Mortality pattern of hospitalized children in a tertiary care hospital of Kolkata

Roy, Rabindra N.; Nandy, Saswati; Shrivastava, Prabha; Chakraborty, Arindam; Dasgupta, Malay Kumar; Kundu, Tapanendu

doi:10.4103/0970-0218.42062

Cited by 25 publications

(35 citation statements)

References 2 publications

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“…A study by Godale L.et.al (10) also found higher female child mortality rate in same age group. But studies by Roy R.et.al (2) and Singhi S.et.al (7) showed no such difference between two sexes. In this study we found, female children succumbed to poisoning and snake bite, which indicate the importance of evaluating the social aspects of female mortality in future.…”

Section: Discussionmentioning

confidence: 88%

“…All tertiary care hospitals have a Medical record department, which compiles and maintains the medical records patients. The application of the principles of the hospital based childhood mortality pattern can be utilized as an effective www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 83.27 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i3.164 tool for analyzing the cause of death and epidemiological pattern of childhood mortality (2) . This information provides the care seeking behavior of the community and also the quality of the health care being provided.…”

Section: Introductionmentioning

confidence: 99%

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Mortality Pattern among Hospitalized Children (29 Days to 12 Years) At a Tertiary Care Hospital in South India

Deenadayalan¹

2017

jmscr

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Mortality Pattern among Hospitalized Children (29 Days to 12 Years) At a Tertiary Care Hospital in South India

Deenadayalan¹

2017

jmscr

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“…The most common causes of neonatal morbidity and mortality in our findings are birth asphyxia, prematurity, neonatal infection and congenital abnormality and are consistent with other findings. 1,6,[13][14][15]22 The high number of neonatal deaths due to prematurity in our study probably draws attention to the high work load in our neonatal unit which, along with fewer trained nursing staff, negates chances for the best possible care required for these premature babies. One-third of the neonates admitted were by Caesarean section.…”

Section: Discussionmentioning

confidence: 99%

“…8,10,12 The predominance of males for both admissions (58%) and deaths (63%) in our study raises the issues of biological vulnerability of male neonates as it is found universally in other studies. [13][14][15][16] Prematurity and low birthweight continue to be the major public health problems observed in our setting as is the case in many other developing countries. [17][18][19][20] Prematurity and its sequaelae are the main cause for hospital admission (23.5%) and neonatal deaths (43%) in Empangeni Hospital.…”

Section: Discussionmentioning

confidence: 99%

Causes of neonatal admissions and deaths at a rural hospital in KwaZulu-Natal, South Africa

Hoque¹,

Haaq

Islam

2011

Southern African Journal of Epidemiology and Infection

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One of the Millennium Development Goals (MDG-4) is to reduce child mortality by up to two-thirds by 2015. In most developing countries, a higher proportion of neonatal deaths are observed. We quantify the causes of neonatal morbidity and mortality at a rural hospital. A retrospective review of consecutive neonatal admissions to Empangeni Hospital, between January and December 2005, was conducted. Of 1,573 admissions, male babies made up 57.8% of admissions and 63% of the deaths. The most common causes of admission were birth asphyxia (38.2%), prematurity (23.5%), and infection (21%). The average length of stay was 9.2 days (SD 12 days). The overall mortality rate was 13.8% but higher (23.4%) among the referred babies. Admission and death rates of low birthweight babies (<2,500g) were 53% and 84%, respectively. Two-thirds (67.7%) of those babies who died were born preterm. Over half (56.6%) of the deaths took place within the first three days of life. Logistic regression showed that extremely low birthweight (OR=13.923, 95% CI:5.759; 33.656), male sex of the babies (OR=1.633, 95% CI:1.132; 2.356), and preterm delivery (OR=2.975, 95% CI: 1.296; 6.836) were significant predictors of neonatal death. A substantial proportion of neonatal mortality occurs in the hospital neonatal unit. Asphyxia, prematurity, low birthweight and neonatal infection are the leading cause of neonatal hospitalisation and deaths. Several simple and effective interventions exist to minimise neonatal admissions and deaths in South Africa.Peer reviewed.

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“…7,9 Aspiration can occur in utero with fetal gasping or after birth with the first breaths of life. 10 As meconium staining amniotic fluid is associated with lots of adverse outcome of fetus and has long been considered to be a bad predictor of fetal outcome and as there is no significant data in our country, so this observational study was undertaken to find out immediate fetal outcome in meconium stained immediate resuscitation, hospitalization amniotic fluid and the requirement of and mortality.…”

Section: Introductionmentioning

confidence: 99%

Neonatal outcome in meconium stained amniotic fluid: a hospital based study

Singh¹,

Singh²,

Thapar³

2017

Int J Contemp Pediatr

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Background: Amniotic fluid surrounds the baby in utero and provides a protective and low resistance environment and acts as a cushion for the baby. It is secreted by amniotic membranes, foetal skin and fetal urine. The objectives of this study was to identify the incidence of meconium stained amniotic fluid, perinatal outcome and the risks during pregnancy leading to in utero passage of meconium.Methods: A prospective study conducted in Sri Guru Ram Das University, Amritsar, between 1st December 2014 to 1st June 2016. All live births with meconim stained amniotic fluid without congenital malformation, twin or multiple organ dysfunction were taken as subjects of this study. Maternal obstetric history and risk factors were asked and foetal parameters including gestational age, fetal presentation, mode of delivery, birth weight, sex, Apgar score, age at onset of respiratory distress, treatment and outcome were observed.Results: Out of 1121 admissions in NICU, 12% of inborn and 9.6% of outborn were with MSAF, out of which 34% developed MAS. Majority of neonates were observed to be males (73.6%), term neonates (67.2%), weight 2.5-3.5 kg (76.9%) with mean weight being 2.701 kg±0.558 kg and 16% mortality including 9 inborn and 11 outborn neonates. Mean age at onset of respiratory distress was 18.43 minutes±11.52 minutes. Neonatal outcome was significantly related to weight, APGAR score at 5 mins, and development of complications like MAS, hypoxic ischemic encephalopathy, necrotizing enterocolitis, acute renal failure and severe thrombocytopenia. Culture proven septicaemia was seen in 21.6% cases. Mean duration of stay in NICU was 6.48 days±0.54 days.Conclusions: MSAF has significant effect on perinatal outcome and close observation is required to prevent and treat complications thus reducing mortality.

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Mortality pattern of hospitalized children in a tertiary care hospital of Kolkata

Cited by 25 publications

References 2 publications

Mortality Pattern among Hospitalized Children (29 Days to 12 Years) At a Tertiary Care Hospital in South India

Mortality Pattern among Hospitalized Children (29 Days to 12 Years) At a Tertiary Care Hospital in South India

Causes of neonatal admissions and deaths at a rural hospital in KwaZulu-Natal, South Africa

Neonatal outcome in meconium stained amniotic fluid: a hospital based study

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