ArticleHealth services research2015
Disparities in perinatal quality outcomes for very low birth weight infants in neonatal intensive care.
Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01825499 (Vermont Oxford Network Very Low Birth Weight Database of Infants <=1500 Grams or <=29 Weeks Gestational Age at Birth), which is not on this map. Cited by 52 papers, 3 of them syntheses that pooled it.
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.
Vermont Oxford Network Very Low Birth Weight Database of Infants <=1500 Grams or <=29 Weeks Gestational Age at Birth
Who cites it
52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Summary of neonatal and maternal transport and reimbursement policies-a 5-year update.Journal of perinatology : official journal of the California Perinatal Association · 2022Pooled it
- Pooled it
- A Meta-Analysis of the Associations Between the Nurse Work Environment in Hospitals and 4 Sets of Outcomes.Medical care · 2019Pooled it
- Clinically-integrated breastfeeding peer counseling contributes to more equitable hospital-based lactation care.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
- Race, oxygen exposure, and retinopathy of prematurity: re-examining a persistent epidemiologic paradox.Experimental biology and medicine (Maywood, N.J.) · 2026Review
- Epidemiology of bacterial and fungal infections among level IV neonatal units in North America.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Maternal Social Determinants of Health and Risk of Perinatal Hypoxic-Ischemic Encephalopathy.JAMA neurology · 2025Article
- Racial and Ethnic Disparities in Mother's Milk Provision Among Mothers of Preterm Infants.JAMA network open · 2025Article
- Health Disparities in the Management and Outcomes of Critically Ill Children and Neonates: A Scoping Review.Critical care clinics · 2024Article
- What about sex, race(ism), and social determinants of health in neonatal outcomes?Frontiers in pediatrics · 2024Review
- Impact of sex, race, and social determinants of health on neonatal outcomes.Frontiers in pediatrics · 2024Review
- The Association of Missed Nursing Care With Very Low Birthweight Infant Outcomes.Medical care research and review : MCRR · 2023Article
- Environmental influences on child health outcomes: cohorts of individuals born very preterm.Pediatric research · 2023Review
- Characteristics of High Versus Low-Performing Hospitals for Very Preterm Infant Morbidity and Mortality.The journal of pediatrics: X · 2023Article
- Distinguishing High-Performing From Low-Performing Hospitals for Severe Maternal Morbidity: A Focus on Quality and Equity.Obstetrics and gynecology · 2022Article
- Evaluating Care in Safety Net Hospitals: Clinical Outcomes and Neonatal Intensive Care Unit Quality of Care in California.The Journal of pediatrics · 2022Article
- Designing a Mobile Health Solution to Facilitate the Transition from NICU to Home: A Qualitative Study.Children (Basel, Switzerland) · 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
- Racial Disparities in Donor Human Milk Feedings: A Study Using Electronic Medical Records.Health equity · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 6 institutions in 1 country.
Funding
Abstract
objectiveTo determine if hospital-level disparities in very low birth weight (VLBW) infant outcomes are explained by poorer hospital nursing characteristics. DATA SOURCES: Nurse survey and VLBW infant registry data. STUDY
designRetrospective study of 8,252 VLBW infants in 98 Vermont Oxford Network hospital neonatal intensive care units (NICUs) nationally. NICUs were classified into three groups based on their percent of infants of black race. Two nurse-sensitive perinatal quality standards were studied: nosocomial infection and breast milk. DATA COLLECTION: Primary nurse survey (N = 5,773, 77 percent response rate). PRINCIPAL
findingsVLBW infants born in high-black concentration hospitals had higher rates of infection and discharge without breast milk than VLBW infants born in low-black concentration hospitals. Nurse understaffing was higher and practice environments were worse in high-black as compared to low-black hospitals. NICU nursing features accounted for one-third to one-half of the hospital-level health disparities.
conclusionsPoorer nursing characteristics contribute to disparities in VLBW infant outcomes in two nurse-sensitive perinatal quality standards. Improvements in nursing have potential to improve the quality of care for seven out of ten black VLBW infants who are born in high-black hospitals in this country.
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.