Impact of Neonatologist Availability on Preterm Survival without Morbidities

Authors

David Aboudi, New York Medical CollegeFollow
Shetal I. Shah, New York Medical CollegeFollow
Edmund F. La Gamma, New York Medical CollegeFollow
Heather L. Brumberg, New York Medical CollegeFollow

DOI

10.1038/s41372-018-0103-1

Journal Title

Journal of Perinatology

First Page

1009

Last Page

1016

Document Type

Article

Publication Date

8-1-2018

Department

Epidemiology and Community Health

Keywords

Infant, Premature, Intensive Care Units, Neonatal manpower, Neonatology manpower

Disciplines

Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Medicine and Health Sciences | Pediatrics

Abstract

OBJECTIVES: We assessed birth hospital level and neonatal outcomes within a model of regionalization featuring neonatologists at all levels of care, including well-baby nurseries without an accompanying neonatal intensive care unit. METHODS: Data were analyzed by NY State adaptation of American Academy of Pediatrics defined levels of care; n = 998, 23-30 weeks gestational age, 400-1250 g birth weight, and admitted to the regional center (2006-2015). Primary outcomes were survival, neurologic survival, and intact survival. RESULTS: Level III hospitals transferred 82% of neonates >/=24 h of life compared to

Recommended Citation

Aboudi, D., Shah, S., La Gamma, E., & Brumberg, H. (2018). Impact of Neonatologist Availability on Preterm Survival without Morbidities. Journal of Perinatology, 38 (8), 1009-1016. https://doi.org/10.1038/s41372-018-0103-1