Pattern of Admission and Outcome in a Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Dhaka, Bangladesh

Tajkia, Gule; Amin, Syed Khairul; Rahman, MM; Setu, Mumtahina; Roy, Kuntal; Halder, Soma; Rahman, Mohammad Mahbubur

doi:10.3329/akmmcj.v10i2.44128

Cited by 3 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is similar to findings in Pakistan, India, which also reported birth asphyxia as the major cause of mortality and contributed 46% and 30% of the total mortality respectively [35,36]. Most studies however reported prematurity/low birth weight as the commonest cause of death and accounted for between 35%-70% of neonatal deaths among admitted neonates [25,26,[37][38][39]. A previous study in Bangladesh however reported neonatal infection as the predominant cause of death (29%) among the admitted neonates [40].…”

Section: Mortality Rate and Causes Of Mortalitysupporting

confidence: 83%

Pattern of Neonatal Admissions and Care Outcomes in Special Care Newborn Unit of Cox’s Bazar District Hospital, Bangladesh

Oladeji

Zaman²,

Alam³

et al. 2022

AJPR

View full text Add to dashboard Cite

Background: Neonatal morbidity and mortality contribute significantly to under‑five morbidity and mortality. A substantial reduction in neonatal mortality is therefore necessary to achieve the Sustainable Development Goals targets. Aims: Assessed the pattern of neonatal admission and care outcomes. Place and Duration of Study: Special Care Newborn Unit of Cox’s Bazar District hospital, Bangladesh conducted in September 2022. Methodology: Hospital-based retrospective study. Data extracted from the admission register and the records of 3982 newborns admitted between August 2021 and July 2022. Bivariate analysis using the Chi-square test, was performed to determine factors associated with neonatal mortality and p value was set at significant level of 5%. Results: 3982 neonates were admitted, 2426 (61%) were male and 1556 (39%) were female with1071 (27%) from the hospital and 2911(73%) from outside the hospital. Birth asphyxia was the commonest morbidity,49% followed by Low Birth Weight/prematurity (18%) and neonatal sepsis 17%. 3,225 (81.4%) of the neonates admitted survived while 538 (13.5%) died and 203(5.1%) were discharged against medical advice. There was significant association between birth weight, morbidity pattern and mortality p<0.05) with most deaths associated with prematurity/LBW. There was significant association between neonatal mortality and the place of delivery, death among outborn was 16% compared with 7% among inborn (p<0.05) but no significant association between neonatal mortality and gender. Conclusion: There was a high burden of neonatal care at the hospital and majority of causes of neonatal morbidity and mortality were preventable. There is need for holistic approach to pregnancy, delivery and newborn care to reduce neonatal morbidity and mortality in the district.

show abstract

Section: Mortality Rate and Causes Of Mortalitysupporting

confidence: 83%

Pattern of Neonatal Admissions and Care Outcomes in Special Care Newborn Unit of Cox’s Bazar District Hospital, Bangladesh

Oladeji

Zaman²,

Alam³

et al. 2022

AJPR

View full text Add to dashboard Cite

show abstract

“…About 16.3% of total admissions were due to prematurity complications which accounted for the third most common cause of admissions to the NCU. This incidence is higher than that of (Shakya et al, 2014), which was 6.5%, and this finding was different from other centers where the percentages of premature babies were higher (35% to above 50%) (Demisse et al, 2017;Tajkia et al, 2019), which suggests good ante-natal care in Al-Bayda. On the other hand, the rate of birth asphyxia 3.2% was much lower than others from Misurata and Bangladesh by (Ashour et al, 2014;Hoque et al, 2013).…”

Section: Discussioncontrasting

confidence: 57%

Disease Burden of Neonatal Care Unit at Al-Bayda Medical Center Al-Bayda Libya

Younis

Saed

2021

MJSc

View full text Add to dashboard Cite

This research was conducted to determine the number, disease pattern, and outcome of the patients admitted at the Neonatal Care Unit (NCU) at Al-Bayda medical center (AMC) in Libya. A retrospective cross-sectional descriptive study was carried out on all neonates admitted to the NCU between January 2008 and December 2008. The collected data include age, gender, mode and site of delivery, number of gestations, maturity, duration of stay, cause of admission, and outcome. Total infants delivered were 10075, 620 (6.1%) of them were admitted to NCU with a (6.15%) admission rate, 56.5% were male and 43.5% were female, of whom 613 (98.9%) were inborn and 519 (83.7%) were term neonates; 523 (84.4%) of total born were by normal vaginal delivery (NVD). 48.7% of total admissions occurred during the first 24 hours of life. The average length of hospital stay for term births was 5.6 days (SD 5.4) and for preterm 8.7 days (SD 8.55). The common causes of admission were neonatal jaundice (29.3%), followed by neonatal infections (17.6%) were prematurity accounts for (16.3%), and respiratory distress (11.1%). The majority of the admitted neonates improved and were discharged 517 (83.4%), 37(6%) left against medical advice (LAMA) and nineteen (3%) were referred to other specialized hospitals for further management. The neonatal mortality rate was 0.4%, and the overall hospital neonatal mortality rate was 7.6%. According to the cause-specific death rate analysis, prematurity was the most common cause of death (29.8%), followed by sepsis (17%) and birth asphyxia (12.8%). In conclusion, neonatal jaundice, infection, and prematurity complications were the leading causes of morbidity in neonates. The case-fatality rate was high for prematurity, sepsis, and birth asphyxia. Most of these etiologies are preventable to some extent by regular prenatal visits, healthy delivery practices, and timely referral to hospitals which can reduce NCU burden and improve outcomes

show abstract

“…The prevalence of DAMA amongst neonates in the Rivers State University Teaching Hospital of 4.8% in the present study was similar to the 4.3% reported in a previous study [8] in the same locality, Port Harcourt done more than a decade ago but higher than the 3.97%, 3.9%, 1.7%, 1.6% and 1.5% reported in Bayelsa southern Nigeria, Bangladesh, India, Saudi Arabia and Australia respectively. 10,[18][19][20][21] Much higher prevalences of 6.7%, 7.5%, 7.7%, 9.3%, 11.1% and 25.4% were documented in Abuja northern Nigeria, Edo state southern Nigeria, India, Jigawa, Gombe northern Nigeria and India respectively. 1,4,5,7,14,22 These differences could be attributed to different geographic locations, variation over time even in the same locality, socioeconomic status, ignorance, cultural factors as well as the availability of health insurance.…”

Section: Discussionmentioning

confidence: 99%

Discharge against medical advice in the neonatal unit of Rivers State University Teaching Hospital, Nigeria: a two-year prospective study

West,

Briggs

2023

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: Discharge against medical advice (DAMA) is a silent contributor to neonatal morbidity and mortality in Nigeria. Parents' autonomous decision to discontinue medical care of their babies admitted remains an ethical contention that is frustrating for pediatricians and portends poor neonatal outcomes. DAMA remains a challenge arising from an interplay of parental and hospital-related factors. Hence, epidemiologic data are needed, where none previously exists. Aim of the study was to determine the prevalence, neonate and family sociodemographic characteristics, morbidity pattern and reasons for DAMA among neonates admitted to the Rivers State University Teaching Hospital. Methods: A prospective observational study was conducted among neonates admitted from April 2021 to March 2023. Results: Of 1830 neonatal admissions, 87 were discharged against medical advice giving a DAMA prevalence of 4.8%, of which 48 (55.8%) were females. Most, 66 (75.9%) were born at term, 51 (58.6%) had normal birth weight, 38 (43.7%) admitted at <2 hours of life and (41.4%) were above 2nd birth order. Forty-seven (54%) of mothers, 41 (47.1%) of fathers had tertiary education and 61 (70.1%) were of low/middle socioeconomic class. Neonatal sepsis (61.2%) and neonatal jaundice (31.8%) were the commonest morbidities. Most, 65 (74.7%) of DAMA cases occurred in the 1st week of life and the father 63 (73.3%) was the main requestor of DAMA. The commonest reason for DAMA was financial constraints 50 (57.5%). Conclusions: The prevalence of DAMA was 4.8%. Neonatal sepsis and neonatal jaundice were the commonest morbidity with financial constraints being the main reason for DAMA. The father was the requestor for DAMA in the majority of the cases.

show abstract

Pattern of Admission and Outcome in a Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Dhaka, Bangladesh

Cited by 3 publications

References 7 publications

Pattern of Neonatal Admissions and Care Outcomes in Special Care Newborn Unit of Cox’s Bazar District Hospital, Bangladesh

Pattern of Neonatal Admissions and Care Outcomes in Special Care Newborn Unit of Cox’s Bazar District Hospital, Bangladesh

Disease Burden of Neonatal Care Unit at Al-Bayda Medical Center Al-Bayda Libya

Discharge against medical advice in the neonatal unit of Rivers State University Teaching Hospital, Nigeria: a two-year prospective study

Contact Info

Product

Resources

About