Clinical Profile and Outcome of Neonates Admitted to Neonatal Intensive Care Unit (NICU) at a Tertiary Care Centre in Eastern Nepal

Shah, G. L.; Yadav, Satish Kumar; Thapa, Ajit; Shah, Lokraj

doi:10.3126/jnps.v33i3.8447

Cited by 37 publications

(61 citation statements)

References 12 publications

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“…Similar findings were seen in study conducted by Shah et al 10 It was observed that around 72% of neonates admitted were out born which is comparable to the study of conducted by Rakholia et al were it was 67%. 9 Sepsis accounted for 48% of admission in SNCU.…”

Section: Discussionsupporting

confidence: 81%

Assessment of socio-clinical profile of neonates admitted in sick neonatal care unit of tertiary care hospital: Odisha

et al. 2017

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Background: Neonatal mortality rate of 29 and early neonatal mortality rate is 20 which contributes 53% of IMR. India targets to achieve single digit under 5 and neonatal death by 2030. Early identification and management of common morbidities among neonates is desirable for improving the survival. Therefore, this study was conducted with the aim of assessing socio-clinical profile of neonates admitted to SNCU and its impact on morbidities of newborn from different strata.Methods: A cross sectional study was conducted in SNCU of MKCG medical college from January 2016 to December 2016. Convenient sampling was done. Data was collected using pre-designed semi structured questionnaire.Results: Total 752 study subjects were taken. Most common cause of admission was sepsis (47.4%) followed by prematurity (27.8%), birth asphyxia (13.9%) and IUGR (7.5%). Majority of out born neonates were admitted for sepsis (87.9%) while in born neonates for birth asphyxia (81.9%). All the morbidities were significantly higher among early neonates, babies born to illiterate mother and those with inadequate antenatal check-up.Conclusions: Majority of babies were out born, may be due to delay and lack of quality new born care in the referring facilities. Sepsis was most common preventable morbidity by simple intervention of clean delivery practices which should be promoted. Birth asphyxia can be reduced by adequate skill development training of the staffs and minimising the 3 delays maternal care.

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Section: Discussionsupporting

confidence: 81%

Assessment of socio-clinical profile of neonates admitted in sick neonatal care unit of tertiary care hospital: Odisha

et al. 2017

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“…Verder et al and Reininger et al showed that CPAP along with surfactant (by InSurE) as compared to CPAP alone in symptomatic preterm neonates with RD decreases the need of mechanical ventilation. 10 This is in contrast to our studies, as mortality on BCPAP was 50% and discharges were only 20%. This needs more introspection and care of the babies on CPAP and augment the need for surfactant for better outcome of babies in SNCUs.…”

Section: Figurecontrasting

confidence: 55%

Outcomes of Babies on Bubble Cpap Admitted in Sncu (Level Ii) at Acsr Gmc, Nellore, India

