Morbilidad y mortalidad del RN menor de 1.500 g: Experiencia de un hospital regional de la red internacional Vermont Oxford

Translated title of the contribution: Morbidity and mortality of newborns with birth weight less than 1 500 g: Experience from a local hospital part of the Vermont Oxford Network

Adolfo Llanos Martínez, María C. Pinzón, Angélica Alegría, Elisa Jiménez, Marcela Díaz, Enrica Pittaluga, Silvia Zenteno, Carolina Gandolfi, Fernando Arredondo, Héctor Pérez, Luisina Martínez, Miguel Gallardo, Miguel Vergara, Ana María Fontannaz, Patricia Mena

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: The implementation of neonatal intensive care networks allows the implementation of "benchmarking" methodologies, designed to perform comparative analysis of relevant outcomes, in order to improve the quality of medical care in neonatal intensive care. Hospital Sótero del Río (HSR) joined the Vermont Oxford Network (VON) in 2004. Objective: presentation of results related to neonatal morbidity and mortality during the first year of participation in the network. Method: population evaluated includes newborns with birth weight between 501 and 1500 g. Relevant information on morbidity and mortality is prospectively registered, following methodologies and definitions standardized for all VON participant units. Results: 124 out of 38,895 admissions in VON belong to HSR. Survival was lower in HSR compared to VON (73% vs 85%). The observed rate of 02 dependence at 36 weeks (51%) and severe intraventricular hemorrhage (16%) in HSR are higher than the 75 percentile for VON. Rates of severe ROP (5%) and necrotizing enterocolitis (4%) are within the interquartile range values (p25-p75), whereas the rate of nosocomial infection (2%) falls below the 25 percentile. Conclusions: Results outstand the advantages of being part of an international network that offers high quality statistical analysis of relevant information.

Translated title of the contributionMorbidity and mortality of newborns with birth weight less than 1 500 g: Experience from a local hospital part of the Vermont Oxford Network
Original languageSpanish
Pages (from-to)363-374
Number of pages12
JournalRevista chilena de pediatria
Volume77
Issue number4
StatePublished - Aug 2006

Keywords

  • Benchmarking
  • Morbidity
  • Mortality
  • Network
  • Newborn

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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