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2. You are interested in the causal impact that treatment in the Neonatal Intens

ID: 3311105 • Letter: 2

Question

2. You are interested in the causal impact that treatment in the Neonatal Intensive Care Unit (NICU) on infant mortality. 2a. Explain why it is problematic to compare infant mortality of newborns who went to the NICU to newborns who did not go to the NICU 2b. You know that doctors usually admit newborns who weigh 5.5 pounds or less to the NICU. To estimate the causal impact of the NICU on infant mortality, you will use the RD framework where mortality is the outcome, birth weight is the running variable, and 5.5 pounds is the cutoff. Write down a regression equation(s) that could be used to estimate the effect. You can use either the two-limit approach or the combined approach, but either way you should describe how to get your cstimate of the causal effect of NICU on infant mortality

Explanation / Answer

2a) doctors admit infants in NICU based on a certain crirerion for ex- weight of the child and other health parametres. but other infants could still be weak but dont require NICU. other infants could be completly healty but still die. all the three situation are independent of each other and does not define mortality rate of each other.therefore, it is difficult to compare infant mortality rate of newborns who go to NICU to newborns who did not go to NICU.

2b) the following data is taken from WHO for Korea(year 2009) for extremely low birth weight infants who were admitted to NICU

BIRTH WEIGHT         MORTALITY RATE

<750 g                              44.8%

750g-999g                         20.4%

1000g-1499g                           6%

putting this data in excel to derive regression equation:

linear equation=

mortality rate= 0.668-0.21birth weight

negative coeffiecient of birthweight shows that mortality rate and birthrate are negatively corelated.

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