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자료유형
학술저널
저자정보
Yang Misun (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Ahn So Yoon (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Jo Heui Seung (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Sung Se In (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Chang Yun Sil (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Park Won Soon (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.13
발행연도
2021.1
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1 - 9 (9page)

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Background: Although the overall quality of high-risk neonatal care has improved recently, there is still concern about a difference in the quality of care when comparing off-hour births and regular-hour births. Moreover, there are no data in Korea regarding the impact of time of birth on mortality and morbidities in preterm infants. Methods: A total of 3,220 infants weighing < 1,000 g and born at 23–34 weeks in 2013–2017 were analyzed based on the Korean Neonatal Network data. Mortality and major morbidities were analyzed using logistic regression according to time of birth during off-hours (nighttime, weekend, and holiday) and regular hours. The institutes were sub-grouped into hospital group I and hospital group II based on the neonatal intensive care unit (NICU) care level defined by the mortality rates of < 50% and ≥ 50%, respectively, in infants born at 23–24 weeks' gestation. Results: The number of births during regular hours and off-hours was similar. In the total population and hospital group I, off-hour births were not associated with increased neonatal mortality and morbidities. However, in hospital group II, increased early mortality was found in the off-hour births when compared to regular-hour births. Conclusion: Efforts to improve the overall quality of NICU are required to lower the early mortality rate in off-hour births. Also, other sensitive indexes for the evaluation of quality of NICU care should be further studied.

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