Early mortality after neonatal surgery: analysis of risk factors in an optimized health care system for the surgical newborn

Catré, Dora; Lopes, Maria Francelina; Madrigal, Angel; Oliveiros, Bárbara; Viana, José Antônio; Cabrita, António

doi:10.1590/s1415-790x2013000400014

Cited by 27 publications

(28 citation statements)

References 24 publications

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“…Regarding a surgical pediatric ICU population, Catré et al . noted a 30 day mortality of 5% in Portugal . Stey et al .…”

Section: Discussionmentioning

confidence: 97%

“…Regarding a surgical pediatric ICU population, Catr e et al noted a 30 day mortality of 5% in Portugal. 6 Stey et al noted a mortality rate of 4.4% in a total of 2,967 neonates undergoing abdominal or thoracic surgery in North America. 7 A large study of neonatal surgery reported a rate of 7.5% in Japan, 8 which compares favorably to 35% and 45% in India and Nigeria, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Thirty day mortality after neonatal laparotomy in a Chinese tertiary hospital

Gao

2019

Pediatrics International

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Background No data are available on the prevalence of mortality in neonates after major surgery such as laparotomy in China. Methods In a tertiary general hospital, 142 newborns who underwent laparotomy for a variety of surgical conditions in the past 6 years were included in this study in Beijing, China. Pre‐, intra‐, and postoperative variables potentially predictive of postoperative 30 day mortality were collected and compared between the surviving and deceased newborns. Results Death ≤30 days after laparotomy occurred in 19 of 142 newborns (13.4%) during the study period. Newborns diagnosed with necrotizing enterocolitis (NEC) had the worst outcome (OR, 11.4). Significantly more neonates in the 30 day death group were intubated preoperatively (52.6%) compared with the survival group (19.5%; OR, 10.0). Base excess ≤−10 mmol/L immediately after laparotomy was associated with negative prognosis in the early postoperative period (OR, 11.2). Conclusion The mortality rate of newborns ≤30 days after laparotomy was 13.4% in a Chinese tertiary general hospital in the past 6 years. The factors associated with early death were NEC, preoperative intubation with mechanical ventilation, and postoperative immediate base excess ≤−10 mmol/L.

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“…Regarding a surgical pediatric ICU population, Catré et al . noted a 30 day mortality of 5% in Portugal . Stey et al .…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Thirty day mortality after neonatal laparotomy in a Chinese tertiary hospital

Gao

2019

Pediatrics International

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“…Studies in Africa [7,[11][12][13] and Indian and British series [14][15][16][17] had annual incidences higher than ours ranging respectively from 11 to 25 and 60 to 301 new-born each year. The demographic characteristics of the populations and the specificities of the pediatric surgery services that cover them vary and determine the hospital impact [6] [10,12,[19][20][21]. By contrast, in the Youl H series [8] in Burkina Faso, the female sex was predominant.…”

Section: Discussionmentioning

confidence: 99%

Neonatal Surgical Emergencies in Gabriel Touré Teaching Hospital in Bamako: Epidemiological and Clinical Aspects

Dicko-Traoré¹

2019

PNBOA

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Neonatal surgical emergencies are common causes of neonatal morbidity and mortality. The aim of the study was to access epidemiological, clinical and prognostic characteristics of newborns hospitalized for surgical emergencies. Material and Methods: We conducted a one-year prospective study from January 1 st , 2016 to December 31 st , 2016 in the neonatology service in the Pediatric Department of Gabriel Touré Teaching Hospital in Bamako, the capital city of Mali. All neonates from 0 to 28 days hospitalized for a surgical emergency were included. Results: One hundred and fourteen cases of surgical emergencies were recorded, i.e. 3% of hospitalizations. The average maternal age was 24 years old. Sex ratio was 1.1. The average consultation time was 7.5 days. In 55% of cases, newborns were premature. The antenatal diagnosis was made in 7 patients. Congenital malformation pathology accounted for 92.98% of ailments. Digestive diseases predominated with 72.9%. These were mainly omphalocele (17.5%), anorectal malformations (13.2%), and laparochisis (12.3%). Hirshprung's disease was found in two newborns (1.8%). Surgery was performed in 59 neonates (51.8%). The per and postoperative lethality was 55.26%. The overall case fatality rate was 49.1%. The most lethal pathology was laparoshisis (100%). Factors associated with mortality were maternal insctruction level (p = 0.00), vaginal delivery (p = 0.01), and laparoschisis (p = 0.000). Conclusion: A real policy by the health authorities to reduce mortality related to neonatal surgical pathologies is needed.

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“…Fortunately since all our studied cases were either having membranous or thin bony atresias we could successfully treat them transnasal endoscopic procedures. Many studies have been done on the subject of choanal atresia but most of the authors have clubbed the cases of unilateral and bilateral choanal atresia and very few studies have separated them [14,15] .…”

Section: Discussionmentioning

confidence: 99%

Study of a Series of Choanal Atresia Patients: Presentation, Surgical Management and Outcome

Kadam¹

2017

JMSCR

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Early mortality after neonatal surgery: analysis of risk factors in an optimized health care system for the surgical newborn

Cited by 27 publications

References 24 publications

Thirty day mortality after neonatal laparotomy in a Chinese tertiary hospital

Thirty day mortality after neonatal laparotomy in a Chinese tertiary hospital

Neonatal Surgical Emergencies in Gabriel Touré Teaching Hospital in Bamako: Epidemiological and Clinical Aspects

Study of a Series of Choanal Atresia Patients: Presentation, Surgical Management and Outcome

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