Disease Patterns and Outcomes of Neonatal Admissions at a Secondary Care Hospital in Pakistan = أنماط المرض و النتائج لحديثي الولادة المرقدين في مستشفى مرجعي ثانوي في باكستان

Ali, Safdar; Ahmed, Shakeel; Lohana, Heeramani

doi:10.12816/0003265

Cited by 10 publications

(5 citation statements)

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“…Outborn babies died significantly more compared to inborn babies due to sepsis (25.87% vs. 14.37%) These mortality data showed similar patterns in other studies [5][6][7][8][9][10][11][12]. In NICU, mortality can be reduced substantially if a good disinfection and hygiene practices are established as part of essential newborn care in peripheral hospital and referral center.…”

Section: Meena Et Alsupporting

confidence: 81%

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Morbidity and Mortality Profile of Neonates Admitted in Neonatal Intensive Care Unit in a Tertiary Care Hospital, South-Eastern Rajasthan, Jhalawar Medical College, Jhalawar: A Retrospective Study

MEENA,

PUNIA,

SHARMA

et al. 2024

Asian J Pharm Clin Res

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Objective: The objective of this study was to study the morbidity and mortality patterns in a special newborn care unit (SNCU)/neonatal intensive care unit (NICU) of a tertiary care teaching hospital. Methods: A retrospective study was carried out in the SNCU/NICU of Jhalawar Medical College, Jhalawar. The duration of the study was 3 years. A retrospective case record review and analysis was done. Secondary data collected from the online SNCU Software (National Health mission Government of India). Results: Eight thousand seven hundred and forty-eight neonates were admitted in NICU. 2488 (59.9%) were male and 1657 (40.1%) were female, 4047 (46.3%) were normal birth babies, and 4701 (53.7%) were low birth weight babies. According to the outcome, total 6753 (77.19%) were discharged successfully, 1464 (16.66%) died, 382 (4.36%) were referred, and 149 (1.7%) were leave against medical advice. Birth asphyxia was the most common morbidity 2404 (27.36%) followed by neonatal sepsis (18.06%) and neonatal jaundice (15.44%). Birth asphyxia were more in inborn unit (p<0.0001). Sepsis is more prevalent in out born unit (p<0.0001). Hypoxic ischemic encephalopathy/moderate-to-severe birth asphyxia was the most common cause of death (28.23%), followed by neonatal sepsis (20.62%) and respiratory distress syndrome (19.35%), and major congenital malformations were cause of death in 106 (7.24%). Mortality due to neonatal sepsis was significantly high in outborn unit (p<0.0001). Conclusion: Birth asphyxia, neonatal sepsis, and respiratory distress syndrome were the leading causes of mortality in this study. These leading causes of mortality in the study could be prevented by adequate training of nursing staff and doctors, timely referral to tertiary care if required.

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Section: Meena Et Alsupporting

confidence: 81%

“…Among sick neonates, the most common causes for morbidity were sepsis (18.1%), birth asphyxia (15.6%), and RDS (11.5%). Incidence of sepsis was at par with other NICU in Pakistan and South Africa[6][7][8][9][10][11][12]. The incidence of RDS can be attributed to increased preterm admissions.…”

mentioning

confidence: 99%

Morbidity and Mortality Profile of Neonates Admitted in Neonatal Intensive Care Unit in a Tertiary Care Hospital, South-Eastern Rajasthan, Jhalawar Medical College, Jhalawar: A Retrospective Study

MEENA,

PUNIA,

SHARMA

et al. 2024

Asian J Pharm Clin Res

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“…The incidence of neonatal sepsis in our study population was 53.8%, with PROM, prior abortion, and mode of delivery found to be significantly associated. The prevalence of sepsis correlates with a study conducted in Nepal, 34 but is higher than that found in a Pakistan study 42 and a South African study -20%, 21%, respectively 9 -and lower than the incidence of 68% found in Gondar. 8 The variance in reported prevalence of neonatal sepsis could be explained by patient characteristics, referral patterns, and infection-control practices.…”

Section: Magnitude Of Neonatal Sepsis and Factors Influencing Itsupporting

confidence: 66%

Magnitude of Neonatal Admission Diagnosis and Associated Factors at Selected Hospitals in Wollo, Northeast Ethiopia

Asmamaw,

Getachew,

Demeke

et al. 2023

RRN

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Background: Neonates are commonly admitted to neonatal intensive care units, and the type(s) of admission determine the outcome of the neonate. Therefore, we sought to assess the magnitude of neonatal admission and associated factors at selected hospitals in Wollo, northeast Ethiopia in 2022. Methods: A cross-sectional study on 422 admitted mother-neonate pairs was conducted. Data were collected by face-to-face interviews and reviewing patient records and then entered and analyzed using EpiData version 3.1 and Stata version 14, respectively. Binary logistic regression analyses were employed, and P<0.05 was considered statistically significant on multivariate analysis.

