CDHB Overview SURPRISES Term Admissions Near term admissions Very preterm morbidity Outcomes Surprises Lower admissions 201718 and occupancy 93 852 in 2018 counted if stay over midnight ID: 934775
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Slide1
ACR – Neonatal Assoc Professor Nicola AustinCDHB
Slide2OverviewSURPRISESTerm AdmissionsNear term admissionsVery preterm morbidityOutcomes
Slide3SurprisesLower admissions 2017/18 and occupancy 93%852 in 2018 - counted if stay over midnight
Slide4Term admissionsDrivers ……. Look in the labour and birth sectionTiming
Slide5Term admissionsDrivers ……. Look in the labour and birth sectionType of delivery
Emergency caesarean (n=793
)
for
fetal
distress 25.3%
and obstructed labour 53.2%
Slide6Term admissionsDrivers ……. Look in the labour and birth sectionAcuity ? Reason for induction
Slide7ACR data compared with Clinical indicator 20
Slide8Near term admissions
Slide9What about the term and near term cared for on the postnatal ward?Transitional care …….. No dataNew categoury in Neonatal service specification for ratification35/36
wk
in NICU 99+8=107, PN =197
Slide10Very preterm morbidity- Prevention
Slide11Very preterm morbidityRespiratory supportChronic Lung DiseaseRetinopathyIntraventricular HaemorrhageSepsisFeedingNeurodevelopmental Outcome
Slide12Very preterm morbidityRespiratory support
Slide13Very preterm morbidityChronic lung disease
Slide14CLD – management
Slide15Very preterm morbidityReduced Retinopathy and Intraventricular Haemorrhage
1
Slide16Very preterm morbidityInfection10 Early onset – Gp B Strep 4, E coli 4 (30-34w)7 CLABBSI / 25 Late onset sepsisCoagulase negative
staphylococci
4 / 8
NEC reduced since probiotics in 2011
7
Slide17Feeding at discharge from NICU
Slide18Neonatal outcome
Slide19ConclusionLarge range of data and outcomesDrivers of neonatal admissionsMissing data on transitional care babies on PNKa pai
Questions