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

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

doi:10.21699/jns.v7i1.677

Cited by 4 publications

(2 citation statements)

References 29 publications

(38 reference statements)

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“…A systematic review in African countries found that the neonatal surgical mortality rate reduced from 36.9% in previous decade to 29.1% in the subsequent decade [10]. On the contrary, neonatal mortality in a report from Australia was 3.6% over 16 years [11]. In Japan, mortality linearly declined from 12% in 1993 to 6.6% in 2013 [12].…”

Section: Discussionmentioning

confidence: 99%

Mortality from Surgical Conditions in Children: An Insight from a Tertiary-Level Government Hospital in Bangladesh

Chowdhury

Kabir²,

Farooq

et al. 2020

AJPR

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Aims: While the developed world has significantly reduced mortality from surgical conditions in children, there is lack of adequate data on the outcome of children’s surgical conditions in the developing world. This study aims at assessing the spectrum of mortalities from children’s surgical conditions in a low-middle income country (LMIC). Methods: Mortality data were collected for a period of 12 years (2008 to 2019) among 0 to12-year old children to analyse the diseases which had higher mortality trends, age -group specific mortality trends and categorize those according to body system. Results: Among a total of 30,301 admitted children, 1228 (4.05%) patients died. Among them 53.01% were neonates, 20.28% were infants and 26.71% were children. Male to female ratio was 1.95:1. Mortality from neonatal surgical conditions was 24.21%. Infant mortality rate was 5.65% and child mortality rate was 1.41%. Neonatal surgical admission and mortality had a higher yearly trend. Anorectal malformation (ARM) was the most common cause of death (12.05%), followed by intestinal obstruction (11.40%) and gastroschisis (8.63%). Tracheo-oesophageal fistula/ oesophageal atresia (TOF/OA) had the highest mortality rate (83.33%), followed by gastroschisis (80.92%) and intestinal atresia (42.535) among the respective admissions. Other important causes of mortality were jejuno-ileal atresia (5.37%), trauma (5.05%), Hirschsprung disease (4.64%), intestinal perforation (4.48%), omphalocele (4.15%), burn (4.07%) and posterior urethral valves (PUV), 3.58%. Conclusion: Overall mortality rate was much higher than developed countries and lower than some African countries. Neonatal mortality rate was very high and among them TOF/OA and gastroschisis had extremely high mortality rates.

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Section: Discussionmentioning

confidence: 99%

Mortality from Surgical Conditions in Children: An Insight from a Tertiary-Level Government Hospital in Bangladesh

Chowdhury

Kabir²,

Farooq

et al. 2020

AJPR

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“…Neonatal general surgical mortality has significantly improved globally in the last three decades. [1][2][3] Ad-vancements in neonatal intensive care, anesthesia, nursing, and medical technology have transformed the outcomes in all babies, including preterm babies.…”

Section: Discussionmentioning

confidence: 99%

Outcomes following the establishment of Qatar’s quaternary neonatal general surgical service in a hospital with a “Tabula Rasa” for service development

Khalil

Zarroug²,

Elawad³

et al. 2021

J Neonatal Surg

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Background: Sidra Medicine is the first dedicated Children and Maternity hospital in the State of Qatar. This paper describes the preparations for and results of activating quaternary neonatal surgical services in a brand new, "greenfield" hospital. We believe that these are the first published national results of neonatal general surgical services from the Gulf region. Methods: A review of surgical babies below four weeks corrected age from 1st of April 2018 – 31st of March 2020 was undertaken. Patient demographics, primary diagnosis, surgical procedures, 30-day postoperative mortality, overall mortality, and cause of death were recorded. Results: One hundred and sixty-nine babies (169) were identified (44.4% term and 55.6% preterm). Major surgery included laparotomy (76), congenital diaphragmatic hernia repair (20), surgery for anorectal malformations (25), and esophageal atresia (13). One set of conjoined twins were also separated successfully. Fourteen babies died, resulting in overall mortality of 8.3 %. Excluding babies who died of life-limiting conditions, two babies died within 30 days of surgery, resulting in 30 days postoperative mortality rate of 1.2 %. Conclusions: The neonatal surgical mortality rate is comparable with those from top international centers. This low rate could be attributed to the high level of expertise preceded by months of preparations.

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Growth and risk of adverse neurodevelopmental outcome in infants with congenital surgical anomalies: a systematic review

et al. 2022

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

Cited by 4 publications

References 29 publications

Mortality from Surgical Conditions in Children: An Insight from a Tertiary-Level Government Hospital in Bangladesh

Mortality from Surgical Conditions in Children: An Insight from a Tertiary-Level Government Hospital in Bangladesh

Outcomes following the establishment of Qatar’s quaternary neonatal general surgical service in a hospital with a “Tabula Rasa” for service development

Growth and risk of adverse neurodevelopmental outcome in infants with congenital surgical anomalies: a systematic review

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