PC.124 The impact of unexpected admission at term on a tertiary neonatal unit

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Abstract

Introduction

Unexpected admissions at term contribute to significant workload of a neonatal unit. Our aim was to assess this workload, the categories of babies and the most frequently occurring reasons for admission.

Methods

The Badger clinical records were audited of all term (37+0 weeks and above) admissions to the neonatal unit (NNU) for the last 3 years (01/04/09 to 31/03/13). Reason for admission, length of stay (LOS) and outcomes were collected.

Results

Table.

Conclusions

Term unexpected admissions contribute to between 47–59% of the neonatal workload. The main reason for a term unexpected admission was signs of respiratory distress. Failed pulse oximetry contributed to 7–12% of unexpected admissions. Early identification of avoidable causes (such as hypothermia) may reduce workload.

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