Mortality after emergency abdominal operations in premature infants
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In brief
In brief
Retrospective NSQIP-P study (2012-2015) analyzing 30-day mortality in 1,554 premature infants undergoing emergency abdominal surgery in the first two months of life. Mortality rates reached 31% in the most vulnerable cohort, with analysis identifying key demographic and clinical predictors of perioperative death.
Written by the GCMD Library team from the article.
Context/background
To determine risk of 30-day mortality for premature infants undergoing abdominal operations during the first 2 months of life and to identify risk factors for perioperative mortality using available demographic and clinical variables of interest.
Basic procedures
Retrospective descriptive analysis of premature infants (gestational age less than or equal to 36weeks) undergoing abdominal operations during the first 2 months of life using the American College of Surgeon's National Surgical Quality Improvement Project Pediatric (NSQIP-P, 2012–2015) database. A stepwise logistic regression model incorporating multiple demographic and clinical factors was constructed to identify independent predictors of 30-day mortality.
Findings
A total of 1554 premature infants were identified who underwent abdominal operations during the first 2 months of life. Unadjusted 30-day mortality ranged from 31% for infants born