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An Analysis of Hospital Neonatal Mortality Rates in New York State

An Analysis of Hospital Neonatal Mortality Rates in New York State Abstract Writing in 1953, Clifford pointed out that neonatal mortality rates in the United States were still far from an "irreducible minimum" and that, in the experience of many teaching medical centers, rates of 14 per 1000 live births were attainable.1 Hospital obstetrics and nursery statistics appear to offer intriguing indices of medical care. However, as Silverman et al. have pointed out, there are hazards in drawing conclusions from comparative hospital statistics without taking into account the effect of variables intrinsic to the population served.2 They suggested a method of computing death rates for premature nurseries which standardizes the factors of birth weight, length of gestation, sex, and race. Of these variables, birth weight and race are probably the most important. If the number of births in groups to be compared is large enough, sex and length of gestation are not likely to vary significantly. Social class may be References 1. Clifford, S. H.: Role of the Pediatrician in Prevention of Needless Neonatal Deaths , J.A.M.A. 153:473-476 ( (Oct. 3) ) 1953.Crossref 2. Silverman, W. A.; Fertig, J. W., and Kraus, A.: A Proposed Method of Computing Standardized Death Rates for Premature Nurseries , Pediatrics 15:467-478 ( (April) ) 1955. 3. Morris, J. J.; Heady, J. A., and others: Social and Biological Factors in Infant Mortality , Lancet 1:343-349 ( (Feb. 12) ) 1955.Crossref 4. Neonatal, Stillbirth and Perinatal Mortality and Delivery Operative Procedures by Hospitals and Regions , New York State, Exclusive of New York City, 1950-1954, Office of Vital Statistics and Bureau of Maternal and Child Health, New York State Department of Health, Albany, N. Y., 1957. 5. Harris, A. N.; Yankauer, A.; Greene, D. C.; Coleman, M. B., and Phaneuf, M. Y.: Control of Epidemic Diarrhea of the Newborn in Hospital Nurseries and Pediatric Wards , Ann. New York Acad. Sc. 66:118-128 ( (Aug. 10) ) 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

An Analysis of Hospital Neonatal Mortality Rates in New York State

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1958.02060050242002
Publisher site
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Abstract

Abstract Writing in 1953, Clifford pointed out that neonatal mortality rates in the United States were still far from an "irreducible minimum" and that, in the experience of many teaching medical centers, rates of 14 per 1000 live births were attainable.1 Hospital obstetrics and nursery statistics appear to offer intriguing indices of medical care. However, as Silverman et al. have pointed out, there are hazards in drawing conclusions from comparative hospital statistics without taking into account the effect of variables intrinsic to the population served.2 They suggested a method of computing death rates for premature nurseries which standardizes the factors of birth weight, length of gestation, sex, and race. Of these variables, birth weight and race are probably the most important. If the number of births in groups to be compared is large enough, sex and length of gestation are not likely to vary significantly. Social class may be References 1. Clifford, S. H.: Role of the Pediatrician in Prevention of Needless Neonatal Deaths , J.A.M.A. 153:473-476 ( (Oct. 3) ) 1953.Crossref 2. Silverman, W. A.; Fertig, J. W., and Kraus, A.: A Proposed Method of Computing Standardized Death Rates for Premature Nurseries , Pediatrics 15:467-478 ( (April) ) 1955. 3. Morris, J. J.; Heady, J. A., and others: Social and Biological Factors in Infant Mortality , Lancet 1:343-349 ( (Feb. 12) ) 1955.Crossref 4. Neonatal, Stillbirth and Perinatal Mortality and Delivery Operative Procedures by Hospitals and Regions , New York State, Exclusive of New York City, 1950-1954, Office of Vital Statistics and Bureau of Maternal and Child Health, New York State Department of Health, Albany, N. Y., 1957. 5. Harris, A. N.; Yankauer, A.; Greene, D. C.; Coleman, M. B., and Phaneuf, M. Y.: Control of Epidemic Diarrhea of the Newborn in Hospital Nurseries and Pediatric Wards , Ann. New York Acad. Sc. 66:118-128 ( (Aug. 10) ) 1956.Crossref

Journal

A.M.A. Journal of Diseases of Children – American Medical Association

Published: Mar 1, 1958

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