ArticleEuropean journal of pediatrics2025
Delivery unit volume and neonatal mortality - A nationwide register study in Finland from 2008 to 2023.
Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 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
3 citing papers in PubMed.
- How consistent are recent neonatal resuscitation guidelines?Resuscitation plus · 2026Review
- Finland's Falling Birth Rate Prompts Study of Neonatal Outcomes in Secondary-Level Delivery Units.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Changes in the Incidence and Severity of NEC over the Last Decade: A Single-Center Study.Journal of clinical medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This nationwide study analyzed neonatal mortality in Finland from 2008 to 2023, focusing on the impact of annual delivery volumes and their changes across hospitals. Data from 819,465 liveborn neonates, including 46,906 preterm births, were analyzed using the Finnish Medical Birth Register. While neonatal mortality rates showed an overall decline-driven by improved preterm survival-term neonatal mortality remained stable. The lowest neonatal mortality rate was recorded in 2020-2021 at 0.88 per 1000 live births, with preterm mortality at 9.85 per 1000. No clear associations were identified between delivery volume, volume changes, and neonatal outcomes in tertiary or secondary units. Despite declining birth volumes and increasing small-volume hospitals, neonatal outcomes remained consistent. Conclusion: These findings challenge arguments for further centralization of births based on volume thresholds in Finland. Continuous monitoring of neonatal outcomes is essential amid decreasing fertility rates and evolving healthcare systems to sustain Finland's excellence in neonatal care.
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.