Hall RW, Hall-Barrow J, Garcia-Rill E. Neonatal regionalization through telemedicine using a community-based research and education core facility. Ethn Dis. 2010;20(1 0 1):S1-136-140. Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3323108/ NPM: 3: Perinatal Regionalization Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Access to Provider through Hotline, HOSPITAL, Continuing Education of Hospital Providers, POPULATION-BASED SYSTEMS, INTER-HOSPITAL SYSTEMS, Maternal/In-Utero Transport Systems, Consultation Systems, Telemedicine Systems, STATE, Policy/Guideline (State) Intervention Results: All LBW:
- After the intervention, the case mix-adjusted probability of UAMS tertiary center delivery increased by 7.2% (p<0.05) among all LBW infants.
- After the intervention, the percentage of non-NICU hospital births among all LBW births was over 50% and was not significantly different than before intervention (p-value not indicated).
- Among all LBW infants, there was little change in birth location distribution after intervention. The percentage born in community hospitals with NICU decreased slightly from 30.1% to 28.8%. The percentage born in UAMS tertiary center was around 18% both before and after the intervention. The authors do not comment on statistical significance of these results.
ELBW:
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Among all ELBW infants, there was little change in the birth location distribution. Of all ELBW infants, about 42% were born at UAMS tertiary center both before and after intervention. The percentage born in community hospitals with NICU decreased slightly from 35.3% to 30.7%. Data was not presented for births in non-NICU hospitals. The authors do not comment on statistical significance of these results.
ELBW subgroup:
- After intervention, the case mix-adjusted probability of UAMS tertiary center delivery increased from 27.6% to 34.5% (p<0.01) among ELBW births to mothers residing more than 80 miles from UAMS.
- Among ELBW infants born to mothers residing more than 80 miles from UAMS, there were some changes in birth location distribution. Of these infants, the percentage born in UAMS tertiary center increased from 40.7% to 46.8% after intervention. The percentage born in community hospital with NICU decreased from 26.8% to 17.5%. However, the percentage of non-NICU hospital births among this group increased from 32.5% to 35.7%. The authors do not comment on the statistical significance of these results.
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