Simon J. Clark, Elizabeth S. Draper, David Field, Nigel J. Shaw
Chronic lung disease and survival in 4 tertiary neonatal units
Aim: To compare mortality and respiratory morbidity
in preterm infants born at 4 United Kingdom centers
during 1994 and 1995.
Method: Collection of CRIB scores, respiratory parameters
and mortality rates from unit databases.
Results: Mortality in center A was 27? (actual number
of deaths 36/135), in center B was 30? (39/130), in
center C was 28? (51/182), in center D was 39? (60/156). The rate of chronic lung disease (36 week definition)
in center A was 16 ?, in center B was 12 ?, in
center C was 13 ?, in center D was 15 ?. The predicted
number of deaths by CRIB scores in center A was 54
(95? confidence intervals 45–63), in center B was 33
(25–41), in center C was 53 (43–63), in center D was
46 (37–56).
Conclusion: Center A had a lower than predicted mortality.
Center D had a higher than predicted mortality.
There is an urgent need for a national neonatal database
to allow comparison between center and to identify
reasons for variation in outcomes.
Journal of Perinatal Medicine, Walter de Gruyter
Print ISSN: 1619-3997
Volume: 27, 12/1999
Pages: 490 - 494
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