Pediatric anesthesia & critical care

Surgical neonates: A retrospective review of procedures and postoperative outcomes at a quaternary children's hospital

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

Neonates in this cohort were at risk for severe and nonsevere adverse postoperative outcomes.

Study context

Population
Full-term infants with postmenstrual age <44 weeks or premature infants <60 weeks postmenstrual age undergoing nonimaging, noncardiac surgery under GA, January 26, 2015 to August 31, 2018
Participants
1,842 infants · 2,569 procedures
Outcome
Severe (mortality, reintubation, positive blood culture, surgical site infection) and nonsevere (hypoglycemia, hyperglycemia, hypothermia, hyperthermia, readmission within 30 days) early postoperative complications
Methodological detailssingle-centre, quaternary children's hospital, electronic health record review
  • Single-centre
  • Quaternary children's hospital
  • Electronic health record review

Main finding

As reported in the abstract

Severe and nonsevere postoperative outcomes; 30-day mortality
Emergency surgeries
10.9%
Postoperative severe complications
120
Nonsevere postoperative outcomes
965
30-day mortality, first procedure
1.8%
Postoperative hyperglycemia
13.9%
Postoperative hypothermia
7.9%

Observational data: associations, not effects.

Further findings

30-day mortality by procedure (subgroup)

Exploratory laparotomy
10.3%
Congenital lung lesion resection
4.9%
  • Subgroup analysis

Original publication

Surgical neonates: A retrospective review of procedures and postoperative outcomes at a quaternary children's hospital. Paediatr Anaesth. Published 25 December 2023. doi:10.1111/pan.14827

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