ArticleArchives of disease in childhood. Fetal and neonatal edition2019
Establishing a composite neonatal adverse outcome indicator using English hospital administrative data.
Article in Archives of disease in childhood. Fetal and neonatal edition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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
16 citing papers in PubMed.
- National trends in neonatal diagnoses recorded at hospital discharge in Kazakhstan, 2014-2024.BMJ paediatrics open · 2026Article
- Traumatic brain injury, interpersonal violence, and postnatal mental illness: population-based study.Social psychiatry and psychiatric epidemiology · 2026Article
- Neonatal Adverse Outcomes in Métis Children in Alberta, Canada: A Retrospective Cohort Study.Paediatric and perinatal epidemiology · 2026Article
- Migraine, comorbidity, and risks of severe maternal and neonatal morbidity or mortality: a population-based cohort study.American journal of epidemiology · 2026Article
- Severe Neonatal Morbidity Across Gestational Age: Monitoring Infants at High Risk of Mortality.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- A Comparison of Regulatory Maternity Unit Ratings With Clinical Outcomes and Practice Measures: An Observational Study Using Routinely Collected Data.BJOG : an international journal of obstetrics and gynaecology · 2025Observational
- Impact of pandemic service changes on ethnic inequalities in maternal and perinatal outcomes in England: a population-based study.BMJ open · 2025Article
- Neonatal Adverse Outcomes among Hospital Livebirths in Canada: A National Retrospective Study.Neonatology · 2025Article
- Induction of labour at 39 weeks and adverse outcomes in low-risk pregnancies according to ethnicity, socioeconomic deprivation, and parity: A national cohort study in England.PLoS medicine · 2023Article
- Neighborhood Income Mobility and Risk of Neonatal and Maternal Morbidity.JAMA network open · 2023Article
- Morbidity and mortality of newborns born to immigrant and nonimmigrant females residing in low-income neighbourhoods.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Prepregnancy Emergency Department Use and Risks of Severe Maternal and Neonatal Morbidity in Canada.JAMA network open · 2022Article
- Evaluation of Adverse Pregnancy Outcomes in Physicians Compared With Nonphysicians.JAMA network open · 2022Article
- Maternal and perinatal outcomes of pregnant women with SARS-CoV-2 infection at the time of birth in England: national cohort study.American journal of obstetrics and gynecology · 2021Article
- Factors Associated with Increased Risk of Early Severe Neonatal Morbidity in Late Preterm and Early Term Infants.Journal of clinical medicine · 2021Article
- A composite neonatal adverse outcome indicator using population-based data: an update.International journal of population data science · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveWe adapted a composite neonatal adverse outcome indicator (NAOI), originally derived in Australia, and assessed its feasibility and validity as an outcome indicator in English administrative hospital data.
designWe used Hospital Episode Statistics (HES) data containing information infants born in the English National Health Service (NHS) between 1 April 2014 and 31 March 2015. The Australian NAOI was mapped to diagnoses and procedure codes used within HES and modified to reflect data quality and neonatal health concerns in England. To investigate the concurrent validity of the English NAOI (E-NAOI), rates of NAOI components were compared with population-based studies. To investigate the predictive validity of the E-NAOI, rates of readmission and death in the first year of life were calculated for infants with and without E-NAOI components.
resultsThe analysis included 484 007 (81%) of the 600 963 eligible babies born during the timeframe. 114/148 NHS trusts passed data quality checks and were included in the analysis. The modified E-NAOI included 23 components (16 diagnoses and 7 procedures). Among liveborn infants, 5.4% had at least one E-NAOI component recorded before discharge. Among newborns discharged alive, the E-NAOI was associated with a significantly higher risk of death (0.81% vs 0.05%; p<0.001) and overnight hospital readmission (15.7% vs 7.1%; p<0.001) in the first year of life.
conclusionsA composite NAOI can be derived from English hospital administrative data. This E-NAOI demonstrates good concurrent and predictive validity in the first year of life. It is a cost-effective way to monitor neonatal outcomes.
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.