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“…In the current study, males were higher in number 1069 (60%) at admission which is in agreement with studies done in Ethiopia, Gonder (58.3%), in St Paul's Hospital Millennium Medical College (61.1%) and other developing countries like South Africa (57.8%) India (63.3%) Pakistan (63%). 15,[19][20][21][22] The reasons could be due to cultural and societal factors in some society's male babies have more attention from caregivers than females. Male neonates also outnumbered females with respect to mortality (62.4%).…”

Section: Discussionmentioning

confidence: 99%

<p>Prevalence and Factors Associated with Neonatal Mortality at Ayder Comprehensive Specialized Hospital, Northern Ethiopia. A Cross-Sectional Study</p>

Hadgu¹,

Gebretsadik²,

Mihretu³

et al. 2020

PHMT

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Background:The neonatal period is the most vulnerable time of human life for diseases. Neonatal morbidity and mortality are significant contributors to under-five morbidity and mortality in sub-Saharan Africa. Objective: To assess prevalence and factors associated with neonatal mortality at Ayder Comprehensive Specialized Hospital. Methods: A facility-based cross-sectional study was conducted on neonates admitted to the neonatal intensive care unit of Ayder Comprehensive Specialized Hospital from June 1, 2018 to May 30, 2019. Data were taken retrospectively from patient records during admission, discharge, and death certificate issue. The data were entered and analyzed using SPSS version 23. Descriptive and logistic regression analysis was done to describe and identify associated factors with neonatal mortality. P-values <0.05 were considered statistically significant. Results: During the study period, 1785 neonates were seen and 1069 (60%) were males. Neonatal mortality rate was 298 (16.7%). Of all the deaths, 98.3% occurred during the first 7 days of age. Respiratory distress syndrome (AOR: 12.56; 95% CI: 6.40-24.66:), perinatal asphyxia (AOR: 19.64; 95% CI: 12.35-31.24), congenital anomaly (AOR: 2.42; 95% CI: (1.48-4.01), early neonatal sepsis (AOR: 3.68; 95% CI: 2.32-5.81), late onset sepsis (AOR: 8.9; 95% CI: 4.14-19.21), gestational age, 34-36+6 weeks (AOR: 0.09; 95% CI: 0.014-0.59), 3741+6 weeks (AOR: 0.025; 95% CI: 0.0030.218), >42 weeks (AOR: 0.039; 95% CI: 0.004-0.4250), parity (AOR: 0.64; 95% CI: 0.44-0.93) and hospital stay (AOR: 0.09; 95% CI: 0.05-0.14) were significantly associated with neonatal mortality. Neonates with a birth weight of less than 1500 g were at 49%, 70%, and 80% increased odds of mortality compared to those 1500-2499 g, 2500-3999 g, and more than 4000 g, respectively. Conclusion: In this study neonatal mortality was significantly high. Neonatal mortality was highly associated with primipara, prematurity, low birth weight, perinatal asphyxia, respiratory distress syndrome, congenital anomaly, neonatal sepsis and duration of hospital stay. Many of those cases could be prevented by improving antenatal care follow up, emergency obstetric services, and the enhancement of neonatal resuscitation skills and management of sick neonates.

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Disease Patterns and Outcomes of Neonatal Admissions at a Secondary Care Hospital in Pakistan = أنماط المرض و النتائج لحديثي الولادة المرقدين في مستشفى مرجعي ثانوي في باكستان

Cited by 10 publications

References 0 publications

Morbidity and Mortality Profile of Neonates Admitted in Neonatal Intensive Care Unit in a Tertiary Care Hospital, South-Eastern Rajasthan, Jhalawar Medical College, Jhalawar: A Retrospective Study

Morbidity and Mortality Profile of Neonates Admitted in Neonatal Intensive Care Unit in a Tertiary Care Hospital, South-Eastern Rajasthan, Jhalawar Medical College, Jhalawar: A Retrospective Study

Magnitude of Neonatal Admission Diagnosis and Associated Factors at Selected Hospitals in Wollo, Northeast Ethiopia

<p>Prevalence and Factors Associated with Neonatal Mortality at Ayder Comprehensive Specialized Hospital, Northern Ethiopia. A Cross-Sectional Study</p>

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