Evidence map›Paper›PMID 29371627›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Volume, size, professionals' specialization and nutrition management of NICUs and their association with treatment quality in VLBW infants.

Felix Miedaner, Kristina Langhammer, Christian Enke, Wolfgang Göpel, Angela Kribs, Anika Nitzsche, Rainer Riedel, Christiane Woopen, Ludwig Kuntz, Bernhard Roth

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 4 institutions in 1 country.

Felix MiedanerDepartment of Business Administration and Healthcare Management, University of Cologne, Cologne, Germany. miedaner@wiso.uni-koeln.de.
Kristina LanghammerDepartment of Neonatology and Pediatric Intensive Care, University Hospital of Cologne, Cologne, Germany.
Christian EnkeCologne Center for Ethics, Rights, Economics, and Social Sciences of Health (ceres) and Research Unit Ethics, Medical Faculty, University Clinic Cologne, Cologne, Germany.
Wolfgang GöpelDepartment of Pediatrics, University of Lübeck, Lübeck, Germany.
Angela KribsDepartment of Neonatology and Pediatric Intensive Care, University Hospital of Cologne, Cologne, Germany.
Anika NitzscheInstitute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany.
Rainer RiedelInstitute for Medical Economics and Health Services Research, Rheinische Fachhochschule Cologne, Cologne, Germany.
Christiane WoopenCologne Center for Ethics, Rights, Economics, and Social Sciences of Health (ceres) and Research Unit Ethics, Medical Faculty, University Clinic Cologne, Cologne, Germany.
Ludwig KuntzDepartment of Business Administration and Healthcare Management, University of Cologne, Cologne, Germany.
Bernhard RothDepartment of Neonatology and Pediatric Intensive Care and Department of Business Administration and Healthcare Management, University of Cologne, Cologne, Germany.
University Hospital Cologne · DEUniversity of Cologne · DERFH - University of Applied Sciences Cologne · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the association of volume, size, the availability of highly-specialized professionals and nutrition management of NICUs with treatment quality among VLBW infants. STUDY

designA prospective multicenter study of 923 VLBW infants in 66 German NICUs, born between May and October 2013. Using multilevel modeling, we examined the association between the aforementioned organizational characteristics and treatment quality, measured via major morbidities (severe IVH, PVL, BPD, NEC, FIP, ROP, and discharge without severe complications) and medical process measures of VLBW infants.

resultsAfter risk-adjustment and accounting for other NICU characteristics, infants in low-volume NICUs were at higher risk of IVH, ROP and PVL. However, the initial effect of volume on process measures (growth velocity, administration of antenatal steroids) disappeared.

conclusionVolume can only partially explain differences in the treatment quality of VLBWs. The underlying organizational mechanisms should be considered to improve the quality of care.

Indexed as

Infant, Very Low Birth WeightIntensive Care Units, NeonatalNutritional SupportFemaleGermanyHumansInfantInfant MortalityInfant, NewbornInfant, Newborn, DiseasesMalePatientsProspective StudiesSpecializationWorkforce

Identifiers

PMID29371627
OpenAlexW2791025534

What OpenQuestion holds

Textmetadata
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.