{"title":"PATTERN AND OUTCOME OF NEONATAL SURGICAL CASES\nAT TIKUR ANBESSA UNIVERSITY TEACHING HOSPITAL,\nADDIS ABABA, ETHIOPIA.","authors":"Nebiyu Shitaye, Belachew Dejene","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The survival of neonates with surgical conditions has greatly improved in developed countries, but\nstill remains poor in developing countries. Available evidence suggests that this is due to several challenges encountered\nin neonates requiring surgical care. The aim of this study was to determine causes and outcomes of\nneonatal surgical admissions.</p><p><strong>Patients and methods: </strong>retrospective review of medical records of neonates who were admitted and treated at Tikur\nAnbessa Hospital between January1, 2010 and December 31, 2014. Data were analyzed using descriptive statistics\nand association between variables measured using regression analysis on SPSS version 16 statistical software.</p><p><strong>Results: </strong>There were a total of 652 surgical neonatal admissions during the study period of which 396 were males,\n252 females and 4 with indeterminate genitalia. The male to female ratio was 1.6:1. Majority of the cases 562\n(86.2%) had congenital malformation. Lesions of the gastrointestinal tract 282(43.3%), mainly Anorectal malformations\nfollowed by abdominal wall defects. Two-third (66.6%) of the cases were surgically managed. Nearly onequarter\nof them died. The proportion who died ranged from 0.03% for Hirschsprung’s disease to 73.2% for esophageal\natresia. The immediate causes of death among these series of neonates were ascribed to septic shock and\nrespiratory failure.</p><p><strong>Conclusion: </strong>Neonatal surgical admission is common in the Hospital. The overall number of deaths in this series of\nneonatal surgical cases was high. The type of principal diagnosis and the age of the neonates at admission were\nsignificantly associated with outcome. Creating awareness about neonatal surgical conditions may help to improve\nthe current poor result.</p>","PeriodicalId":11937,"journal":{"name":"Ethiopian Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethiopian Medical Journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: The survival of neonates with surgical conditions has greatly improved in developed countries, but
still remains poor in developing countries. Available evidence suggests that this is due to several challenges encountered
in neonates requiring surgical care. The aim of this study was to determine causes and outcomes of
neonatal surgical admissions.
Patients and methods: retrospective review of medical records of neonates who were admitted and treated at Tikur
Anbessa Hospital between January1, 2010 and December 31, 2014. Data were analyzed using descriptive statistics
and association between variables measured using regression analysis on SPSS version 16 statistical software.
Results: There were a total of 652 surgical neonatal admissions during the study period of which 396 were males,
252 females and 4 with indeterminate genitalia. The male to female ratio was 1.6:1. Majority of the cases 562
(86.2%) had congenital malformation. Lesions of the gastrointestinal tract 282(43.3%), mainly Anorectal malformations
followed by abdominal wall defects. Two-third (66.6%) of the cases were surgically managed. Nearly onequarter
of them died. The proportion who died ranged from 0.03% for Hirschsprung’s disease to 73.2% for esophageal
atresia. The immediate causes of death among these series of neonates were ascribed to septic shock and
respiratory failure.
Conclusion: Neonatal surgical admission is common in the Hospital. The overall number of deaths in this series of
neonatal surgical cases was high. The type of principal diagnosis and the age of the neonates at admission were
significantly associated with outcome. Creating awareness about neonatal surgical conditions may help to improve
the current poor result.
期刊介绍:
The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.