@article{Haumont:2020:10.1038/s41390-020-0769-x,
author = {Haumont, D and Modi, N and Saugstad, OD and Antetere, R and Cuong, N and Turner, M and Costeloe, K and Aelvoet, W},
doi = {10.1038/s41390-020-0769-x},
journal = {Pediatric Research},
pages = {484--495},
title = {Evaluating preterm care across Europe using the eNewborn European Network database},
url = {http://dx.doi.org/10.1038/s41390-020-0769-x},
volume = {88},
year = {2020}
}

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TY  - JOUR
AB  - BackgroundThe inefficiency of recording data repeatedly limits the number of studies conducted. Here we illustrate the wider use of data captured as part of the European eNewborn benchmarking programme.MethodsWe extracted data on 39,529 live-births from 22 weeks 0 days to 31 weeks 6 days gestational age (GA) or ≤1500 g birth weight. We explored relationships between delivery room care and Apgar scores on mortality and bronchopulmonary dysplasia (BPD) and calculated the time needed for each country to detect a clinically relevant change in these outcomes following a hypothetical intervention.ResultsEarly neonatal, neonatal, and in-hospital mortality were 3.90% (95% CI 3.71, 4.09), 6.00% (5.77, 6.24) and 7.57% (7.31, 7.83), respectively. The odds of death were greater with decreasing GA, lower Apgar scores, growth restriction, male sex, multiple birth and no antenatal steroids. Relationships for BPD were similar. The time required for participating countries to achieve 80% power to detect a relevant change in outcomes following a hypothetical intervention in 23–25 weeks’ GA infants ranged from 12 years for neonatal mortality and 22 years for BPD compared to 1 year for the whole network.ConclusionsThe eNewborn platform offers opportunity to drive efficiencies in benchmarking, quality control and research.
AU  - Haumont,D
AU  - Modi,N
AU  - Saugstad,OD
AU  - Antetere,R
AU  - Cuong,N
AU  - Turner,M
AU  - Costeloe,K
AU  - Aelvoet,W
DO  - 10.1038/s41390-020-0769-x
EP  - 495
PY  - 2020///
SN  - 0031-3998
SP  - 484
TI  - Evaluating preterm care across Europe using the eNewborn European Network database
T2  - Pediatric Research
UR  - http://dx.doi.org/10.1038/s41390-020-0769-x
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000510135800001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://www.nature.com/articles/s41390-020-0769-x
UR  - http://hdl.handle.net/10044/1/77848
VL  - 88
ER  - 

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