Background Neonates with Down syndrome have an increased risk of being admitted to a neonatal unit compared with unaffected neonates. We aimed to estimate the proportion of neonates with Down syndrome admitted to a neonatal unit and compare their management and outcomes with other neonatal admissions. Methods Case–control study of neonates born from 2009 to 2011 admitted to 122 NHS Neonatal Units in England using data from the National Down Syndrome Cytogenetic Register and the National Neonatal Research Database. For each neonate with Down syndrome, three neonates admitted to the same unit in the same month and born at the same gestation were identified. Results Forty‐six percent of neonates with Down syndrome were admitted to a neonatal unit. Boys were more likely to be admitted than girls (odds ratio = 1.7; 95% confidence interval, 1.4–2.0). Neonates with Down syndrome required more intensive or high dependency care compared with unaffected neonates (37% vs. 27%. p < 0.01) and stayed in neonatal units for longer (11 days vs. 5 days, p < 0.01). A total of 31% of neonates with Down syndrome required respiratory support compared with 22% (p < 0.001) of unaffected neonates, and 11% were discharged requiring oxygen supplementation compared with 3% (p < 0.001) of unaffected neonates. A total of 3% of neonates with Down syndrome died in a neonatal unit compared with 1% (p = 0.01) of unaffected neonates. Conclusion Neonates with Down syndrome are more likely than unaffected neonates to be admitted to a neonatal unit, have a prolonged stay, and be discharged home on supplemental oxygen. Birth Defects Research (Part A) 106:468–474, 2016. © 2016 Wiley Periodicals, Inc.
AimsThe aim of this study was to estimate the proportion of neonates with Down syndrome that are admitted to a neonatal unit, and compare their management and outcomes with other neonatal admissions.MethodsThe number of Down syndrome live births recorded in the National Down Syndrome Cytogenetic Register was compared with the number of admissions of neonates with Down syndrome in 122 neonatal units born from 2009–2011 in the National Neonatal Research Database. For each neonate with Down syndrome identified in the NNRD, three control neonates of similar gestational age at birth (to nearest completed week), neonatal unit of admission, and month of admission were identified. Admission to a neonatal unit, length of stay, level of neonatal care, mortality and requirement for home oxygen were analysed using appropriate paired statistics.Results46% of neonates with Down syndrome were admitted to a neonatal unit. Boys were more likely to be admitted than girls (OR = 1.7; 95% CI: 1.4–2.0). Neonates with Down syndrome required more intensive or high dependency care compared with unaffected neonates (37% vs 27%. p < 0.01) and stayed in neonatal units for longer (11 days versus 5 days, p < 0.01). 31% of neonates with Down syndrome required respiratory support compared with 22% (p < 0.001) of unaffected neonates, and 11% were discharged requiring oxygen supplementation compared with 3% (p < 0.001) of unaffected neonates. 3% of neonates with Down syndrome died in a neonatal unit compared with 1% (p = 0.01) of unaffected neonates.ConclusionNeonates with Down syndrome are more likely than unaffected neonates to be admitted to a neonatal unit, have a prolonged stay and be discharged home on supplemental oxygen.
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