Pediatric anesthesia & critical care

Global neonatal perioperative mortality: A systematic review and meta-analysis

J Clin AnesthPublished Systematic review and meta-analysis

Authors' conclusion

The review demonstrated very high global POMRs in a surgical population of neonates independent of the country HDI level.

Study context

Population
Neonates undergoing procedures under anesthesia, studies published 2011–2022
Participants
33,729 neonates · 18 studies · 45 countries
Comparison
Neonatal perioperative mortality rate (POMR) by country Human Development Index (HDI) level
Outcome
24-h POMR
Follow-up
24 h
Methodological detailsDatabases searched January 2011 to July 30, 2022
  • Databases searched January 2011 to July 30, 2022

Pooled result

As reported in the abstract

Odds ratio (95% CI)P value
Low-HDI vs Very-high-HDI
8.4(1.7–40.4)
P = 0.008
Low-HDI vs High-HDI
7.3(2.2–24.4)
P = 0.001
Low-HDI vs Medium-HDI
7.7(3.1–18.7)
P < 0.0001
24-h deaths
96

Further pooled results

OutcomeOR (95% CI)P value
30-day POMR · 30 daysLow-HDI vs Very-high-HDI6.9 (1.9–24.6)P = 0.002
30-day POMR · 30 daysLow-HDI vs High-HDI1.4 (0.6–3.0)P = 0.396
30-day POMR — 30-day deaths
459

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Global neonatal perioperative mortality: A systematic review and meta-analysis. J Clin Anesth. Published 6 February 2024. doi:10.1016/j.jclinane.2024.111407

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