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The Swedish Neonatal Quality Register – contents, completeness and validity

Norman, Mikael ; Källén, Karin LU ; Wahlström, Erik and Håkansson, Stellan (2019) In Acta Paediatrica, International Journal of Paediatrics 108(8). p.1411-1418
Abstract

Aim: To describe the Swedish Neonatal Quality Register (SNQ) and to determine its completeness and agreement with other registers. Methods: SNQ collects data for infants admitted to neonatal units during the first four postnatal weeks. Completeness and registers’ agreement were determined cross-linking SNQ data with Swedish population registers (the Inpatient, Medical Birth and Cause of Death Registers) for a study period of five years. Results: In total, 84 712 infants were hospitalised. A total of 52 806 infants occurred in both SNQ and the population registers; 28 692 were only found in the population registers, and 3214 infants were only found in SNQ. Between gestational weeks 24–34, completeness of SNQ was 98–99%. Below and above... (More)

Aim: To describe the Swedish Neonatal Quality Register (SNQ) and to determine its completeness and agreement with other registers. Methods: SNQ collects data for infants admitted to neonatal units during the first four postnatal weeks. Completeness and registers’ agreement were determined cross-linking SNQ data with Swedish population registers (the Inpatient, Medical Birth and Cause of Death Registers) for a study period of five years. Results: In total, 84 712 infants were hospitalised. A total of 52 806 infants occurred in both SNQ and the population registers; 28 692 were only found in the population registers, and 3214 infants were only found in SNQ. Between gestational weeks 24–34, completeness of SNQ was 98–99%. Below and above these gestational ages, completeness was lower. Infants missing in SNQ were term or near-term in 99% of the cases, and their diagnoses indicated conditions managed in maternity units, or re-admissions for acute infections, managed in paediatric units. For most diagnoses, the agreement between SNQ and population registers was high, but some (bronchopulmonary dysplasia and grade of hypoxic-ischaemic encephalopathy) were often missing in the population registers. Conclusion: SNQ completeness and agreement against other registers, especially for preterm infants, is excellent. SNQ is a valid tool for benchmarking, quality improvement and research.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Completeness, Newborn infant, Quality of neonatal care, Register, Validation
in
Acta Paediatrica, International Journal of Paediatrics
volume
108
issue
8
pages
1411 - 1418
publisher
Wiley-Blackwell
external identifiers
  • pmid:31006126
  • scopus:85066040317
ISSN
0803-5253
DOI
10.1111/apa.14823
language
English
LU publication?
yes
id
32b088eb-6150-4208-a88e-36343072f5a5
date added to LUP
2019-06-17 14:56:50
date last changed
2024-09-18 00:50:32
@article{32b088eb-6150-4208-a88e-36343072f5a5,
  abstract     = {{<p>Aim: To describe the Swedish Neonatal Quality Register (SNQ) and to determine its completeness and agreement with other registers. Methods: SNQ collects data for infants admitted to neonatal units during the first four postnatal weeks. Completeness and registers’ agreement were determined cross-linking SNQ data with Swedish population registers (the Inpatient, Medical Birth and Cause of Death Registers) for a study period of five years. Results: In total, 84 712 infants were hospitalised. A total of 52 806 infants occurred in both SNQ and the population registers; 28 692 were only found in the population registers, and 3214 infants were only found in SNQ. Between gestational weeks 24–34, completeness of SNQ was 98–99%. Below and above these gestational ages, completeness was lower. Infants missing in SNQ were term or near-term in 99% of the cases, and their diagnoses indicated conditions managed in maternity units, or re-admissions for acute infections, managed in paediatric units. For most diagnoses, the agreement between SNQ and population registers was high, but some (bronchopulmonary dysplasia and grade of hypoxic-ischaemic encephalopathy) were often missing in the population registers. Conclusion: SNQ completeness and agreement against other registers, especially for preterm infants, is excellent. SNQ is a valid tool for benchmarking, quality improvement and research.</p>}},
  author       = {{Norman, Mikael and Källén, Karin and Wahlström, Erik and Håkansson, Stellan}},
  issn         = {{0803-5253}},
  keywords     = {{Completeness; Newborn infant; Quality of neonatal care; Register; Validation}},
  language     = {{eng}},
  month        = {{04}},
  number       = {{8}},
  pages        = {{1411--1418}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica, International Journal of Paediatrics}},
  title        = {{The Swedish Neonatal Quality Register – contents, completeness and validity}},
  url          = {{http://dx.doi.org/10.1111/apa.14823}},
  doi          = {{10.1111/apa.14823}},
  volume       = {{108}},
  year         = {{2019}},
}