The Impact of Neonatal Care Resources on Regional Variation in Neonatal Mortality Among Very Low Birthweight Infants in <scp>K</scp>orea

Shim, Jae Won; Kim, Myo Jing; Kim, Ee Kyung; Park, Hyun Kyung; Song, Eun Song; Lee, Soon Min; Lee, Jang Hoon; Jin, Hyun Seung; Kim, Eun Sun; Chang, Yun Sil

doi:10.1111/ppe.12033

Cited by 33 publications

(30 citation statements)

References 29 publications

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“…Some of the reasons for exclusion were the absence of numerical mortality rates, lack/absence of relevant information regarding NICU mortality, and repeat data. Of the 20 remaining articles ( 20 – 39 ), eight reported on any infants admitted to NICUs ( 20 , 22 , 25 , 33 – 37 ), three reported on the outcomes of extremely low birth weight infants (≤500 g, 401–1,000 g) ( 21 , 26 , 38 ), three others reported on the outcomes of very low birth weight infants (≤1,500 g) ( 30 , 32 , 39 ), two discussed all in-hospital deaths ( 23 , 28 ), two focused on the outcomes of very preterm infants [<32 weeks gestational age (GA)] ( 24 , 29 ), one involved the outcomes of preterm infants [<37 weeks GA] ( 31 ) and one reported on the outcomes of preterm infants with a birth weight of ≤1,500 g ( 27 ) (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies reported the mortality outcomes for very low birth weight infants ( 30 , 32 , 39 ). The overall in-hospital mortality rates were reported to be 5% in New Zealand for infants with birth weight of 1,001–1,500 g in 2009 ( 32 ), 6.5% in Korea for infants with birth weight of 1,000–1,499 g in 2009 ( 30 ), 12.9% in United States of America between 2007 and 2008 ( 39 ), 20.4% in Korea for infants with birth weight of 750–999 g in 2009 ( 30 ), 30% in New Zealand for infants with birth weight of 501–1,000 g in 2009 ( 32 ), and 44.8% in Korea for infants with birth weight of <750 g in 2009 ( 30 ) (Table 4 ).…”

Section: Resultsmentioning

confidence: 99%

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A Selected Review of the Mortality Rates of Neonatal Intensive Care Units

Chow

Popovic

et al. 2015

Front. Public Health

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IntroductionNewborn babies in need of critical medical attention are normally admitted to the neonatal intensive care unit (NICU). These infants tend to be preterm, have low birth weight, and/or have serious medical conditions. Neonatal survival varies, but progress in perinatal and neonatal care has notably diminished mortality rates. In this selected review, we examine and compare the NICU mortality rates and etiologies of death in different countries.MethodsA literature search was conducted in Ovid MEDLINE, OLDMEDLINE, EMBASE Classic, and EMBASE. The primary endpoint was the mortality rates in NICUs. Secondary endpoints included the reasons for death and the correlation between infant age and mortality outcome. For the main analysis, we examined all infants admitted to NICUs. Subgroup analyses included extremely low birth weight infants (based on the authors’ own definition), very low birth weight infants, very preterm infants, preterm infants, preterm infants with a birth weight of ≤1,500 g, and by developed and developing countries.ResultsThe literature search yielded 1,865 articles, of which 20 were included. The total mortality rates greatly varied among countries. Infants in developed and developing countries had similar ages at death, ranging from 4 to 20 days and 1 to 28.9 days, respectively. The mortality rates ranged from 4 to 46% in developed countries and 0.2 to 64.4% in developing countries.ConclusionThe mortality rates of NICUs vary between nations but remain high in both developing and developed countries.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Selected Review of the Mortality Rates of Neonatal Intensive Care Units

