Evidence map›Paper›PMID 28100563›Full record

Observational studyBMJ open2017

Effect of socioeconomic disadvantage, remoteness and Indigenous status on hospital usage for Western Australian preterm infants under 12 months of age: a population-based data linkage study.

Natalie A Strobel, Sue Peter, Kimberley E McAuley, Daniel R McAullay, Rhonda Marriott, Karen M Edmond

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Natalie A StrobelSchool of Paediatrics and Child Health, The University of Western Australia, Perth, Western Australia, Australia.
Sue PeterPrincess Margaret Hospital for Children, Perth, Western Australia, Australia.
Kimberley E McAuleySchool of Paediatrics and Child Health, The University of Western Australia, Perth, Western Australia, Australia.
Daniel R McAullaySchool of Paediatrics and Child Health, The University of Western Australia, Perth, Western Australia, Australia.
Rhonda MarriottSchool of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia.
Karen M EdmondSchool of Paediatrics and Child Health, The University of Western Australia, Perth, Western Australia, Australia.
University of Western Australia · AUEdith Cowan University · AUMurdoch University · AUPrincess Margaret Hospital for Children · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur primary objective was to determine the incidence of hospital admission and emergency department presentation in Indigenous and non-Indigenous preterm infants aged postdischarge from birth admission to 11 months in Western Australia. Secondary objectives were to assess incidence in the poorest infants from remote areas and to determine the primary causes of hospital usage in preterm infants.

designProspective population-based linked data set. SETTING AND

participantsAll preterm babies born in Western Australia during 2010 and 2011.

main outcome measuresAll-cause hospitalisations and emergency department presentations.

resultsThere were 6.9% (4211/61 254) preterm infants, 13.1% (433/3311) Indigenous preterm infants and 6.5% (3778/57 943) non-Indigenous preterm infants born in Western Australia. Indigenous preterm infants had a higher incidence of hospital admission (adjusted incident rate ratio (aIRR) 1.24, 95% CI 1.08 to 1.42) and emergency department presentation (aIRR 1.71, 95% CI 1.44 to 2.02) compared with non-Indigenous preterm infants. The most disadvantaged preterm infants (7.8/1000 person days) had a greater incidence of emergency presentation compared with the most advantaged infants (3.1/1000 person days) (aIRR 1.61, 95% CI 1.30 to 2.00). The most remote preterm infants (7.8/1000 person days) had a greater incidence of emergency presentation compared with the least remote preterm infants (3.0/1000 person days; aIRR 1.82, 95% CI 1.49 to 2.22).

conclusionsIn Western Australia, preterm infants have high hospital usage in their first year of life. Infants living in disadvantaged areas, remote area infants and Indigenous infants are at increased risk. Our data highlight the need for improved postdischarge care for preterm infants.

Indexed as

Infant, PrematureWhite PeopleAdultEmergency Service, HospitalFemaleHospitalizationHumansIncidenceInfantInfant, NewbornInfant, Newborn, DiseasesInformation Storage and RetrievalMaleMaternal WelfareProspective StudiesSocioeconomic FactorsEPIDEMIOLOGYHospital utilisationPreterm infants

Identifiers

PMID28100563
PMCPMC5253619
OpenAlexW2572940058

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.