Acute cardiac care & resuscitation
Hospital level of service, rural-urban location, and neonatal resuscitation interventions: A population study in Alberta Canada from 2000 to 2020
Authors' conclusion
In this population study, there were higher chest compressions rates and lower intubation rates at hospitals without NICUs, despite standardized training. Reasons for this difference require further investigation.
Study context
- Population
- All live births ≥ 34 weeks in Alberta, Canada, from 2000 to 2020births included, hospitals (n = 97)
- Participants
- 966,475 births
- Exposure
- Hospital level of service and rural/urban location vs ANRI rates
- Outcome
- ANRI rates
Methodological detailsretrospective, administrative data
- Retrospective, administrative data
Main finding
As reported in the abstract
Intubation for ventilation
0.8%
Chest compression
0.2%
Epinephrine
0.02%
Any ANRI
0.95%
Observational data: associations, not effects.
Further findings
Chest compressions
| OR (95% CI) | ||
|---|---|---|
| Level 1AComparator not stated in the abstract | 4.52 (3.59–5.62) | |
| Home birthsComparator not stated in the abstract | 3.09 (2.52–3.76) | |
| 0.20.5125Odds ratio (log scale) |
Advanced neonatal resuscitation interventions (ANRIs) by hospital level of service
- ANRIs were lower in community hospitals and home births; with lower hospital level of service, intubation rates decreased and chest compressions rates increased
Rural/remote sites of similar levels of service (LoS)
- No pattern was observed between rural/remote sites of similar LoS
Original publication
Hospital level of service, rural-urban location, and neonatal resuscitation interventions: A population study in Alberta Canada from 2000 to 2020. Resuscitation. Published 13 January 2025. doi:10.
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