Infants with Congenital Anomalies Admitted to Neonatal Intensive Care Units

The objective of this study was to describe the congenital anomalies in 17 Canadian neonatal intensive care units (NICUs) and their impact on mortality, morbidity, and resource utilization. This study was performed using a database analysis of 19,507 consecutive admissions. Results show that 13.7% of admissions had one or more anomalies. There was wide variation in incidence between NICUs (4.4 to 36.6%). Congenital anomalies were associated with increased severity of illness, and higher mortality, morbidity, and resource use. Inclusion of congenital anomalies improves mortality prediction in regression analyses models. Congenital anomalies have a significant impact on NICU outcomes and resource use.

KEYWORDS

Congenital anomalies - neonatal - resource use

APPENDIX

Members of the Canadian Neonatal Network

Shoo K. Lee, M.B.B.S., F.R.C.P.C., Ph.D. (Coordinator, Canadian Neonatal Network Coordinating Centre, Vancouver, BC); Wayne Andrews, M.D., F.R.C.P.C. (Charles A. Janeway Child Health Centre, St. John's, NF); Ranjit Baboolal, M.B.Ch.B., F.R.C.P.C. (North York Hospital, N. York, ON); Jill Boulton, M.D., F.R.C.P.C. (St Joseph's Health Centre, London, ON; previously Mt. Sinai Hospital, Toronto, ON); David Brabyn, M.B.Ch.B., F.R.A.C.P., F.R.C.P.C. (Royal Columbian Hospital, New Westminster, BC); David S.C. Lee, M.B.B.S., F.R.C.P.C. (St. Joseph's Health Centre, London, ON); Derek Matthew, M.R.C.S., F.R.C.P.C., S.M. (Victoria General Hospital, Victoria, BC); Douglas D. McMillan, M.D., F.R.C.P.C., (Foothill's Hospital, Calgary, AB); Christine Newman, M.D., F.R.C.P.C. (Hospital for Sick Children, Toronto, ON); Arne Ohlsson, M.D., F.R.C.P.C., M.Sc. (Mt. Sinai Hospital, Toronto, ON; formerly Women's College Hospital, Toronto, ON); Abraham Peliowski, M.D., F.R.C.P.C. (Royal Alexandra Hospital, Edmonton, AB); Margaret Pendray, M.B.B.S., F.R.C.P.C. (Children's & Women's Health Centre of British Columbia, Vancouver, B.C.); Koravangattu Sankaran, M.B.B.S., F.R.C.P.C. (Royal University Hospital, Saskatoon, SK); Barbara Schmidt, M.D., F.R.C.P.C., M.Sc. (Hamilton Health Sciences Corp., Hamilton, ON); Mary Seshia, M.B.Ch.B., F.R.C.P.E. F.R.C.P.C.H. (Health Sciences Centre, Winnipeg, MB); Anne Synnes, M.D.C.M., F.R.C.P.C., M.H.Sc. (Children's and Women's Health Centre of British Columbia, Vancouver, BC; formerly Montreal Children's Hospital, Montreal, PQ); Paul Thiessen, M.D., F.R.C.P.C. (Children's & Women's Health Centre of British Columbia, Vancouver, BC); Robin Walker, M.B.B.S., F.R.C.P.C. (Children's Hospital of Eastern Ontario and Ottawa General Hospital, Ottawa, ON); Robin Whyte, M.B.B.S., F.R.C.P.C. (IWK-Grace Health Centre for Women, Children and Families, Halifax, NS). Coordinating Centre, Vancouver, BC: Li-Yin Chien, M.P.H., Sc.D.; Joanna Sale, M.Sc.; Herbert Chan, M.Sc.; Shawn Stewart, B.A.

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