A2 Vertaisarvioitu katsausartikkeli tieteellisessä lehdessä
Trends in centralization of very preterm deliveries and neonatal survival in Finland in 1987-2017
Tekijät: Helenius K, Gissler M, Lehtonen L
Kustantaja: AME PUBL CO
Kustannuspaikka: Hong Kong
Julkaisuvuosi: 2019
Journal: Translational Pediatrics
Tietokannassa oleva lehden nimi: TRANSLATIONAL PEDIATRICS
Lehden akronyymi: TRANSL PEDIATR
Vuosikerta: 8
Numero: 3
Aloitussivu: 227
Lopetussivu: 232
Sivujen määrä: 6
ISSN: 2224-4344
eISSN: 2224-4344
DOI: https://doi.org/10.21037/tp.2019.07.05
Verkko-osoite: 10.21037/tp.2019.07.05
Tiivistelmä
Very preterm infants are at high risk of death and complications of prematurity. Optimal outcomes are achieved if these infants are delivered in hospitals with the highest level of neonatal expertise. Centralization of very preterm deliveries to such hospitals has been recommended for decades, and is supported by a large body of literature. However, centralization may not be easy to implement due to financial, organizational and workforce-related issues. In this review, we present the scientific background for centralization, how it has been successfully implemented in Finland and how neonatal survival has changed following this implementation.
Very preterm infants are at high risk of death and complications of prematurity. Optimal outcomes are achieved if these infants are delivered in hospitals with the highest level of neonatal expertise. Centralization of very preterm deliveries to such hospitals has been recommended for decades, and is supported by a large body of literature. However, centralization may not be easy to implement due to financial, organizational and workforce-related issues. In this review, we present the scientific background for centralization, how it has been successfully implemented in Finland and how neonatal survival has changed following this implementation.
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