Babu¹,

P²

2018

jemds

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BACKGROUND India contributes to one-fifth of the global live births and of the 25 million babies born in India every year 1 million die. India alone contributes to 25% of neonatal mortality around the world. The aim of the study is to assess the morbidity profile of babies admitted in SNCU requiring Bubble CPAP and their outcomes on Bubble CPAP in terms of complications, duration of BCPAP, discharges and deaths on BCPAP. MATERIALS AND METHODS50 neonates were on CPAP during the study period. All data were collected from recorded case sheets as inborn or outborn admissions, sex, gestational age, weight for gestation, referral centre, age at presentation, indications for BCPAP, duration of BCPAP, complications encountered and outcome of these babies on BCPAP. Study Design-It is a prospective observational study observed during July 2016 to Dec 2016 (6 months). RESULTSOf the 50 babies on BCPAP, males were 50% and females were 50%. Most of the babies on BCPAP in SNCU were preterm 32 (64%) than term 18 (36%). As per birth weight, most of the admitted babies were between 1500 -2500 gms (82%). In terms of morbidity, most of the babies on BCPAP were due to RDS/ HMD 28 (56%) followed by Birth Asphyxia 7 (14%), MAS/ Pneumonia 4 (8%), Sepsis 4 (8%), Apnoeas 3 (6%), CHD 2 (4%) and other causes 2 (4%). Outcomes-Out of 50 babies on BCPAP 10 babies (20%) got discharged, LAMA 12 (24%), referral to higher centre for advanced ventilation 3 (6%) and deaths were 25 (50%). The major morbidity for mortality was due to RDS/ HMD 13 (52%) followed by Birth Asphyxia 5 (20%), Pneumonia 1 (4%), Sepsis 2 (8%), Apnoeas (8%) and Others 1 (4%). CONCLUSIONAvailable evidence from observational studies suggests that CPAP is a safe and effective mode of therapy in preterm neonates with respiratory distress in resource poor countries. It reduces the in-hospital mortality and the need for ventilation, thereby minimising the need for up-transfer to a referral hospital. But in spite of this evidence the mortality of babies on CPAP in our SNCU is still high and this signifies more training of manpower, critical monitoring of babies on CPAP and need for surfactant for better outcomes of the babies on BCPAP.

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“…perinatal asphyxia with hypoxic ischemic encephalopathy and meconium aspiration syndrome in accounted for 11.2% of total neonatal admission. Previous studies had described higher admission for perinatal asphyxia, 20% by Shah et al from the eastern Nepal 22 and 22% by Hedstrom et al from rural Uganda. 9 Though there is high prevalence of SGA in our country (17.9%) from the earlier data, 19 uncomplicated small for gestation accounted for only 2.8 % of hospital admission in current study.…”

Section: Discussionmentioning

confidence: 96%

Morbidities and Outcome of a Neonatal Intensive Care in Western Nepal

Adhikari

Rao

Ganesh

et al. 2017

J Nepal Health Res Council

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Background: Neonatal mortality rate of developing countries is declining over decades. In the recent years increasing number of preterm and high risk neonates have facilities for tertiary care treatment. The aim of the study was to assess the morbidities and outcome of neonatal intensive care admissions.Methods: It was a retrospective observational study carried out in neonatal intensive care unit of the Manipal Teaching Hospital, Pokhara, Nepal from January 2014 to December 2015. Neonatal details including place of delivery, birth weight, gestation, diagnosis at admission, hospital course and final outcome were recorded in predesigned proforma. Risk of mortality was calculated using odds ratio and 95% confidence interval. Results: There were total 1708 admission during study period and inborn as well as out born neonates were equally admitted. Neonatal hyperbilirubinemia (37.1%), neonatal sepsis 532 (31.2%), prematurity, 314 (18.4%) perinatal asphyxia 112 (6.6%), meconium aspiration syndrome 79 (4.6%) and intrauterine growth restriction 49 (2.8%) were main indications for hospitalization. A total of 1410 (82.6%) the patients were discharged after treatment, 167 (9.7) left against medical advice, 115 (6.7%) died in hospital and 16 (1%) cases were referred. Preterm neonates had twice the risk of mortality than term neonates (OR =2.1664). Birth weight < 2500 grams had three times more risk of neonatal mortality than normal birth weight (OR =3.0783).Conclusions: Neonatal hyperbilirubinemia, prematurity and neonatal sepsis were common morbidities inneonatal intensive care unit.

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Clinical Profile and Outcome of Neonates Admitted to Neonatal Intensive Care Unit (NICU) at a Tertiary Care Centre in Eastern Nepal

Cited by 37 publications

References 12 publications

Assessment of socio-clinical profile of neonates admitted in sick neonatal care unit of tertiary care hospital: Odisha

Assessment of socio-clinical profile of neonates admitted in sick neonatal care unit of tertiary care hospital: Odisha

Outcomes of Babies on Bubble Cpap Admitted in Sncu (Level Ii) at Acsr Gmc, Nellore, India

Morbidities and Outcome of a Neonatal Intensive Care in Western Nepal

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