Differential effects of delivery hospital on mortality and morbidity in minority premature and low birth weight neonates.

ABSTRACT:

Objective

To describe variation in mortality and morbidity effects of high-level, high-volume delivery hospital between racial/ethnic groups and insurance groups.

Study design

Retrospective cohort including infants born at 24-32 weeks gestation or birth weights ≤2500 g in California, Missouri, and Pennsylvania between 1995 and 2009 (n = 636,764). Multivariable logistic random-effects models determined differential effects of birth hospital level/volume on mortality and morbidity through an interaction term between delivery hospital level/volume and either maternal race or insurance status.

Result

Compared to non-Hispanic white neonates, odds of complications of prematurity were 14-25% lower for minority infants in all gestational age and birth weight cohorts deliverin

SUBMITTER: Yannekis G 

PROVIDER: S-EPMC11826426 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature