Perinatal regionalization for very low-birth-weight and very preterm infants: a meta-analysis

SM Lasswell, WD Barfield, RW Rochat, L Blackmon - Jama, 2010 - jamanetwork.com
Context For more than 30 years, guidelines for perinatal regionalization have recommended
that very low-birth-weight (VLBW) infants be born at highly specialized hospitals, most
commonly designated as level III hospitals. Despite these recommendations, some regions
continue to have large percentages of VLBW infants born in lower-level hospitals. Objective
To evaluate published data on associations between hospital level at birth and neonatal or
predischarge mortality for VLBW and very preterm (VPT) infants. Data Sources Systematic …