Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic.

IF 0.6 Q4 PEDIATRICS

Boletín médico del Hospital Infantil de México Pub Date : 2024-01-01 DOI:10.24875/BMHIM.M2300003

David Rodríguez-Medina, Luis M Avalos-Huizar, Wendy Bolio-Pontigo, Ma Guadalupe Soto-Castañeda, Julio C Cárdenas-Valdez, Claudia K Medina-Ríos

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引用次数: 0

Abstract

Background: With the identification of COVID-19 disease in China, a pandemic began that affected health-care systems. The Neonatal Intensive Care Unit (NICU) of the Hospital de Ginecobstetricia del Centro Médico Nacional de Occidente experienced an increase in patient flow as part of the COVID-19 strategy of the Instituto Mexicano del Seguro Social (IMSS). This study aimed to analyze the impact of the COVID-19 pandemic on neonatal care and mortality indicators in our unit.

Methods: We conducted a retrospective study to compare the number of hospital births, pre-term newborns (PTNB), NICU admissions, and deaths. Changes in frequencies between 2019 and 2021 were analyzed using Poisson distribution. Changes in PTNB births, proportion of admissions, and deaths/NICU discharges were analyzed by z-test for two proportions.

Results: Between 2019 and 2021, the number of births increased by more than 2-fold. NICU admissions increased from 770 in 2019 to 1045 in 2021 (p < 0.01). The ratio of deaths/discharge from the service was 16.9% in 2019 and 13.1% in 2021 (p = 0.02).

Conclusions: Mortality indicators in the NICU decreased from 2019 to 2021, even with the increase in the number of patients admitted during the COVID-19 pandemic.

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COVID-19 大流行期间新生儿重症监护室统计数据的变化。

背景：随着中国发现 COVID-19 疾病，一场影响医疗保健系统的大流行开始了。作为墨西哥社会保障局（IMSS）COVID-19 战略的一部分，西区国立医学中心医院新生儿重症监护室（NICU）的病人流量有所增加。本研究旨在分析 COVID-19 大流行对本医院新生儿护理和死亡率指标的影响：我们进行了一项回顾性研究，以比较住院分娩、早产新生儿（PTNB）、新生儿重症监护室入院人数和死亡人数。采用泊松分布分析了 2019 年至 2021 年期间的频率变化。早产新生儿出生率、入院比例和死亡/新生儿重症监护室出院人数的变化采用两个比例的z检验进行分析：结果：2019 年至 2021 年，出生人数增加了 2 倍多。新生儿重症监护室入院人数从 2019 年的 770 人增至 2021 年的 1045 人（p < 0.01）。2019年的死亡/出院比率为16.9%，2021年为13.1%（p = 0.02）：新生儿重症监护室的死亡率指标从2019年到2021年有所下降，即使在COVID-19大流行期间收治的患者人数有所增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Boletín médico del Hospital Infantil de México PEDIATRICS-

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Boletín Médico del Hospital Infantil de México is a bimonthly publication edited by the Hospital Infantil de México Federico Gómez. It receives unpublished manuscripts, in English or Spanish, relating to paediatrics in the following areas: biomedicine, clinical, public health, clinical epidemology, health education and clinical ethics. Articles can be original research articles, in-depth or systematic reviews, clinical cases, clinical-pathological cases, articles about public health, letters to the editor or editorials (by invitation).