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 ResearchMeSH KeywordsBirth WeightGestational AgeHospitalizationHospitalsHumansInfant, NewbornIntensive Care Units, NeonatalConceptsNeonatal 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 ResearchMeSH KeywordsBirth CertificatesCaliforniaHospitalizationHospitalsHumansInfant, NewbornIntensive Care Units, NeonatalConceptsNICU admission ratesBirth certificate dataNICU admissionAdmission ratesHospital variationCertificate dataConcordance correlation coefficientSubset of hospitalsPotential overuseAdmissionHospitalLin's concordance correlation coefficientGold standardRank testService dataGood concordanceConcordanceConcordance coefficient
2019
Gestational Weight Gain and Severe Maternal Morbidity at Delivery Hospitalization.
Platner MH, Ackerman C, Howland RE, Xu X, Pettker CM, Illuzzi JL, Reddy UM, Chung S, Lipkind HS. Gestational Weight Gain and Severe Maternal Morbidity at Delivery Hospitalization. Obstetrics And Gynecology 2019, 133: 515-524. PMID: 30741805, DOI: 10.1097/aog.0000000000003114.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlood TransfusionBody Mass IndexDelivery, ObstetricEclampsiaFemaleGestational Weight GainGuidelines as TopicHeart FailureHospitalizationHumansInternational Classification of DiseasesMiddle AgedNew York CityPregnancyPulmonary EdemaRespiration, ArtificialRetrospective StudiesRisk FactorsYoung AdultConceptsSevere maternal morbidityMaternal morbidityGestational weight gainBody mass indexOdds ratioDelivery hospitalizationsIOM guidelinesHeart failureWeight gainBirth certificate data setsGestational weight gain categoriesNew York City dischargeOverall severe maternal morbidityPrepregnancy body mass indexGestational weight gain guidelinesAcute heart failurePrepregnancy BMI categoryTerm singleton live birthsWeight gain categoriesRetrospective cohort studyWeight gain guidelinesLife-threatening diagnosisClinical Modification codesSingleton live birthsMultivariable logistic regressionSevere cardiovascular morbidity in women with hypertensive diseases during delivery hospitalization
Ackerman CM, Platner MH, Spatz ES, Illuzzi JL, Xu X, Campbell KH, Smith GN, Paidas MJ, Lipkind HS. Severe cardiovascular morbidity in women with hypertensive diseases during delivery hospitalization. American Journal Of Obstetrics And Gynecology 2019, 220: 582.e1-582.e11. PMID: 30742823, DOI: 10.1016/j.ajog.2019.02.010.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCardiomyopathiesCardiovascular DiseasesCerebrovascular DisordersCohort StudiesEclampsiaEducational StatusElectric CountershockEthnicityFemaleHeart ArrestHeart FailureHospitalizationHumansHypertension, Pregnancy-InducedInformation Storage and RetrievalInsurance, HealthLogistic ModelsMiddle AgedMultivariate AnalysisMyocardial InfarctionNew York CityObesity, MaternalPovertyPre-EclampsiaPregnancyRetrospective StudiesSeverity of Illness IndexVentricular FibrillationYoung AdultConceptsSevere cardiovascular morbidityCardiovascular morbidityDelivery hospitalizationsHypertensive disordersSevere featuresNormotensive womenGestational hypertensionCardiovascular diseaseRetrospective cohort studyClinical risk factorsPregnancy-related deathsMultivariable logistic regressionChronic hypertensionDiligent screeningSingleton gestationsCohort studyHypertensive diseaseDiabetes mellitusMaternal deathsRisk factorsInclusion criteriaDiseases-10HospitalizationMorbidityPreeclampsia
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
2015
Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth
Xu X, Gariepy A, Lundsberg LS, Sheth SS, Pettker CM, Krumholz HM, Illuzzi JL. Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth. Health Affairs 2015, 34: 1212-1219. PMID: 26153317, DOI: 10.1377/hlthaff.2014.1088.Peer-Reviewed Original ResearchConceptsCesarean deliveryHospital costsMaternity staysSerious maternal morbidityNationwide Inpatient SampleCoordination of careValue of careMaternal morbidityHospital admissionInpatient SampleDelivery system reformRural hospitalsUS hospitalsHospital practiceSafe reductionHospitalChildbirthStayLong stayHigh rateCareLower proportionUnited StatesFacility costs
2013
Outcomes of Care in Birth Centers: Demonstration of a Durable Model
Stapleton SR, Osborne C, Illuzzi J. Outcomes of Care in Birth Centers: Demonstration of a Durable Model. Journal Of Midwifery & Women's Health 2013, 58: 3-14. PMID: 23363029, DOI: 10.1111/jmwh.12003.Peer-Reviewed Original ResearchConceptsBirth center careBirth centersCenter careVaginal birthCenter studyCesarean birthMortality rateSan Diego Birth Center StudyMidwifery-led birth centersNational Birth Center StudyAssisted vaginal birthBirth center modelProspective cohort studySpontaneous vaginal birthFetal mortality rateObstetric intervention ratesOnset of laborNeonatal mortality rateOutcomes of careBirth center birthsNeonatal outcomesCohort studyCenter admissionsMaternal deathsObstetric interventions