The importance of understanding hospital and country-specific case-mix for neonatal patients
Journal Title: Jornal de Pediatria - Year 2015, Vol 91, Issue 3
Abstract
The study by Grandi et al. provides important information about the prevalence and impact of maternal diabetes mellitus on the outcomes of very low birth weight infants in South American neonatal intensive care units (NICUs). They report an overall rate of maternal diabetes of 2.8%, with an increase in prevalence from 2001-2005 of 2.4% to 3.2% over the period between 2006-2010. Also, of the numerous perinatal and neonatal outcomes examined in this cohort of almost 12,000 infants, only severe necrotizing enterocolitis was associated with diabetes mellitus in multivariable regression.1 These data differ from other published results. Prior studies of the prevalence of gestational diabetes range from an estimated 2-6% of cases across European countries,2 5-11% within 15 states of the US,3 and 16% in Qatar.4 Several studies from both low- and middle-income countries5 and developed countries6 also show diabetes as a risk factor for adverse pregnancy and neonatal outcomes, albeit in the entire population versus a specific, high-risk population such as that studied by Grandi et al.1 What do these findings, or any similar findings, mean for the clinicians or policy makers overseeing the care delivered to high-risk newborns, especially in light of data suggesting that rates of gestational diabetes in other countries is increasing?7 Practitioners should assess the validity of the results and then determine the potential impact of these results on their practice.
Authors and Affiliations
Scott Lorch
Keywords
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- EP ID EP558343
- DOI 10.1016/j.jped.2015.01.003
- Views 50
- Downloads 0
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