ArticlePediatrics2014
Baby-MONITOR: a composite indicator of NICU quality.
Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02603133 (Web-based Implementation for the Science of Enhancing Resilience Study), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.
What it found
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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.
Web-based Implementation for the Science of Enhancing Resilience Study
Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Pooled it
- Pairwise joint modeling of clustered and high-dimensional outcomes with covariate missingness in pediatric pneumonia care.Pharmaceutical statistics · 2022Trial
- Birth certificate data substantially misrepresent actual NICU admissions, including among most vulnerable.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Disparities in delivery hospital risk-adjusted outcomes for very low birthweight infants: the role of NICU volume and level of care.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Article
- Hospital performance evaluation indicators: a scoping review.BMC health services research · 2024Article
- Quality, outcome, and cost of care provided to very low birth weight infants in California.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Transfer Patterns Among Infants Born at 28 to 34 Weeks' Gestation.Pediatrics · 2024Observational
- Impact of sex, race, and social determinants of health on neonatal outcomes.Frontiers in pediatrics · 2024Review
- Racial and ethnic disparities in postnatal growth among very low birth weight infants in California.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Characteristics of High Versus Low-Performing Hospitals for Very Preterm Infant Morbidity and Mortality.The journal of pediatrics: X · 2023Article
- Postnatal Growth Faltering: Growth and Height Improvement at Two Years in Children with Very Low Birth Weight between 2002-2017.Children (Basel, Switzerland) · 2022Article
- Measuring quality of care in moderate and late preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Concordance of Hospital Ranks and Category Ratings Using the Current Technical Specification of US Hospital Star Ratings and Reasonable Alternative Specifications.JAMA health forum · 2022Article
- Evaluating Care in Safety Net Hospitals: Clinical Outcomes and Neonatal Intensive Care Unit Quality of Care in California.The Journal of pediatrics · 2022Article
- Changes in hospital quality at hospitals serving black and hispanic newborns below 30 weeks' gestation.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- The center-effect on outcomes for infants born at less than 25 weeks.Seminars in perinatology · 2022Review
- Handling missing data in a composite outcome with partially observed components: simulation study based on clustered paediatric routine data.Journal of applied statistics · 2022Article
- Quality of Care in US NICUs by Race and Ethnicity.Pediatrics · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
BACKGROUND AND
objectivesNICUs vary in the quality of care delivered to very low birth weight (VLBW) infants. NICU performance on 1 measure of quality only modestly predicts performance on others. Composite measurement of quality of care delivery may provide a more comprehensive assessment of quality. The objective of our study was to develop a robust composite indicator of quality of NICU care provided to VLBW infants that accurately discriminates performance among NICUs.
methodsWe developed a composite indicator, Baby-MONITOR, based on 9 measures of quality chosen by a panel of experts. Measures were standardized, equally weighted, and averaged. We used the California Perinatal Quality Care Collaborative database to perform across-sectional analysis of care given to VLBW infants between 2004 and 2010. Performance on the Baby-MONITOR is not an absolute marker of quality but indicates overall performance relative to that of the other NICUs. We used sensitivity analyses to assess the robustness of the composite indicator, by varying assumptions and methods.
resultsOur sample included 9023 VLBW infants in 22 California regional NICUs. We found significant variations within and between NICUs on measured components of the Baby-MONITOR. Risk-adjusted composite scores discriminated performance among this sample of NICUs. Sensitivity analysis that included different approaches to normalization, weighting, and aggregation of individual measures showed the Baby-MONITOR to be robust (r = 0.89-0.99).
conclusionsThe Baby-MONITOR may be a useful tool to comprehensively assess the quality of care delivered by NICUs.
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