StayCurrentMD · Letter to the Editor Regarding: Hospital Variation in Postoperative Mortality Among Preterm Infants
Article1 min read·Published Jan 2026

Letter to the Editor Regarding: Hospital Variation in Postoperative Mortality Among Preterm Infants

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Article · Jan 2026 · 1 min read

In brief

In brief

This letter discusses hospital-level variation in postoperative mortality among preterm infants at U.S. pediatric centers. The commentary addresses risk-adjusted analyses showing substantial mortality differences, particularly in extremely preterm neonates undergoing surgical procedures.

  • - Significant hospital-level variation exists in postoperative mortality for preterm infants across U.S. pediatric centers. - Mortality variation is most pronounced in infants at lower gestational ages, indicating higher-risk populations. - Risk- and reliability-adjusted analyses confirm these differences persist even after accounting for patient complexity.

Written by the GCMD Library team from the article.

We read with interest the article by Mehl et al. reporting hospital-level variation in postoperative mortality among preterm infants treated at U.S. pediatric centers. In a large national cohort with risk- and reliability-adjusted analyses, the authors show substantial variation in mortality, most pronounced at lower gestational ages.1

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