title: [Mortality rates of very low birth weight and very low gestational age newborns in Hungary. The EuroHOPE study].
abstract: BACKGROUND
  Care provision for very low birth weight and very low gestational age newborns requires high level clinical preparedness. Appropriate care and care management reduce mortality.
  
  
  OBJECTIVE
  To present Hungarian and international outcomes and local regional differences characterizing neonatal care in 2006-2008, based on the results of the EuroHOPE study.
  
  
  METHODS
  Hungarian data were created by linking the obstetrics registry with the financing database of the Health Insurance Fund. Resulting from peculiarities of these databases and clinically justified exclusions, 3562 newborns were included.
  
  
  RESULTS
  Hungarian risk-adjusted 365-day mortality rate was significantly higher than in most of the studied countries. Incidence of diseases correlated with higher mortality risk was highest in Hungary. Mortality in two Hungarian counties was worse than expected based on modelling, while it was better in one county.
  
  
  CONCLUSIONS
  Systematic factors might cause these results. Relatively low usage rate of steroid prophylaxis in Hungary might contribute to unfavorable mortality figures. A common unique identifier would help database linkage. Orv. Hetil., 2016, 157(41), 1649-1656.
authors.affiliation: Doktori Iskola, Semmelweis Egyetem Budapest.
authors.forename: Péter
authors.initials: P
authors.lastname: Mihalicza
authors.affiliation: Minőségügyi szakfőorvos, szülészet-nőgyógyászat Budapest.
authors.forename: György
authors.initials: G
authors.lastname: Csákány
authors.affiliation: I. Gyermekgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Miklós
authors.initials: M
authors.lastname: Szabó
mesh_terms: D005060:Europe; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000639:trends*; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D007363:Intensive Care Units, Neonatal / Q000639:trends; D015931:Intensive Care, Neonatal / Q000639:trends; D011322:Primary Prevention / Q000639:trends; D011379:Prognosis; D012042:Registries
keywords: Hungary; Magyarország; csecsemő; extremely premature; extrém koraszülött; halálozás; igen kis súlyú; infant; mortality; very low birth weight