Evidence map›Paper›PMID 33931237›Full record

ReviewSeminars in perinatology2021

Access to risk-appropriate hospital care and disparities in neonatal outcomes in racial/ethnic groups and rural-urban populations.

Scott A Lorch, Jeannette Rogowski, Jochen Profit, Ciaran S Phibbs

Registry-linked trialAbstract readReview
In one paragraph

Review in Seminars in perinatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05034354 (Development and Feasibility of a Virtual Remote Physiological Monitoring Program of Children With Heart Disease), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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.

NCT05034354 nacompletednot on this mapstarted 2022, after this paper: background citation

Development and Feasibility of a Virtual Remote Physiological Monitoring Program of Children With Heart Disease

TypeinterventionalSponsorUniversity of AlbertaRan2022 to 2025Enrolled23ConditionsPediatric ALL, Congenital Heart Disease, Single-ventricle, Biventricular Congestive Heart FailureArmsRemote physiological monitoring
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Challenges in implementing optimal perinatal regionalization: a scoping review.Maternal health, neonatology and perinatology · 2026
    Review
  2. Article
  3. Local availability of neonatal intensive care at rural hospitals with childbirth services.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
  5. Article
  6. Drivers of care and outcomes for people facing fetal conditions in the United States: a conceptual framework.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. NICUs in the US: levels of acuity, number of beds, and relationships to population factors.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  18. Article
  19. Associations between maternal residential rurality and maternal health, access to care, and very low birthweight infant outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  20. Review
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

4 authors.

Scott A LorchChildren's Hospital of Philadelphia, Division of Neonatology, United States; Perelman School of Medicine, University of Pennsylvania, United States. Electronic address: lorch@chop.edu.
Jeannette RogowskiThe Pennsylvania State University, United States.
Jochen ProfitDepartment of Pediatrics, Division of Neonatal Medicine, Stanford University School of Medicine, United States.
Ciaran S PhibbsDepartment of Pediatrics, Division of Neonatal Medicine, Stanford University School of Medicine, United States; Veterans Affairs Palo Alto Health Care System, United States.

Funding

Impact of Obstetric Unit Closures on Pregnancy OutcomesR01HS018661 · AHRQ · CHILDREN'S HOSP OF PHILADELPHIA · PI LORCH, SCOTT A · 2010 to 2013
$1.9M
Effect of Changing NICU Patient Volumes and Levels of Care on Neonatal OutcomesR01HD084819 · NICHD · STANFORD UNIVERSITY · PI LORCH, SCOTT A, PHIBBS, CIARAN S. · 2016 to 2018
$1.1M
AHRQ HHS R01 HS018661NICHD NIH HHS R01 HD084819
6 · The paper itself

Abstract

Variations in infant and neonatal mortality continue to persist in the United States and in other countries based on both socio-demographic characteristics, such as race and ethnicity, and geographic location. One potential driver of these differences is variations in access to risk-appropriate delivery care. The purpose of this article is to present the importance of delivery hospitals on neonatal outcomes, discuss variation in access to these hospitals for high-risk infants and their mothers, and to provide insight into drivers for differences in access to high-quality perinatal care using the available literature. This review also illustrates the lack of information on a number of topics that are crucial to the development of evidence-based interventions to improve access to appropriate delivery hospital services and thus optimize the outcomes of high-risk mothers and their newborns.

Indexed as

EthnicityRural PopulationFemaleHospitalsHumansInfantInfant MortalityInfant, NewbornPregnancyUnited StatesUrban Population

Identifiers

PMID33931237
PMCPMC8184635

What OpenQuestion holds

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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.