BMJ 2001;322:675 ( 17 March )

Letters

Census of availability of neonatal intensive care should have used different denominator

The first 150 words of the full text of this article appear below.

EDITOR---Parmanum et al documented the number of maternal and neonatal transfers occurring from referral centres in the United Kingdom during a specified three month period.1 They attempt to give some epidemiological perspective to the observed numbers, but the denominator that they used to calculate the rate per 1000 deliveries, at least in Wessex, is the total number of deliveries in the whole region rather than the number occurring in Southampton, which was the centre involved in the study.

The university hospital in Southampton provides several tertiary services relating to neonates, but the neonatal medical unit is not funded as a regional referral centre. Most of the neonatal intensive care within Wessex takes place in the nine district general hospitals in the region, all of which offer level 1 neonatal intensive care.

A more representative denominator, therefore, would be the number of deliveries taking place within Southampton---4837 during the . . . [Full text of this article]


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Relevant Article

National census of availability of neonatal intensive care
Jill Parmanum, David Field, Janet Rennie, and Philip Steer
BMJ 2000 321: 727-729. [Abstract] [Full Text] [PDF]




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