{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T02:33:07Z","timestamp":1785292387300,"version":"3.55.0"},"reference-count":45,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,1]]},"abstract":"<jats:sec>\n                  <jats:title\/>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>To investigate racial and ethnic differences in unexpected, term newborn morbidity and the influence of hospital quality on disparities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We used 2010\u20132014 birth certificate and discharge abstract data from 40 New York City hospitals in a retrospective cohort study of 483\u2009834 low-risk (term, singleton, birth weight \u22652500 g, without preexisting fetal conditions) neonates. We classified morbidity according to The Joint Commission\u2019s unexpected newborn complications metric and used multivariable logistic regression to compare morbidity risk among racial and ethnic groups. We generated risk-standardized complication rates for each hospital using mixed-effects logistic regression to evaluate quality, ranked hospitals on this measure, and assessed differences in the racial and ethnic distribution of births across facilities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The unexpected complications rate was 48.0 per 1000 births. Adjusted for patient characteristics, morbidity risk was higher among Black and Hispanic infants compared with white infants (odds ratio: 1.5 [95% confidence interval 1.3\u20131.9]; odds ratio: 1.2 [95% confidence interval 1.1\u20131.4], respectively). Among the 40 hospitals, risk-standardized complications ranged from 25.3 to 162.8 per 1000 births. One-third of Black and Hispanic women gave birth in hospitals ranking in the highest-morbidity tertile, compared with 10% of white and Asian American women (P &amp;lt; .001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Black and Hispanic women were more likely to deliver in hospitals with high complication rates than were white or Asian American women. Findings implicate hospital quality in contributing to preventable newborn health disparities among low-risk, term births. Quality improvement targeting routine obstetric and neonatal care is critical for equity in perinatal outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2020-024091","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T08:25:13Z","timestamp":1629793513000},"source":"Crossref","is-referenced-by-count":25,"title":["Hospital Quality of Care and Racial and Ethnic Disparities in Unexpected Newborn Complications"],"prefix":"10.1542","volume":"148","author":[{"given":"Kimberly B.","family":"Glazer","sequence":"first","affiliation":[{"name":"Departments of Population Health Science and Policy, and Obstetrics, Gynecology and Reproductive Science, and Blavatnik Family Women\u2019s Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Departments of Population Health Science and Policy, and Obstetrics, Gynecology and Reproductive Science, and Blavatnik Family Women\u2019s Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York"},{"name":"Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center of Research in Epidemiology and Statistics Sorbonne Paris Cit\u00e9, Universit\u00e9 de Paris and Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale, Institut National de la Recherche Agronomique, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia N.","family":"Egorova","sequence":"additional","affiliation":[{"name":"Departments of Population Health Science and Policy, and Obstetrics, Gynecology and Reproductive Science, and Blavatnik Family Women\u2019s Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Janevic","sequence":"additional","affiliation":[{"name":"Departments of Population Health Science and Policy, and Obstetrics, Gynecology and Reproductive Science, and Blavatnik Family Women\u2019s Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Balbierz","sequence":"additional","affiliation":[{"name":"Departments of Population Health Science and Policy, and Obstetrics, Gynecology and Reproductive Science, and Blavatnik Family Women\u2019s Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York"},{"name":"Grossman School of Medicine, New York University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul L.","family":"Hebert","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Howell","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2021,9,1]]},"reference":[{"issue":"9","key":"2022010419442673000_B1","first-page":"1","article-title":"Infant mortality statistics from the 2013 period linked birth\/infant death data set","volume":"64","author":"Matthews","year":"2015","journal-title":"Natl Vital Stat Rep"},{"issue":"3","key":"2022010419442673000_B2","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1001\/jamapediatrics.2017.4402","article-title":"Differences in morbidity and mortality rates in Black, white, and Hispanic very preterm infants among New York City 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