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

1.
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