2020
Hospital variation in admissions to neonatal intensive care units by diagnosis severity and category
Haidari ES, Lee HC, Illuzzi JL, Phibbs CS, Lin H, Xu X. Hospital variation in admissions to neonatal intensive care units by diagnosis severity and category. Journal Of Perinatology 2020, 41: 468-477. PMID: 32801351, PMCID: PMC7427695, DOI: 10.1038/s41372-020-00775-z.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitNICU admission ratesIntensive care unitNICU admissionMild diagnosesCare unitHospital variationInterhospital variationAdmission ratesPatient/hospital characteristicsHospital discharge dataRisk-adjusted ratesWeeks' gestationNICU bedsBirth weightHospital characteristicsSevere diagnosisLive birthsMultivariable regressionAdmissionPotential overuseBirth certificatesDiagnosisHigher likelihoodDiagnosis severityUtility of Birth Certificate Data for Evaluating Hospital Variation in Admissions to NICUs
Haidari ES, Lee HC, Illuzzi JL, Lin H, Xu X. Utility of Birth Certificate Data for Evaluating Hospital Variation in Admissions to NICUs. Hospital Pediatrics 2020, 10: 190-194. PMID: 32005648, DOI: 10.1542/hpeds.2019-0116.Peer-Reviewed Original ResearchConceptsNICU admission ratesBirth certificate dataNICU admissionAdmission ratesHospital variationCertificate dataConcordance correlation coefficientSubset of hospitalsPotential overuseAdmissionHospitalLin's concordance correlation coefficientGold standardRank testService dataGood concordanceConcordanceConcordance coefficient
2018
Optimal maternal and neonatal outcomes and associated hospital characteristics
Campbell KH, Illuzzi JL, Lee HC, Lin H, Lipkind HS, Lundsberg LS, Pettker CM, Xu X. Optimal maternal and neonatal outcomes and associated hospital characteristics. Birth 2018, 46: 289-299. PMID: 30251270, DOI: 10.1111/birt.12400.Peer-Reviewed Original ResearchMeSH KeywordsAdultBirth CertificatesCaliforniaCesarean SectionFemaleGestational AgeHospitalsHumansInfant, NewbornInfant, Newborn, DiseasesMorbidityObstetric Labor ComplicationsObstetricsPatient DischargePoisson DistributionPregnancyQuality Indicators, Health CareRegression AnalysisRisk FactorsYoung AdultConceptsRisk-standardized ratesMorbidity rateNeonatal outcomesObstetrical performancePatient clinical risk factorsFuture quality improvement effortsMaternal morbidity ratesNeonatal morbidity ratesProcedures/surgeriesSevere newborn morbiditySevere maternal morbidityClinical risk factorsShock/resuscitationHospital discharge recordsMaternal-newborn outcomesQuality improvement effortsPrevalent morbidityMaternal morbidityNeonatal morbidityRespiratory complicationsIntravascular coagulationNewborn morbidityHeart failureTerm birthsHospital variationQuality Assurance Practices in Obstetric Care
Lundsberg LS, Lee HC, Dueñas GV, Gregory KD, Nardini H, Pettker CM, Illuzzi JL, Xu X. Quality Assurance Practices in Obstetric Care. Obstetrics And Gynecology 2018, 131: 214-223. PMID: 29324608, PMCID: PMC7020098, DOI: 10.1097/aog.0000000000002437.Peer-Reviewed Original ResearchConceptsAbnormal fetal heart rateEvidence-supported practicesFetal heart rateObstetric careHeart rateFrequent simulationLabor arrestCesarean deliveryPostpartum hemorrhageSignificant morbidityObstetric hospitalPerinatal careShoulder dystociaAppropriate statistical testsHospital practiceHospitalBivariate analysisTeaching statusMost hospitalsCareEclampsiaPrivate nonprofit hospitalsInterprofessional simulationStatewide surveyBroad spectrum
2017
Hospital variation in cost of childbirth and contributing factors: a cross‐sectional study
Xu X, Lee H, Lin H, Lundsberg L, Pettker C, Lipkind H, Illuzzi J. Hospital variation in cost of childbirth and contributing factors: a cross‐sectional study. BJOG An International Journal Of Obstetrics & Gynaecology 2017, 125: 829-839. PMID: 29090498, DOI: 10.1111/1471-0528.15007.Peer-Reviewed Original ResearchConceptsChildbirth hospitalisationsHospital variationObstetric interventionsHospital variancePatient clinical risk factorsSevere maternal morbiditySevere newborn morbidityClinical risk factorsMaternal sociodemographic characteristicsHospital discharge dataCross-sectional studyUrban-rural statusCross-sectional analysisCosts of childbirthHigh-cost hospitalsVertex birthsMaternal morbidityCaesarean deliveryNewborn morbidityBirth attendantsRisk factorsHospital typeCare capacityHospitalisationBetter outcomes
2016
Perspectives on Promoting Hospital Primary Vaginal Birth: A Qualitative Study
Kennedy HP, Doig E, Tillman S, Strauss A, Williams B, Pettker C, Illuzzi J. Perspectives on Promoting Hospital Primary Vaginal Birth: A Qualitative Study. Birth 2016, 43: 336-345. PMID: 27500371, DOI: 10.1111/birt.12245.Peer-Reviewed Original ResearchConceptsFirst-time mothersVaginal birthHospital settingPrimary cesarean deliveryCesarean delivery rateLong-term riskCesarean deliveryEarly laborCaregivers' knowledgeWomen's knowledgeCaregiver perspectivesChildbirth preparationSecondary aimNortheastern hospitalsPractice styleBirthLabor managementMothersPowerful mediatorHospitalPrimary aimPotential strategyCaregiversWomenBirth environment
2012
Hospital Volume, Provider Volume, and Complications After Childbirth in U.S. Hospitals
Illuzzi JL, Lundsberg LS, Bracken MB. Hospital Volume, Provider Volume, and Complications After Childbirth in U.S. Hospitals. Obstetrics And Gynecology 2012, 119: 379. PMID: 22270293, DOI: 10.1097/aog.0b013e31824323d9.Peer-Reviewed Original Research