Pediatric anesthesia & critical care

Short-term outcomes of asphyxiated neonates depending on requirement for transfer in the first 24 h of life

ResuscitationPublished Retrospective cohort study

Main finding · In-hospital deathResult — go to the resultAdjusted odds ratio 4.08 95% CI 3.41–4.89

Authors' conclusion

This comprehensive nationwide study found increased odds for adverse outcomes in neonates with BA who were transferred to another facility within 24 h of hospital admission.

Study context

Population
Full-term neonates with birth asphyxia admitted to a pediatric department on their first day of life, German hospitals, 2016–2021
Participants
25,914 neonates
Exposure
Postnatal transfer within 24 h vs no transfer
Outcome
In-hospital death
Methodological detailsnationwide, hierarchical multilevel logistic regression
  • Nationwide
  • Hierarchical multilevel logistic regression

Main finding

As reported in the abstract

Adjusted odds ratio

4.08

95% CI 3.41–4.89

TN vs NTN
adjusted OR 4.08 (95% CI 3.41–4.89)

Observational data: associations, not effects.

Secondary outcomes

OutcomeAdjusted OR
Seizures2.99 (95% CI 2.65–3.38)
PCCC ≥ 21.76 (95% CI 1.52–2.05)
Death, seizures and PCCC ≥ 2 in infants receiving TH (subgroup)TN vs NTN · death1.67 (CI 1.29–2.17)
Death, seizures and PCCC ≥ 2 in infants receiving TH (subgroup)TN vs NTN · seizures1.26 (CI 1.07–1.48)
Death, seizures and PCCC ≥ 2 in infants receiving TH (subgroup)TN vs NTN · PCCC ≥ 20.81 (CI 0.64–1.02)
  • Death, seizures and PCCC ≥ 2 in infants receiving therapeutic hypothermia (TH) (subgroup): TH subgroup n = 3,283

Original publication

Short-term outcomes of asphyxiated neonates depending on requirement for transfer in the first 24 h of life. Resuscitation. Published 11 July 2024. doi:10.1016/j.resuscitation.2024.110309

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