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All infants born before 22 weeks of gestation died within 12 hours after birth. Among infants born at 22, 23, or 24 weeks of gestation, hospital rates of active treatment varied widely Fig. S1 in the Supplementary Appendix. The interquartile speed dating coogee bay hotel for hospital rates of active treatment were 7. Results from multilevel models indicated that the initiation of active treatment clustered at the hospital level. There was no significant variation in hospital rates of active treatment among infants born at 25 or 26 weeks of gestation.

Overall rates of survival, survival without severe impairment, and survival without moderate or severe impairment were 5. Overall rates of survival, survival without severe impairment, and survival without moderate or severe impairment were The discrepancy between outcomes for all children and outcomes for those who received active treatment decreased with increasing gestational age at birth Table 2. Scatterplots of data from 24 hospitals included in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network show the relationship between hospital rates of active treatment of extremely preterm infants born at 22, 23, or 24 weeks of gestation and hospital rates of outcomes survival, survival without severe neurodevelopmental impairment, and survival without moderate or severe neurodevelopmental impairment among such patients.

Outcome rates are risk-adjusted to account for differences in infant demographic and clinical characteristics among hospitals.



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