Pediatric anesthesia & critical care
Postoperative outcome of neonatal emergency surgeries in a tertiary care institute—A prospective observational study
Authors' conclusion
Present study identified preterm birth, preoperative oxygen therapy, postoperative positive pressure ventilation, requirement of inotropes, and postoperative leukopenia as independent predictors of 6-week mortality. The possibility of early switch to noninvasive positive pressure ventilation was associated with a reduction in neonatal mortality.
Study context
- Population
- Neonates undergoing emergency surgical procedures in a tertiary care institute324 met inclusion criteria
- Participants
- 278 neonates
- Outcome
- Postsurgical mortality
- Follow-up
- 6 weeks
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Mortality at 6 weeks following surgery
36.2%
Observational data: associations, not effects.
Further findings
In-hospital mortality
- In-hospital mortality
- 34.8%
Hospital LOS, survivors
- Median duration of hospital stay for survivors (days)
- 14
Invasive ventilation followed by postoperative non-invasive positive pressure ventilation
- Risk of postoperative surgical mortality significantly reduced
Baseline characteristics
- Median age (days)
- 4
- Born before 37 weeks period of gestation (POG)
- 62 (27.7%)
- Weight below 2.5 kg
- 94 (41.8%)
- Trachea-esophageal fistula
- 29.9%
- Anorectal malformation
- 14.3%
Original publication
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