Pattern of admission and outcome of neonates admitted to neonatal intensive care unit of alobaid pediatrics teaching hospital-North Kordofan state, Sudan

Abdelhakam GTamomh, Wafa Fadul, Atif Ahmed, Ahmed Ibn Edriss Mohamed
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Abstract

Background: Neonatal morbidity and mortality in our country is high; In order to improve neonatal outcome, it is crucial to identify the areas where health care can be improved. Therefore, studying the pattern of admission and outcome among neonates can be a valuable tool in auditing hospital performance. Materials and Methods: Descriptive cross sectional hospital based study. This study was covered all neonates fulfills case definition; admitted to NICU of Alobaid pediatric teaching hospital during the period from November 2020 to April. Results: the study show the pattern of admission and outcome among neonates with sample size of 750, most of them admitted at the first 24 hours of birth (94%), (70.8%) were term and almost the half of neonates had birth weight less than 2.5 kg (42.1%). The majority of the admitted neonates were delivered via caesarian-section (62.8%). Moreover, the most common cause of admission among them was prematurity and especially RDS (29%), neonatal sepsis (16.5%) and TTN (14%).About tow third of admitted neonates were discharge on good condition (70%) and the overall mortality was 152 neonates (20.4%). Additionally gestational age, maternal complication and antenatal care follow-up were found to be significantly associated with the neonatal outcome. Conclusion: prematurity, RDS and neonatal sepsis were most common cause of admission and death, all these etiologies are preventable up to some extent, and if detected earlier can be effectively treated in order to reduce morbidity and mortality. As (62.8%) of admitted neonates were delivered via caesarian-section, a revisit for the indications of cesarean deliveries may help to improve the neonatal outcome.
苏丹北科尔多凡州alobaid儿科学教学医院新生儿重症监护病房新生儿入院模式和结局
背景:我国新生儿发病率和死亡率高;为了改善新生儿的结局,关键是要确定可以改进保健的领域。因此,研究新生儿的入院模式和结局可以成为审计医院绩效的一个有价值的工具。材料与方法:描述性横断面医院研究。这项研究涵盖了所有符合病例定义的新生儿;于2020年11月至4月入住Alobaid儿科教学医院NICU。结果:本研究显示了750例新生儿的入院模式和结局,其中大多数在出生后24小时入院(94%),足月入院(70.8%),几乎一半的新生儿出生体重小于2.5 kg(42.1%)。入院新生儿以剖腹产为主(62.8%)。其中最常见的入院原因是早产,尤其是RDS(29%)、新生儿脓毒症(16.5%)和TTN(14%)。约三分之二的入院新生儿出院时状况良好(70%),总死亡率为152例(20.4%)。此外,发现胎龄、产妇并发症和产前护理随访与新生儿结局显著相关。结论:早产、RDS和新生儿脓毒症是最常见的入院和死亡原因,这些病因在一定程度上是可以预防的,如果及早发现,可以有效治疗,降低发病率和死亡率。由于(62.8%)入院的新生儿通过剖宫产分娩,重新审视剖宫产的指征可能有助于改善新生儿结局。
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