Shah Prakesh S, Lui Kei, Reichman Brian, Norman Mikael, Kusuda Satoshi, Lehtonen Liisa, Adams Mark, Vento Maximo, Darlow Brian A, Modi Neena, Rusconi Franca, Håkansson Stellan, San Feliciano Laura, Helenius Kjell K, Bassler Dirk, Hirano Shinya, Lee Shoo K
Department of Pediatrics, Mount Sinai Hospital and University of Toronto, Toronto, ON, Canada.
Maternal-Infant Care Research Centre, Mount Sinai Hospital, Toronto, ON, Canada.
Transl Pediatr. 2019 Jul;8(3):170-181. doi: 10.21037/tp.2019.07.06.
Neonates born very preterm (before 32 weeks' gestational age), are a significant public health concern because of their high-risk of mortality and life-long disability. In addition, caring for very preterm neonates can be expensive, both during their initial hospitalization and their long-term cost of permanent impairments. To address these issues, national and regional neonatal networks around the world collect and analyse data from their constituents to identify trends in outcomes, and conduct benchmarking, audit and research. Improving neonatal outcomes and reducing health care costs is a global problem that can be addressed using collaborative approaches to assess practice variation between countries, conduct research and implement evidence-based practices. The International Network for Evaluating Outcomes (iNeo) of neonates was established in 2013 with the goal of improving outcomes for very preterm neonates through international collaboration and comparisons. To date, 10 national or regional population-based neonatal networks/datasets participate in iNeo collaboration. The initiative now includes data on >200,000 very preterm neonates and has conducted important epidemiological studies evaluating outcomes, variations and trends. The collaboration has also surveyed >320 neonatal units worldwide to learn about variations in practices, healthcare service delivery, and physical, environmental and manpower related factors and support services for parents. The iNeo collaboration serves as a strong international platform for Neonatal-Perinatal health services research that facilitates international data sharing, capacity building, and global efforts to improve very preterm neonate care.
极早产儿（胎龄小于32周）出生后，因其高死亡率和终身残疾风险，成为重大的公共卫生问题。此外，照顾极早产儿成本高昂，包括其初始住院期间以及长期因永久性损伤所需的费用。为解决这些问题，全球各地的国家和地区新生儿网络收集并分析其成员的数据，以确定结果趋势，并进行基准测试、审计和研究。改善新生儿结局并降低医疗成本是一个全球性问题，可通过协作方法来解决，即评估各国之间的实践差异、开展研究并实施循证实践。国际新生儿结局评估网络（iNeo）于2013年成立，目标是通过国际合作与比较来改善极早产儿的结局。迄今为止，10个基于国家或地区人群的新生儿网络/数据集参与了iNeo合作。该倡议目前涵盖了超过20万名极早产儿的数据，并开展了重要的流行病学研究，评估结局、差异和趋势。该合作还对全球320多个新生儿病房进行了调查，以了解实践、医疗服务提供、与物理、环境和人力相关的因素以及为家长提供的支持服务等方面的差异。iNeo合作是新生儿围产期健康服务研究的强大国际平台，有助于国际数据共享、能力建设以及全球改善极早产儿护理的努力。
