Evidence map›Paper›PMID 34601491›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

Changes in hospital quality at hospitals serving black and hispanic newborns below 30 weeks' gestation.

Nansi S Boghossian, Marco Geraci, Erika M Edwards, Jeffrey D Horbar

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
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. It is linked to trial NCT01825499 (Vermont Oxford Network Very Low Birth Weight Database of Infants <=1500 Grams or <=29 Weeks Gestational Age at Birth), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT01825499 recruitingnot on this map

Vermont Oxford Network Very Low Birth Weight Database of Infants <=1500 Grams or <=29 Weeks Gestational Age at Birth

Typeobservational_patient_registrySponsorVermont Oxford NetworkRan1990 to 2040Enrolled60,000ConditionsNeonatologyArmsRegistry
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Racial disparities and outcomes in neonatal hypoxic-ischemic encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2025
    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

4 authors.

Nansi S BoghossianDepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA. nboghoss@mailbox.sc.edu.ORCID 0000-0001-7424-5148
Marco GeraciDepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Erika M EdwardsVermont Oxford Network, Burlington, Vermont, USA.
Jeffrey D HorbarVermont Oxford Network, Burlington, Vermont, USA.

Funding

Hospital quality, Medicaid expansion, and racial/ethnic disparitiesin maternal mortality and morbidityR01MD016012 · NIMHD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BOGHOSSIAN, NANSI · 2020 to 2024
$3.2M
Racial/ethnic disparities in care practices, outcomes, and hospital transfer among infants born at 22-29 weeks gestationR03HD097305 · NICHD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BOGHOSSIAN, NANSI · 2019 to 2020
$149k
NICHD NIH HHS R03 HD097305NIMHD NIH HHS R01 MD016012
6 · The paper itself

Abstract

objectiveExamine whether the quality of Black and Hispanic serving (BHS) compared with not BHS (NBHS) NICUs has changed differentially over time. STUDY

designInfants 24-29 weeks' gestation born at U.S. Vermont Oxford Network centers (2006-2018) were studied. We calculated adjusted hospital quality scores as the predicted probabilities of composite in-hospital mortality and morbidities from a logistic model. We regressed hospital quality scores on birth year to estimate the linear temporal slope by BHS-serving status for hospitals within each Census division.

resultsHospital quality improved similarly over time for BHS and NBHS hospitals across all divisions except West South Central where a mean change in the composite score was -18.8 (95% CI: -24.1, -13.5) for NBHS and -9.3 (95% CI: -14.1, -4.6) for BHS hospitals (p-value = 0.009).

conclusionHospital quality improved similarly for BHS and NBHS hospitals across most divisions. Variation within and between divisions should be a focus for quality improvement.

Indexed as

Hispanic or LatinoIntensive Care Units, NeonatalEthnicityFemaleGestational AgeHospitalsHumansInfantInfant, NewbornPregnancy

Identifiers

PMID34601491
PMCPMC8825745

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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.