Characteristics of referral neonates in Sanglah Hospital: reviewed from the S.T.A.B.L.E program

Abstract

The purpose of this study was to investigate the number of referral neonates came with an unstable condition (according to a S.T.A.B.L.E program) and characteristic of unstable conditions of the referred neonates. Observational prospective study was conducted for the period of two years from 1st January 2018 to 31st December 2019 in Emergency Department of Sanglah Hospital, Bali, Indonesia. Referred neonates were assessed in term of gender, gestational age, referral characteristic, and condition on arrival at hospital according to S.T.A.B.L.E criteria. According to S.T.A.B.L.E criteria, 283 neonates (54.8%) came on unstable condition. Prematurity (42.6%) was the main reason of referral, 37.9% of them were very low birth weight. Most of them were referred from Denpasar (33.9%), the equipment of transportation were incubator transport (41.8%). T-piece resuscitator used in 30.4% of referred neonates. Characteristics of unstable conditions were mostly hypoglycemia (33%) and 36% of unstable neonates had more than one conditions of instability. This study revealed 283 neonates were unstable and the main reason of transfer neonates is prematurity. Most of them come with unstable conditions that could lead to higher mortality. This study could be as a reference for improvement in neonatal transportation system in Bali.

Health poverty, educational capital and industrial integration of rural households

“…The level of incomes affects the health capital of households. People of different genders, ages and regions will be affected to varying degrees (Ekaputri et al, 2020;Roman et al, 2021;Sribna et al, 2022). There was used data from the British Household Panel Survey (BHPS) 1991-1998 to analyzed the impact of changes in income on the health of male and female residents of the UK.…”