Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne

Tejas, N; Harnaen, Efrant; Bob, Seith; Kenneth, Tan; Simon, Craig

doi:10.23937/2469-5769/1510028

Cited by 1 publication

(1 citation statement)

References 20 publications

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“…Our work is unique, as while small studies have investigated hospitalisation of children discharged from NNUs in specific populations, such as those born very preterm, 18 19 or children admitted to PICU during (but not after) their neonatal stay, to the best of our knowledge, this is the first study to link NNU and PICU data on a population level for individual children. The NNRD and PICANet are national data sources with high levels of ascertainment, completeness and data quality including for personal identifiers, providing potential for high levels of linkage success, although we cannot quantify how many children, if any, were missed.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of children requiring admission to neonatal care and paediatric intensive care before the age of 2 years in England and Wales: a data linkage study

Seaton,

Battersby,

Davis

et al. 2024

Arch Dis Child

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ObjectiveTo quantify the characteristics of children admitted to neonatal units (NNUs) and paediatric intensive care units (PICUs) before the age of 2 years.DesignA data linkage study of routinely collected data.SettingNational Health Service NNUs and PICUs in England and WalesPatientsChildren born from 2013 to 2018.InterventionsNone.Main outcome measureAdmission to PICU before the age of 2 years.ResultsA total of 384 747 babies were admitted to an NNU and 4.8% (n=18 343) were also admitted to PICU before the age of 2 years. Approximately half of all children admitted to PICU under the age of 2 years born in the same time window (n=18 343/37 549) had previously been cared for in an NNU.The main reasons for first admission to PICU were cardiac (n=7138) and respiratory conditions (n=5386). Cardiac admissions were primarily from children born at term (n=5146), while respiratory admissions were primarily from children born preterm (<37 weeks’ gestational age, n=3550). A third of children admitted to PICU had more than one admission.ConclusionsHealthcare professionals caring for babies and children in NNU and PICU see some of the same children in the first 2 years of life. While some children are following established care pathways (eg, staged cardiac surgery), the small proportion of children needing NNU care subsequently requiring PICU care account for a large proportion of the total PICU population. These differences may affect perceptions of risk for this group of children between NNU and PICU teams.

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Section: Discussionmentioning

confidence: 99%

Characteristics of children requiring admission to neonatal care and paediatric intensive care before the age of 2 years in England and Wales: a data linkage study

Seaton,

Battersby,

Davis

et al. 2024

Arch Dis Child

View full text Add to dashboard Cite

show abstract

Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne

Abstract: Background: Extremely preterm infants, < 28 week of gestational age, (ELGANs) continue to need high levels of health-care post-discharge from the NICU. We studied post-NICU hospital contacts of this highly vulnerable population and present data from infants treated in our health network.

Cited by 1 publication

References 20 publications

Characteristics of children requiring admission to neonatal care and paediatric intensive care before the age of 2 years in England and Wales: a data linkage study

Characteristics of children requiring admission to neonatal care and paediatric intensive care before the age of 2 years in England and Wales: a data linkage study

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