Establishing a composite neonatal adverse outcome indicator using English hospital administrative data.

ABSTRACT:

Objective

We adapted a composite neonatal adverse outcome indicator (NAOI), originally derived in Australia, and assessed its feasibility and validity as an outcome indicator in English administrative hospital data.

Design

We used Hospital Episode Statistics (HES) data containing information infants born in the English National Health Service (NHS) between 1 April 2014 and 31 March 2015. The Australian NAOI was mapped to diagnoses and procedure codes used within HES and modified to reflect data quality and neonatal health concerns in England. To investigate the concurrent validity of the English NAOI (E-NAOI), rates of NAOI components were compared with population-based studies. To investigate the predictive validity of the E-NAOI, rates of readmission and death in the first

SUBMITTER: Knight HE 

PROVIDER: S-EPMC6703994 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature