Methods of mortality risk adjustment in the NICU: a 20-year review

Improving the quality of care delivered in NICUs relies on the ability to partition variation associated with patient characteristics from those attributed to processes of care delivery through risk adjustment. Multiple methods of mortality risk adjustment have been proposed for NICU populations. We...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2013-03, Vol.131 Suppl 1 (Supplement_1), p.S68-S74
Main Authors: Patrick, Stephen W, Schumacher, Robert E, Davis, Matthew M
Format: Article
Language:English
Subjects:
Childrens health
Comorbidity
Health Status Indicators
Hospital Mortality
Humans
Infant Mortality
Infant, Newborn
Intensive Care Units, Neonatal
Mortality
Pediatrics
Risk Adjustment
Risk assessment
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Summary:Improving the quality of care delivered in NICUs relies on the ability to partition variation associated with patient characteristics from those attributed to processes of care delivery through risk adjustment. Multiple methods of mortality risk adjustment have been proposed for NICU populations. We review existing literature pertaining to mortality risk adjustment in the NICU. PubMed and Scopus were searched to identify unique methods of mortality risk adjustment in the NICU and their trends in citation since original publication. Additional online searches were performed to identify organizational and government agency means of mortality risk adjustment for patients in the NICU. Among 10 unique neonatal mortality risk adjustment scores identified by this review, there are >3 dozen different measurement components. No score includes >28 components; no score contains
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2012-1427h