Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit

Joseph Kiran Tauro; Karen Walker; Robert Halliday; Vishal Jatana; Amit Trivedi

doi:10.21699/jns.v7i1.677

Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit

Authors

Joseph Kiran Tauro GRACE CENTRE FOR NEWBORN CARE THE CHILDREN'S HOSPITAL AT WESTMEAD SYDNEY, AUSTRALIA
Karen Walker Grace centre for Newborn care The children's hospital at Westmead, Westmead, Australia Faculty of Medicine, University of Sydney, Sydney, NSW, Australia
Robert Halliday Grace centre for Newborn care The children's hospital at Westmead, Westmead, Australia Faculty of Medicine, University of Sydney, Sydney, NSW, Australia
Vishal Jatana Pediatric Intensive Care Unit, The Children’s hospital at Westmead, Westmead, Australia
Amit Trivedi Grace centre for Newborn care The children's hospital at Westmead, Westmead, Australia Faculty of Medicine, University of Sydney, Sydney, NSW, Australia

DOI:

https://doi.org/10.21699/jns.v7i1.677

Keywords:

Neonatal surgery, Cardiac surgery, Congenital heart disease, Mortality

Abstract

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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Author Biography

Joseph Kiran Tauro, GRACE CENTRE FOR NEWBORN CARE THE CHILDREN'S HOSPITAL AT WESTMEAD SYDNEY, AUSTRALIA

GRACE CENTRE FOR NEWBORN CARE

NEONATAL FELLOW

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Published

2018-01-05

How to Cite

Tauro JK, Walker K, Halliday R, Jatana V, Trivedi A. Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit. J Neonatal Surg [Internet]. 2018Jan.5 [cited 2021Apr.16];7(1):4. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/367

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Issue

Vol. 7 No. 1 (2018): Journal of Neonatal Surgery

Section

Original Article

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