Epoch two Individual patient level data on hospital of birth, gestational age, birth weight, sex, multiple birth, transfers, encrypted maternal NHS number, admission, and discharge times for each hospital episode, daily level of care, and survival for babies born at 27 28 weeks’ gestation admitted to neonatal units in England for the period 1 January 2009 to 31 December 2010 were extracted from the National Neonatal Research Database; the number of babies born alive but dying before admission to a neonatal unit is not available in this database. We also obtained the annual number of neonatal intensive care days (British Association of Perinatal Medicine criteria11) provided by each neonatal unit, calculated as an average over the two year period. When data were not available for Ugg Remora
the entire two year period (because of late uptake of the electronic system), the equivalent annual rate was calculated based on the proportion of time for which data were available, provided that this was at least a year. Details of postnatal transfers were determined from admission and discharge times and hospital of each episode of care. Encrypted maternal NHS numbers were used to link multiple birth sets. For each multiple birth set, we compared details of admission time, discharge time, and hospital to see if the babies received care in different neonatal units simultaneously. A 12 hour window was used to allow for transfer of all babies to take place.
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