ArticleThe Journal of pediatrics2013
Variations in definitions of mortality have little influence on neonatal intensive care unit performance ratings.
Article in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Methodologic considerations in estimating racial disparity of mortality among very preterm infants.Pediatric research · 2025Review
- Smaller babies at risk: birth weight impacts neonatal survival status in Silte zone, Central Ethiopia. A survival analysis of prospective cohort study.Frontiers in pediatrics · 2024Article
- Racial/Ethnic Disparity in NICU Quality of Care Delivery.Pediatrics · 2017Observational
- Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.Journal of perinatology : official journal of the California Perinatal Association · 2017Observational
- The Association of Level of Care With NICU Quality.Pediatrics · 2016Article
- Baby-MONITOR: a composite indicator of NICU quality.Pediatrics · 2014Article
- Do practicing clinicians agree with expert ratings of neonatal intensive care unit quality measures?Journal of perinatology : official journal of the California Perinatal Association · 2012Article
- Formal selection of measures for a composite index of NICU quality of care: Baby-MONITOR.Journal of perinatology : official journal of the California Perinatal Association · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveTo measure the influence of varying mortality time frames on performance rankings among regional neonatal intensive care units (NICUs) in a large state. STUDY
designWe performed a cross-sectional data analysis of very low birth weight infants receiving care at 24 level 3 NICUs. We tested the effect of 4 definitions of mortality: (1) death between admission and end of birth hospitalization or up to 366 days; (2) death between 12 hours of age and the end of birth hospitalization or up to 366 days; (3) death between admission and 28 days; and (4) death between 12 hours of age and 28 days. NICUs were ranked by quantifying their deviation from risk-adjusted expected mortality and dividing them into 3 tiers: top 6, bottom 6, and in between.
resultsThere was wide interinstitutional variation in risk-adjusted mortality for each definition (observed minus expected z-score range, -6.08 to 3.75). However, mortality-based NICU rankings and classification into performance tiers were very similar for all institutions in each of our time frames. Among all 4 definitions, NICU rank correlations were high (>0.91). Few NICUs changed relative to a neighboring tier with changes in definitions, and none changed by more than one tier.
conclusionThe time frame used to ascertain mortality had little effect on comparative NICU performance.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.