Geographic Accessibility to Health Services and Neonatal Mortality Among Very-Low Birthweight Infants in South Carolina.

摘要: Introduction Mortality for infants born with very-low birthweight (VLBW, 500-1499 grams) is markedly higher than babies normal (2500-4000 grams). Although these high-risk show better outcomes in advanced care settings, only 80 % of VLBW South Carolina (SC) are delivered hospitals a level-III neonatal intensive unit (NICU). The purpose this research project was to assess geographic access delivery and risk death among singleton SC. Methods linked birth records cross-sectional, population-based study SC between 2010 2012 were used (n = 2030). We assessed the impact travel time from maternal residence hospital. Logistic regression modeling performed adjustments maternal, newborn, hospital characteristics. Results mortality rate 11.03 deaths per 100 live births 2010-2012. did not find significant association after adjusting confounders. However, we found that 1-week increase gestational age (odds ratio (OR): 0.61) non-Hispanic black mothers (versus white mothers) (OR: 0.68) associated lower odds death, whereas non-NICU admission at 5.90) increased death. results sensitivity analyses including both multiple yield infants. Discussion no SC, identified factors consistent those previous studies may affect mortality.