Neonatal Admissions and Morbidity Overview

This collection of images provides insights into neonatal admissions, near-term admissions, and very preterm morbidity outcomes, including drivers of term admissions, prevention strategies for very preterm morbidity, and outcomes related to respiratory support and chronic lung disease. The data comparison with clinical indicators offers valuable information for neonatal care professionals.

• Neonatal
• Admissions
• Morbidity
• Preterm
• Clinical Indicators

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Uploaded on Mar 07, 2025 | 1 Views

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Presentation Transcript

1. ACR Neonatal Assoc Professor Nicola Austin CDHB

2. SURPRISES Term Admissions Near term admissions Very preterm morbidity Overview Outcomes

3. Surprises Lower admissions 2017/18 and occupancy 93% 852 in 2018 - counted if stay over midnight

4. Term admissions Drivers . Look in the labour and birth section Timing

5. Term admissions Drivers . Look in the labour and birth section Type of delivery Emergency caesarean (n=793) for fetal distress 25.3% and obstructed labour 53.2%

6. Term admissions Drivers . Look in the labour and birth section Acuity ? Reason for induction

7. ACR data compared with Clinical indicator 20

8. Near term admissions

9. What about the term and near term cared for on the postnatal ward? Transitional care .. No data New categoury in Neonatal service specification for ratification 35/36 wk in NICU 99+8=107, PN =197

10. Very preterm morbidity - Prevention

11. Very preterm morbidity Respiratory support Chronic Lung Disease Retinopathy Intraventricular Haemorrhage Sepsis Feeding Neurodevelopmental Outcome

12. Very preterm morbidity Respiratory support

13. Very preterm morbidity Chronic lung disease

14. CLD management

15. Very preterm morbidity Reduced Retinopathy and Intraventricular Haemorrhage 1

16. Very preterm morbidity Infection 10 Early onset Gp B Strep 4, E coli 4 (30-34w) 7 CLABBSI / 25 Late onset sepsis Coagulase negative staphylococci 4 / 8 NEC reduced since probiotics in 2011 7

17. Feeding at discharge from NICU

18. Neonatal outcome

19. Conclusion Large range of data and outcomes Drivers of neonatal admissions Missing data on transitional care babies on PN Ka pai Questions