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• W3207715625 abstract "<h3></h3> To compare early neonatal health care outcomes in university hospitals (including university hospital centers) with outcomes in other health institutions in Croatia. An observational retrospective study of childbirth data from National Medical Birth Database was conducted. Outcomes (early neonatal mortality or survival rate) of all neonates of gestational age <32 completed weeks in the period 2009-2018 were studied with regard to birth settings (university hospitals and university hospital centers vs. other health institutions). The statistical significance of differences in average early neonatal mortality rates (ENM) was determined. In the period 2009-2018 there were 1,282 live-born children of gestational age 22-27 completed weeks in Croatia. Most (84.8%) were born in university hospitals (rate increasing over the studied period) and the rest (15.2%) in other health institutions. The respective average birth rates were 5.0/1,000 live births in university hospitals and 1.1/1,000 live births in other hospitals, with minor oscillations throughout the studied period (university hospitals: 4.0–6.3; other hospitals: 0.5-1.5). The average ENM rate in this gestational group was statistically significantly higher among neonates born in other hospitals (565.7/1,000 live births) compared to those born in university hospitals (373.7/1,000 live births), χ2=25,316, P<0.0001. Out of 2,148 live-born children of the gestational age 28-31 completed weeks most were born (87.8%) in university hospitals and the rest (12.3%) in other hospitals. The respective average birth rates were 8.6/1,000 in university hospitals (with an intermittently increasing rate) and 1.5/1,000 live births in other hospitals. The average ENM rate in this gestational group was higher in other hospitals (91.2/1,000 live births) compared to university hospitals (62.0/1,000 live births), but with no statistically significant difference; χ2=3.220, P=0.0727. The ENM rate in children of gestational age 22-27 completed weeks is higher in other hospitals than in university hospitals. Furthermore, the proportion of these children born in university hospitals in Croatia has increased over the studied 10-year period. As pre-term birth (before 32 weeks of gestation in particular) is closely related to perinatal outcome (i.e. high mortality or long-term impairment), analysis of their outcomes is important for planning and development of an appropriate neonatal intensive care unit network as well as to improve decision-making processes in health politics." @default.
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• W3207715625 date "2021-10-01" @default.
• W3207715625 modified "2023-09-26" @default.
• W3207715625 title "118 Early neonatal health care outcomes in university hospitals and university hospital centErs vs. other health institutions in Croatia" @default.
• W3207715625 doi "https://doi.org/10.1136/archdischild-2021-europaediatrics.118" @default.
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