Brain injury occurring during or soon after birth

The Department of Health and Social Care in England commissioned the Neonatal Data Analysis Unit to develop a working definition for brain injuries occurring during or soon after birth, and report annual rates for 2010-2019 for England using this definition, to monitor progress against the national maternity ambition. Outputs include regional rates of brain injuries by Sustainability and Transformation Partnerships/Local Maternity Systems and Neonatal Operational Delivery Networks.

 

Brain injury report on 2018-2019 data

Brain injuries table 2018-2019

We issue corrections to the reports:

CORRECTION Defining brain injuries 2010 to 2015

CORRECTION Brain injury occurring during or soon after birth 2016 and 2017

CORRECTION Brain-Injuries-Tables_2016-17

 

We have identified an error in data extraction that resulted in

1)    The inclusion of babies with Grade 1 HIE who did not receive therapeutic hypothermia

2)    The exclusion of babies with central nervous system infection after 48 hours after birth.

A data transcription error resulted in:

3)    Incorrect numbers of exclusions

As a result, the following data presented in the original reports is reports are incorrect:

For 2016-2017:

  1.  Annual counts and rates of infants in England with brain injury occurring during or soon after birth (all gestational ages): Table 1 and Figure 1
  2. Annual counts and rates of infants in England with brain injury occurring during or soon after birth (term infants ≥37 weeks gestational age): Table 2 and Figure 2
  3. Annual counts and rates of infants in England with brain injury occurring during or soon after birth (preterm infants <37 weeks gestational age): Table 3 and Figure 3
  4. Annual counts and rates of infants in England with HIE: Table 4
  5. Annual counts and rates of infants in England with central nervous system infection: Table 7
  6. Annual counts and rates of infants (all gestational ages) in 2016 with a diagnosis of brain injury occurring during or soon after birth, without exclusions, by STP, attributed by LSOA of the mother’s residence in England at the time of delivery: Table 11
  7. Annual counts and rates of infants (all gestational ages) in 2017 with a diagnosis of brain injuries occurring during or soon after birth, without exclusions, by STP, attributed by LSOA of the mother’s residence in England at the time of delivery: Table 12
  8. Annual counts and rates of Infants in England (all gestational ages) in 2016 with a diagnosis of brain injury, without exclusions, attributed by neonatal ODN of place of birth; congruent with organisational structure of neonatal services prior to March 2018: Table 13
  9. Results of sensitivity analysis reassigning births and brain injuries associated with St Richard’s Hospital to Thames Valley & Wessex neonatal ODN (from South East Coast ODN), adjusted rates of brain injuries per 1,000 live births: Table 14

For 2010-2015:

  1. Annual counts and rates of infants in England with brain injury occurring during or soon after birth (all gestational ages): Table 1
  2. Annual counts and rates of infants in England with brain injury occurring during or soon after birth (all gestational ages) before and after exclusions: Table 2
  3. Annual counts and rates of infants in England with brain injury occurring during or soon after birth (term infants ≥37 weeks gestational age): Table 3
  4. Annual counts and rates of infants in England with brain injury occurring during or soon after birth (preterm infants <37 weeks gestational age): Table 4

These errors have been corrected in the corrected versions of the report, dated 28th January 2021. For reference the original reports remain available.

Dr Chris Gale, Dr Sabita Uthaya, Miss Sena Jawad, Professor Neena Modi

HIE: Hypoxic Ischaemic Encephalopathy

STP: Sustainability and Transformation Partnership

LSOA: Lower Super Output Area

ODN: Operational Delivery Network

 

For reference, uncorrected original reports can be found below:

UNCORRECTED 2010-2015 Defining brain injuries - final report

UNCORRECTED 2016-2017 Brain injury occurring during or soon after birth