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

<p>Objective To quantify the characteristics of children admitted to neonatal units (NNUs) and paediatric intensive care units (PICUs) before the age of 2 years.</p> <p><br></p> <p>Design A data linkage study of routinely collected data.</p> <p><br></p> <p>Setting National Health Service NNUs and PICUs in England and Wales</p> <p><br></p> <p>Patients Children born from 2013 to 2018.</p> <p><br></p> <p>Interventions None.</p> <p><br></p> <p>Main outcome measure Admission to PICU before the age of 2 years.</p> <p><br></p> <p>Results A 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.</p> <p><br></p> <p>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.</p> <p><br></p> <p>Conclusions Healthcare 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.</p>