs, birth weight distribution, sex ratio, and the relationship of HBWI to maternal age.ResultsThe hospital unit data indicated the incidence of HBWI as 3 to 7% in the 1960's and 1970's and 4 to 7% in the 1980's and 1990's. Data from Statistics Korea indicated the percentages of HBWIs among total live births decreased over the years: 6.7% (1993), 6.3% (1995), 5.1% (2000), 4.5% (2000), and 3.5% (2010). In HBWIs, the birth weight rages and percentage of incidence in infants' were 4.0 to 4.4 kg (90.3%), 4.5 to 4.9 kg (8.8%), 5.0 to 5.4 kg (0.8%), 5.5 to 5.9 kg (0.1%), and >6.0 kg (0.0%) in 2000 but were 92.2%, 7.2%, 0.6%, 0.0%, and 0.0% in 2009. The male to female ratio of HBWIs was 1.89 in 1993 and 1.84 in 2010. In 2010, the mother's age distribution correlated with low (4.9%), normal (91.0%), and high birth weights (3.6%): an increase in mother's age resulted in an increase in the frequency of low birth weight infants (LBWIs) and HBWIs.ConclusionThe incidence of HBWIs for the past 50 years has been dropping in Korea. The older the mother, the higher was the risk of a HBWI and LBWI. We hope that these findings would be utilized as basic data that will aid those managing HBWIs.

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“…확보하는 것은 영아 생존율 향상을 위한 필수 보건 정책이다. 1995 년 이후 2010년 이전까지 전국 NICU 인력 및 시설 운영 현황에 대하 여 대한신생아학회 주도로 몇 개의 연구들이 발표되었고 일관된 결 론은 다음과 같았다 [2][3][4][5][6] . 비록 출생아 수는 지속적으로 감소하는 추 세지만 고위험 산모와 조산아 등 고위험 신생아 상대적 비율은 증 가하고 있다.…”

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Current Status of Neonatologist Staffing and Workload in Korean Neonatal Intensive Care Units

Lee¹,

Lim²,

Choi³

et al. 2020

Neonatal Med

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Purpose: To identify the recent status of the neonatologist and their workload in neonatal intensive care unit (NICU) in Korea. Methods: On October 2018, a survey was conducted on the statistics of the workforce including the census of certified neonatologists, NICU beds, nursing staffing ratings, bed occupancy rate, annual admission of very low birth weight infant (VLBWI), infant acuity score of nursing, and the proportion of out-born patients. The level of neonatal care was self-rated. Results: A total of 68 centers responded to the survey. An average number of cer tified neonatologists and the number of NICU beds per center was 1.9 (range, 0 to 5) and 23.1 (range, 0 to 30), respectively. Thirty-eight percent (n=26) of NICUs were being operated with only one (n=24) or no (n=2) certified neonatologist and only 19% (n=13) of NICUs had ≥3 neonatologists. The average ratio of NICU beds to neonatologists rated 13.4±6.2. The higher the level of neonatal care, the higher the number of tertiary referral hospitals, neonatologists, NICU volume, infant acuity scores of nursing, and annual VLBWI admissions. However, there was no difference in the beds to neonatologist ratio between level 2 (n=9, 9.5±3.1), level 3 (n=44, 14.0± 6.9), and level 4 (n=14, 13.7±4.2). The infant acuity score was proportional to the NICU volumes, but not related to the beds to neonatologist ratio. Conclusion: Compared with the international standards, most Korean NICUs were understaffed in terms of the certified neonatologist and were unable to provide 'continuity of care' for high-risk newborns.

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Regional Analysis on the Incidence of Preterm and Low Birth Weight Infant and the Current Situation on the Neonatal Intensive Care Units in Korea, 2009

Cited by 13 publications

References 5 publications

The Impact of Neonatal Care Resources on Regional Variation in Neonatal Mortality Among Very Low Birthweight Infants in Korea

The Impact of Neonatal Care Resources on Regional Variation in Neonatal Mortality Among Very Low Birthweight Infants in Korea

Birth statistics of high birth weight infants (macrosomia) in Korea

Current Status of Neonatologist Staffing and Workload in Korean Neonatal Intensive Care Units

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