Association Between Neonatal Arrhythmia and Mortality and Recurrence: A Retrospective Study

Lihong Ran; Jie Li; Lei Bao; Long Chen

doi:10.3389/fped.2022.818164

Association Between Neonatal Arrhythmia and Mortality and Recurrence: A Retrospective Study

Front Pediatr. 2022 Mar 11:10:818164. doi: 10.3389/fped.2022.818164. eCollection 2022.

Authors

Lihong Ran^{1

2

3

4

5}, Jie Li⁶, Lei Bao^{1

2

3

4

5}, Long Chen^{1

2

3

4

5}

Affiliations

¹ Department of Neonatology, Children's Hospital of Chongqing Medical University, Chongqing, China.
² Chongqing Key Laboratory of Pediatrics, Chongqing, China.
³ Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.
⁴ National Clinical Research Center for Child Health and Disorders, Chongqing, China.
⁵ China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China.
⁶ Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Abstract

Objective: The aim of the present study was to explore the association between neonatal arrhythmia (NA) and mortality and recurrence.

Methods: A single-center, retrospective study was performed between January 1, 2015, and December 31, 2019. Neonates with NA were eligible and divided into either benign or non-benign groups. The primary outcomes were mortality and recurrence within 2 to 6 years.

Results: NA was diagnosed in 189 patients (0.39%) after screening 47,911 hospitalized neonates, and 10 of them did not finish the follow-up. Finally, 179 neonates were included into the final analysis (58 in the non-benign NA and 121 in the benign NA groups). The incidences of death and recurrence for NA were 5.59% (10/179) and 18.44% (33/179). Compared with neonates with benign NA, those neonates with non-benign NA were shown higher rates of death (13.79% vs. 1.65%; odds ratio [OR], 5.73; 95% confidence interval [CI], 1.07-31.01; p = 0.04) and recurrence (44.83% vs. 5.79%; OR, 8.49; 95% CI, 3.12-23.08; p < 0.001).

Conclusions: Neonates with non-benign NA were shown higher rates of death and recurrence when compared with benign NA. Because of high recurrence, more attention was needed in neonates with non-benign NA after discharge.

Keywords: arrhythmia; follow-up; mortality; neonatal intensive care unit; neonates; recurrence.