Chow

Popovic

et al. 2015

Front. Public Health

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“…According to a study conducted by the National Institute of Child Health and Human Development (NICHD) on 9575 VLBW and VP infants, from 2003 to 2007, the overall mortality rate was 28%, and the highest mortality rate occurred in the first 12 hours of life (36). Overall, in-hospital mortality rate among VLBW infants in the developed countries was 5% in New Zealand (2009) (37), 6.5% in Korea (2009) (38), and 12.9% in the United States of America (from 2007 to 2008) (39).…”

Section: Discussionmentioning

confidence: 99%

Mortality and Morbidity Patterns of Very Low Birth Weight Newborns in Eastern Mediterranean Region: A Meta-Analysis Study

et al. 2018

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Context: Preterm and low-birth weight are of the most common causes of mortality and critical disabilities in newborns. Although advances in neonatal care improved survival and quality of life in the developed countries, mortality and morbidity due to prematurity are still high in the developing and underdeveloped countries such countries in Eastern Mediterranean Region (EMR). Objective: The study aimed at evaluating mortality and morbidity among Very Low Birth Weight (VLBW) and Very Preterm (VP) neonates in EMR.

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“…Smaller NICUs, even in modern industrialised nations, will transfer sicker infants to larger facilities and may not keep infants very long, but nurses in these NICUs can still be cognizant of the importance of both parents participating in the infant's care. NICUs in developing nations or rural areas of developed nations are struggling with being able to provide appropriate medical staff and equipment and have high rates of mortality for the smallest infants (Shim et al, 2013;Sivasubramaniam et al, 2015) so the findings of this study will likely not be applicable in these areas.…”

Section: Rele Van Ce To Clini C Al Pr Ac Ti Cementioning

confidence: 99%

Cross‐sectional survey of factors associated with paternal involvement in the neonatal intensive care unit

Clarkson

Gilmer

Moore

et al. 2019

Journal of Clinical Nursing

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Aim and objective To describe factors associated with father involvement in the neonatal intensive care unit using the Heuristic model of the dynamic of parental behaviour and influence on children over time. Background Research shows that infants with involved fathers have better cognitive development, fewer crying episodes after caesarean birth, improved breastfeeding exclusivity and duration, and more regular sleep patterns. Preterm infants with involved fathers have improved cognitive development. Design This cross‐sectional exploratory study used survey methodology to explore factors associated with father involvement in the neonatal intensive care unit. Methods The STROBE checklist for cross‐sectional studies was used (see Appendix S2). Biological fathers of infants in a 97‐bed neonatal intensive care unit in the southern USA completed a survey which asked about their involvement with their hospitalised infants and factors which affected that involvement. Eighty fathers completed the survey. Results Age ranged between 20–53 with 43% first‐time fathers. Compared to less involved fathers, fathers who were more involved were younger, married or living with the mother, performed kangaroo care or fathers of multiple gestation. Fathers who had attended the delivery were more likely to bathe their infants than those who had not attended the delivery and fathers who performed kangaroo care felt more confident than those who did not. Compared to fathers who visited less often, fathers who visited more often were younger, had infants with a shorter hospitalisation time and lower acuity, and had fewer children in the family. Conclusions Fathers are involved with their neonatal intensive care unit infants in many ways. Factors were identified that affect involvement in the neonatal intensive care unit. Relevance to clinical practice Results can help nurses in neonatal intensive care units worldwide facilitate father–infant interaction, identify fathers at risk for decreased involvement and advocate for institutional policy development for supporting neonatal intensive care unit father involvement.

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

Abstract: Regional disparity in mortality of VLBW infants in Korea is most marked in the lowest-birthweight group, <750 g. This disparity is primarily due to lack of resources for neonatal intensive care in most of provincial areas.

Cited by 33 publications

References 29 publications

A Selected Review of the Mortality Rates of Neonatal Intensive Care Units

A Selected Review of the Mortality Rates of Neonatal Intensive Care Units

Mortality and Morbidity Patterns of Very Low Birth Weight Newborns in Eastern Mediterranean Region: A Meta-Analysis Study

Cross‐sectional survey of factors associated with paternal involvement in the neonatal intensive care unit

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