|Title||Hospital variation in admissions to neonatal intensive care units by diagnosis severity and category.|
|Publication Type||Journal Article|
|Year of Publication||2021|
|Authors||Haidari ES, Lee HC, Illuzzi JL, Phibbs CS, Lin H, Xu X|
|Date Published||2021 Mar|
OBJECTIVE: To examine interhospital variation in admissions to neonatal intensive care units (NICU) and reasons for the variation.
STUDY DESIGN: 2010-2012 linked birth certificate and hospital discharge data from 35 hospitals in California on live births at 35-42 weeks gestation and ≥1500 g birth weight were used. Hospital variation in NICU admission rates was assessed by coefficient of variation. Patient/hospital characteristics associated with NICU admissions were identified by multivariable regression.
RESULTS: Among 276,489 newborns, 6.3% were admitted to NICU with 34.5% of them having mild diagnoses. There was high interhospital variation in overall risk-adjusted rate of NICU admission (coefficient of variation = 26.2) and NICU admission rates for mild diagnoses (coefficient of variation: 46.4-74.0), but lower variation for moderate/severe diagnoses (coefficient of variation: 8.8-14.1). Births at hospitals with more NICU beds had a higher likelihood of NICU admission.
CONCLUSION: Interhospital variation in NICU admissions is mostly driven by admissions for mild diagnoses, suggesting potential overuse.
|Alternate Journal||J Perinatol|
|PubMed Central ID||PMC7427695|