Neonatal mortality in NHS maternity units by timing and mode of birth: a retrospective linked cohort study.
Neonatal mortality in NHS maternity units by timing and mode of birth: a retrospective linked cohort study.
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DOI：
10.1136/bmjopen-2022-067630
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发表时间：
2023-06-13
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
根据护理路径，比较英国医院按一天中的时间和一周中的日期划分的新生儿死亡率。出生登记、出生通知和住院事件数据的回顾性队列研究。英国的国民健康服务（NHS）医院。从2005年到2014年，英国NHS妇产科有6 054 536例活产单胎分娩。新生儿死亡率。调整混杂因素后，与自然分娩或工具分娩的工作时间相比，工作时间以外窒息、缺氧或创伤导致的新生儿死亡率没有显著差异。紧急剖腹产的分娩时间分层显示，自发或诱导分娩的紧急剖腹产的死亡率无差异。新生儿死亡率较高的几率归因于窒息，缺氧或创伤的时间紧急剖腹产没有劳动转化为一个小的绝对差异，死亡风险。这种明显的“周末效应”可能是由于相对较少的婴儿死亡造成的，这些婴儿被编码为在正常工作时间以外没有劳动的情况下通过紧急剖腹产出生。进一步的研究应调查寻求护理和社区因素的潜在贡献，以及管理这些相对不寻常的紧急情况的人员配备是否充足。
To compare neonatal mortality in English hospitals by time of day and day of the week according to care pathway. Retrospective cohort linking birth registration, birth notification and hospital episode data. National Health Service (NHS) hospitals in England. 6 054 536 liveborn singleton births from 2005 to 2014 in NHS maternity units in England. Neonatal mortality. After adjustment for confounders, there was no significant difference in the odds of neonatal mortality attributed to asphyxia, anoxia or trauma outside of working hours compared with working hours for spontaneous births or instrumental births. Stratification of emergency caesareans by onset of labour showed no difference in mortality by birth timing for emergency caesareans with spontaneous or induced onset of labour. Higher odds of neonatal mortality attributed to asphyxia, anoxia or trauma out of hours for emergency caesareans without labour translated to a small absolute difference in mortality risk. The apparent ‘weekend effect’ may result from deaths among the relatively small numbers of babies who were coded as born by emergency caesarean section without labour outside normal working hours. Further research should investigate the potential contribution of care-seeking and community-based factors as well as the adequacy of staffing for managing these relatively unusual emergencies.
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DOI：
10.1111/ajo.13493
发表时间：
2022-06
期刊：
The Australian & New Zealand journal of obstetrics & gynaecology
影响因子：
--
作者：
通讯作者：
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影响因子：
7.2
作者：
Gould, JB;Qin, C;Chavez, G
通讯作者：
Chavez, G
影响因子：
3.7
作者：
Martin, Peter;Cortina-Borja, Mario;Macfarlane, Alison
通讯作者：
Macfarlane, Alison
影响因子：
2.8
作者：
Knight HE;Gurol-Urganci I;Mahmood TA;Templeton A;Richmond D;van der Meulen JH;Cromwell DA
通讯作者：
Cromwell DA
影响因子：
2.9
作者：
Dattani, Nirupa;Macfarlane, Alison
通讯作者：
Macfarlane, Alison