scholarly journals GAIA Low Birth Weight Level of Diagnostic Certainty

2020 ◽  
Author(s):  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Weight Level ◽  
Diagnostic Certainty

Unconvinced of Value of Antenatal Transfer to Level 3 Intensive Care Units

PEDIATRICS ◽  
1985 ◽  
Vol 75 (4) ◽  
pp. 801-802
Author(s):  
NIGEL PANETH ◽  
MERVYN W. SUSSER ◽  
JOHN L. KIELY
Keyword(s):  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Death Rate ◽  
Community Hospital ◽  
Neonatal Period ◽  
Death Rates ◽  
Neonatal Deaths ◽  
Weight Level ◽  
Level 3

In Reply.— Sepkowitz's arguments are flawed by his use of proportional mortalities instead of actual death rates. The low proportion of neonatal deaths occurring in the first four hours in an Oklahoma community hospital may indeed reflect a favorable first-four-hour death rate. But it might also be due to an unfavorable four-hour to 28 day death rate. Without the actual rates no conclusion can be drawn. Although it is true (as pointed out in our article) that some of the deaths averted in the first four hours at level 3 units were deferred to later in the neonatal period, a statistically significant and clinically important mortality advantage for low-birth-weight level 3 births was seen in all of our analyses, extending out as far as 3 months of age.1

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