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Table 3 Effect of risk-adjustment approach on standardized mortality/morbidity ratio chart. a) Number of clinics with observed-expected ratio > 1. b) Cumulative absolute distances of observed-expected ratio of all clinics to the standard value 1

From: Comparison of three different methods for risk adjustment in neonatal medicine

 

Raw values

Indirect standardization

Logistic regression

Multilevel

Outcome

a) SMR values above 1

Mortality

3

3

3

3

In hosp. Mortality

3

3

3

3

Late onset sepsis

4

2

2

2

NECa

3

4

3

3

sIVHb

5

5

6

6

BPDc

4

4

4

4

sROPd

2

2

1

2

 

b) Cumulative absolute distances to 1

Mortality

2.8

2.7

3.0

3.0

In hosp. Mortality

3.0

3.2

3.1

3.0

Late onset sepsis

2.7

3.0

3.0

3.1

NEC

3.4

3.4

3.6

3.6

sIVH

2.2

2.3

2.4

2.4

BPD

4.1

3.2

3.8

3.8

sROP

5.7

5.4

5.4

5.5

Total

23.9

23.2

24.3

24.4

  1. a NEC Necrotizing enterocolitis
  2. b sIVH intra−/periventricular haemorrhage grade 3–4
  3. c BPD bronchopulmonary dysplasia
  4. d sROP retinopathy of prematurity grade 3 and above