Evidence map›Paper›PMID 34253843›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

Seven years later: state neonatal risk-appropriate care policy consistency with the 2012 American Academy of Pediatrics Policy.

Charlan D Kroelinger, Marion E Rice, Ekwutosi M Okoroh, Carla L DeSisto, Wanda D Barfield

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Summary of neonatal and maternal transport and reimbursement policies-a 5-year update.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Pooled it
  2. Article
  3. Variation in NICU utilization: a narrative review and path forward.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  4. Article
  5. Maternal and neonatal risk-appropriate care: gaps, strategies, and areas for further research.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  6. Article
  7. Levels of neonatal care among birth facilities in 20 states and other jurisdictions: CDC levels of care assessment toolJournal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  8. 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

5 authors.

Charlan D KroelingerDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. ckroelinger@cdc.gov.ORCID http://orcid.org/0000-0002-8815-7402
Marion E RiceCenters for Disease Control and Prevention Foundation, Atlanta, GA, USA.
Ekwutosi M OkorohDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Carla L DeSistoDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-9065-7070
Wanda D BarfieldDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-5875-0475

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveTo assess consistency of state neonatal risk-appropriate care policies with the 2012 AAP policy seven years post-publication. STUDY

designSystematic, web-based review of all publicly available 2019 state neonatal levels of care policies. Information on infant risk (gestational age, birth weight), technology and equipment capabilities, and availability of specialty staffing used to define neonatal levels of care was extracted for review.

resultHalf of states (50%) had a neonatal risk-appropriate care policy. Of those states, 88% had language consistent with AAP-defined Level I criteria, 80% with Level II, 56% with Level III, and 55% with Level IV. Comparing policies (2014-2019), consistency increased in state policies among all levels of care with the greatest increase among level IV criteria.

conclusionStates improved consistency of policy language by each level of care, though half of states still lack policy to provide minimum standards of care to the most vulnerable infants.

Indexed as

PediatricsPolicyChildHumansInfantInfant, NewbornUnited States

Identifiers

PMID34253843
PMCPMC9198846

What OpenQuestion holds

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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.