title: Major anomalies and birth-weight influence NICU interventions and mortality in infants with trisomy 13 or 18.
abstract: To describe neonatal intensive care unit (NICU) medical interventions and NICU mortality by birth weight and major anomaly types for infants with trisomy 13 (T13) or 18 (T18).
  
  
  
  Retrospective cohort analysis of infants with T13 or T18 from 2005 to 2012 in the Pediatrix Medical Group. We classified infants into three groups by associated anomaly type: neonatal surgical, non-neonatal surgical and minor. Outcomes were NICU medical interventions and mortality.
  
  
  
  841 infants were included from 186 NICUs. NICU mortality varied widely by anomaly type and birth weight, from 70% of infants <1500 g with neonatal surgical anomalies to 31% of infants ⩾2500 g with minor anomalies. Infants ⩾1500 g without a neonatal surgical anomaly comprised 66% of infants admitted to the NICU; they had the lowest rates of NICU medical interventions and NICU mortality.
  
  
  
  Risk stratification by anomaly type and birth weight may help provide more accurate family counseling for infants with T13 and T18.
authors.affiliation: Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: K
authors.initials: K
authors.lastname: Acharya
authors.affiliation: Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: S
authors.initials: S
authors.lastname: Leuthner
authors.affiliation: Pediatrix Medical Group, Sunrise, FL, USA.
authors.forename: R
authors.initials: R
authors.lastname: Clark
authors.affiliation: Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: T H
authors.initials: TH
authors.lastname: Nghiem-Rao
authors.affiliation: Pediatrix Medical Group, Sunrise, FL, USA.
authors.forename: A
authors.initials: A
authors.lastname: Spitzer
authors.affiliation: Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: J
authors.initials: J
authors.lastname: Lagatta
mesh_terms: D001724:Birth Weight; D002882:Chromosomes, Human, Pair 13; D002887:Chromosomes, Human, Pair 18; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data*; D008297:Male; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis; D014314:Trisomy; D000073839:Trisomy 13 Syndrome / Q000401:mortality* / Q000628:therapy; D000073842:Trisomy 18 Syndrome / Q000401:mortality* / Q000628:therapy; D014481:United States / Q000453:epidemiology