Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit
Aim: The aim of the study was to estimate mortality rate and trend in the neonate admitted to a surgical neonatal intensive care unit. Methods: This study was a retrospective cohort analysis of all neonatal (from birth to Results: There were a total of 8994 admissions with 425 deaths during the s...
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doaj-cf97b57d556b4c4ea2e0968f21bb48032020-11-25T03:03:04ZengEL-Med-PubJournal of Neonatal Surgery2226-04392018-01-017110.21699/jns.v7i1.677Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care UnitJoseph Kiran Tauro0Karen Walker1Robert Halliday2Vishal Jatana3Amit Trivedi4GRACE CENTRE FOR NEWBORN CARE THE CHILDREN'S HOSPITAL AT WESTMEAD SYDNEY, AUSTRALIAGrace centre for Newborn care The children's hospital at Westmead, Westmead, Australia Faculty of Medicine, University of Sydney, Sydney, NSW, AustraliaGrace centre for Newborn care The children's hospital at Westmead, Westmead, Australia Faculty of Medicine, University of Sydney, Sydney, NSW, AustraliaPediatric Intensive Care Unit, The Children’s hospital at Westmead, Westmead, AustraliaGrace centre for Newborn care The children's hospital at Westmead, Westmead, Australia Faculty of Medicine, University of Sydney, Sydney, NSW, Australia Aim: The aim of the study was to estimate mortality rate and trend in the neonate admitted to a surgical neonatal intensive care unit. Methods: This study was a retrospective cohort analysis of all neonatal (from birth to Results: There were a total of 8994 admissions with 425 deaths during the study period, of whom 328 infants met inclusion criteria. In this group 18.9% (n=62) were admitted for a surgical condition, 35.4% (n=116) for cardiac disease and 45.7% (n=150) for other reasons. The median birth weight was 2715g (IQR 1890g-3220g) and the median gestational age was 37 weeks (IQR 33-39 weeks). The inter-quartile range for length of stay was between 2 to 20 days. The overall mortality rate was 3.6% over 16 years. There was a decline in mortality rate from 5.9% in 2000 to 3.5% in 2015 (p=0.06). Female infants accounted for 41% of the deaths. On multivariate analysis only very low birth weight was an independent predictor of mortality for surgical and cardiac deaths compared to deaths by other cause. Conclusions: There has been an overall decline in mortality in the surgical neonatal population from 2000 to 2015. https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/367Neonatal surgeryCardiac surgeryCongenital heart diseaseMortality |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Joseph Kiran Tauro Karen Walker Robert Halliday Vishal Jatana Amit Trivedi |
spellingShingle |
Joseph Kiran Tauro Karen Walker Robert Halliday Vishal Jatana Amit Trivedi Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit Journal of Neonatal Surgery Neonatal surgery Cardiac surgery Congenital heart disease Mortality |
author_facet |
Joseph Kiran Tauro Karen Walker Robert Halliday Vishal Jatana Amit Trivedi |
author_sort |
Joseph Kiran Tauro |
title |
Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit |
title_short |
Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit |
title_full |
Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit |
title_fullStr |
Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit |
title_full_unstemmed |
Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit |
title_sort |
trends in mortality in an australian tertiary surgical neonatal intensive care unit |
publisher |
EL-Med-Pub |
series |
Journal of Neonatal Surgery |
issn |
2226-0439 |
publishDate |
2018-01-01 |
description |
Aim: The aim of the study was to estimate mortality rate and trend in the neonate admitted to a surgical neonatal intensive care unit.
Methods: This study was a retrospective cohort analysis of all neonatal (from birth to
Results: There were a total of 8994 admissions with 425 deaths during the study period, of whom 328 infants met inclusion criteria. In this group 18.9% (n=62) were admitted for a surgical condition, 35.4% (n=116) for cardiac disease and 45.7% (n=150) for other reasons. The median birth weight was 2715g (IQR 1890g-3220g) and the median gestational age was 37 weeks (IQR 33-39 weeks). The inter-quartile range for length of stay was between 2 to 20 days. The overall mortality rate was 3.6% over 16 years. There was a decline in mortality rate from 5.9% in 2000 to 3.5% in 2015 (p=0.06). Female infants accounted for 41% of the deaths. On multivariate analysis only very low birth weight was an independent predictor of mortality for surgical and cardiac deaths compared to deaths by other cause.
Conclusions: There has been an overall decline in mortality in the surgical neonatal population from 2000 to 2015.
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topic |
Neonatal surgery Cardiac surgery Congenital heart disease Mortality |
url |
https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/367 |
work_keys_str_mv |
AT josephkirantauro trendsinmortalityinanaustraliantertiarysurgicalneonatalintensivecareunit AT karenwalker trendsinmortalityinanaustraliantertiarysurgicalneonatalintensivecareunit AT roberthalliday trendsinmortalityinanaustraliantertiarysurgicalneonatalintensivecareunit AT vishaljatana trendsinmortalityinanaustraliantertiarysurgicalneonatalintensivecareunit AT amittrivedi trendsinmortalityinanaustraliantertiarysurgicalneonatalintensivecareunit |
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