Changes in hospital quality at hospitals serving black and hispanic newborns below 30 weeks' gestation.

ABSTRACT:

Objective

Examine whether the quality of Black and Hispanic serving (BHS) compared with not BHS (NBHS) NICUs has changed differentially over time.

Study design

Infants 24-29 weeks' gestation born at U.S. Vermont Oxford Network centers (2006-2018) were studied. We calculated adjusted hospital quality scores as the predicted probabilities of composite in-hospital mortality and morbidities from a logistic model. We regressed hospital quality scores on birth year to estimate the linear temporal slope by BHS-serving status for hospitals within each Census division.

Results

Hospital quality improved similarly over time for BHS and NBHS hospitals across all divisions except West South Central where a mean change in the composite score was -18.8 (95% CI: -24.1, -13.5) for NBH

SUBMITTER: Boghossian NS 

PROVIDER: S-EPMC8825745 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature