Three years of paediatric morbidity and mortality at the national hospital in <scp>D</scp>ili, <scp>E</scp>ast <scp>T</scp>imor

Bucens, Ingrid K; Reid, Alison; Barreto, Aniceto Cardoso; Dwivedi, Vikas; Counahan, Megan

doi:10.1111/jpc.12305

Cited by 9 publications

(18 citation statements)

References 17 publications

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“…59.6% of admissions in our study is predominated by male neonates, which is similar to studies from Shivamogga and Pakistan that had 58% and 63% respectively [11,10]. Our study had 89.8% newborn admissions within 7 days of birth similar to Prasad v study which had 85.5% admissions within 10days of birth, where as a study from Timor, Africa had only 27% of admission within 7 days of life [9,12]. In this study 25% of admission was by preterms and 40.6% by low birth weight babies.…”

Section: Discussionsupporting

confidence: 87%

“…Sepsis was low 6.4% and 5.1% in studies from Bangladesh and Shivamogga [4,11].A study from Bihar (23.3%) had sepsis rates similar to the present study [14].Birth asphyxia (23.5%) was high in our study; however a study from Bangladesh had 28.5% [4]. Other studies showed the same to be lower than our study12%, 18.5% and 7.1% [12,14,11].High incidence in our study is because of referral of many high risk pregnancies with fetal distress to our centre for delivery as evidenced by 22% of babies born with MSAF. In this study Respiratory problem (HMD, MAS, TTN and BP) was 13.9%, while a study from Africa (22%) had higher than ours [12].…”

Section: Discussionsupporting

confidence: 72%

“…Studies from Africa reported sepsis in 37% and 38% of neonates which is higher than our study [8,12]. Sepsis was low 6.4% and 5.1% in studies from Bangladesh and Shivamogga [4,11].A study from Bihar (23.3%) had sepsis rates similar to the present study [14].Birth asphyxia (23.5%) was high in our study; however a study from Bangladesh had 28.5% [4].…”

Section: Discussionsupporting

confidence: 55%

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Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India

Iyer¹,

Gornale²,

Pj³

et al. 2015

Int J Pediatr Res

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Background: Neonatal outcome is a sensitive indicator of availability, utilization and effectiveness of obstetrics and neonatal health care in the community. Review of hospital based mortality and morbidity pattern is critical to improve the quality of health care delivery system in that hospital. Objectives: To study the morbidity and mortality pattern of neonates admitted to neonatal intensive care unit (NICU) of a rural medical college hospital. Material and methods: All the neonates admitted to NICU from July 2013 to June 2015 were retrospectively analysed for demographic profile, short term morbidity and outcome. Results: 1580 neonates were admitted in the study period. 59.5% were Males, 63% were inborn, 75% were term babies and 59.5% had normal birth weight. 89.8% were admitted in early neonatal period. Important causes for admission were sepsis (24%)), birth asphyxia (23.6%), prematurity and low birth weight care (18.5%), Respiratory problems (13.9%) and hyperbilirubinemia (10.3%). The outcome of the admitted babies showed 83% discharges, 3.7% deaths, 12.2% discharge against medical advice and 1.96% referred to another centre. The major causes of mortality were birth asphyxia including hypoxic ischemic encephalopathy (45%), sepsis (27.5%) and respiratory problems (27.5%). The survival of term as well as inborn babies was better than that of preterm and out born neonates respectively. Conclusion: Birth asphyxia, neonatal sepsis, prematurity and respiratory problems were major causes of both mortality and morbidity. There is need to strengthen services to address these problems more effectively.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 72%

Section: Discussionsupporting

confidence: 55%

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Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India

Iyer¹,

Gornale²,

Pj³

et al. 2015

Int J Pediatr Res

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“…The Timor‐Leste Demographic and Health Survey (TLDHS), a nationwide survey of selected households indicated a perinatal mortality rate (PNMR) of 20/1000 live births, a stillbirth rate of 3/1000 births and an early neonatal death rate of approximately 17/1000 live births . Published data from retrospective reviews at Hospital Nacional Guido Valadares (HNGV) indicated a stillbirth rate of 29/1000 births and a neonatal mortality rate (NNMR) of 18/1000 live births, without a specific assessment of early neonatal deaths . In comparison, Timor‐Leste's closest neighbours, Indonesia and Australia have stillbirth rates of 13/1000 and 7/1000 births and NNMRs of 14/1000 and 2/1000 live births, respectively…”

Section: Introductionmentioning

confidence: 99%

“…5 Published data from retrospective reviews at Hospital Nacional Guido Valadares (HNGV) indicated a stillbirth rate of 29/1000 births 6 and a neonatal mortality rate (NNMR) of 18/1000 live births, without a specific assessment of early neonatal deaths. 7 In comparison, Timor-Leste's closest neighbours, Indonesia and Australia have stillbirth rates of 13/1000 and 7/1000 births and NNMRs of 14/1000 and 2/1000 live births, respectively. 8,9 Accurate classification of causes and associated conditions for perinatal deaths may inform strategies to reduce mortality rates.…”

Section: Introductionmentioning

confidence: 99%

A prospective review of perinatal mortality at Hospital Nacional Guido Valadares (HNGV)

Jayaratnam

Soares

Bucens

et al. 2019

Aust NZ J Obst Gynaeco

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Background Timor‐Leste has one of the highest perinatal mortality rates in the Asia‐Pacific region. Consistent and accurate data collection improves understanding of perinatal outcomes and facilitates the development of interventions to reduce stillbirths and early neonatal deaths. Aims (1) To identify changes in the rates of stillbirth and early neonatal deaths from previous published data. (2) To determine if prospective data collection and the application of the simplified Causes Of Death and Associated Conditions (CODAC) classification allows better identification of perinatal deaths in Timor‐Leste. Methods A prospective audit of perinatal deaths of women delivering at Hospital Nacional Guido Valadares (HNGV) was undertaken from January to June 2016 inclusive. The hospital birth registry, maternal and neonatal records were reviewed to determine the most likely aetiology and classification of perinatal deaths using the simplified CODAC system. Results One hundred and ten stillbirths and 28 early neonatal deaths were identified. Fifty‐four percent of perinatal deaths occurred antepartum, 26% intrapartum and 20% were early neonatal deaths. Cause of death among stillbirths could not be ascertained in 40% of cases. Intrapartum asphyxia was the commonest identified aetiology of intrapartum and early neonatal deaths. Conclusion There has been limited improvement in the rate of stillbirths and early neonatal deaths at HNGV. Intrapartum hypoxia and maternal hypertensive conditions were the most common identified aetiologies highlighting areas where targeted interventions may help reduce high perinatal mortality rates. Aetiology of perinatal deaths, particularly antepartum stillbirths was difficult to discern even when well‐tested classification systems are used.

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A pilot study investigating severe community-acquired febrile illness through implementation of an innovative microbiological and nucleic acid amplification testing strategy in Timor-Leste (ISIN-MANAS-TL)

Ximenes,

de Jesus,

de Sousa

et al. 2024

IJID Regions

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Three years of paediatric morbidity and mortality at the national hospital in Dili, East Timor

Abstract: The study provides, for the first time, an understanding of the admissions and outcomes of the busiest paediatric inpatient unit in East Timor. It emphasises important health system issues which impact on both data quality and hospital outcomes.

Cited by 9 publications

References 17 publications

Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India

Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India

A prospective review of perinatal mortality at Hospital Nacional Guido Valadares (HNGV)

A pilot study investigating severe community-acquired febrile illness through implementation of an innovative microbiological and nucleic acid amplification testing strategy in Timor-Leste (ISIN-MANAS-TL)

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