Pattern of neonatal admissions and outcome in a tertiary institution in north central Nigeria

Toma, B.; Ige, Olukemi; Abok, Ibrahim I; Onwuanaku, C; Abah, R O; Donli, Amina

doi:10.4103/2276-7096.123590

Cited by 26 publications

(36 citation statements)

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“…Some studies have reported similar observation. 13,14 While others archived the contrary. 15 The preponderance of male neonates to suffer various conditions which usually result in admission cannot be explained by this study.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Admission and Outcome in a Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Dhaka, Bangladesh

Tajkia¹,

Amin²,

Rahman³

et al. 2019

Anwer Khan Mod Med Coll J

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Background: The neonatal period is a highly vulnerable time for an infant completing many of the physiologic adjustments required for life outside the uterus. As a result, there are high rates of morbidity and mortality. To reduce morbidity and mortality it is essential to know the neonatal disease pattern. Neonatal disease pattern changes from time to time and place. Analyzing the neonatal admission pattern helps the policy makers to make the better strategies and health care givers to serve better. Objectives: This study aimed to determine the disease patterns and outcome of patients admitted to the Neonatal Intensive Care Unit (NICU) of Anwer khan Modern Medical College Hospital, a tertiary care hospital in Dhaka, between January 2017 to December 2018. Methods: Retrospective data from the medical records of all neonates admitted during the study period were reviewed and analyzed for age, weight, sex, reason for admission, duration of hospital stay, diagnosis and final outcome. Results: The total number of neonates admitted during the study period was 262; 164 were male (62.6%), and 98 were female (37.4%). A total of 223 patients (85.12%) wereborn in the hospital while 39 (12.88%) were born at home. The majority were admitted during the first 48 hours of life (72.2%). A total of 5 patients (2%) weighed <1000 gm; 53(20.2%) weighed 1000-1500 gm, and 89 (34%) between 1600-2499 gm. Prematurity and infection were the main reasons for admission (52.7% and 20%, respectively), followed by birth asphyxia (12%) and neonatal jaundice (6.8%). A total of 206 patients (78.6%) were improved and discharged, 43 left against medical advice (16.4%), 3 were referred for urgent cardiac intervention (1.1%) and 10 (3.9%) died. Conclusion: Prematurity, neonatal infection and birth asphyxia were the major causes of neonatal morbidity and mortality. Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 150-158

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Section: Discussionmentioning

confidence: 99%

Pattern of Admission and Outcome in a Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Dhaka, Bangladesh

Tajkia¹,

Amin²,

Rahman³

et al. 2019

Anwer Khan Mod Med Coll J

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“…In Tanzania, 13 asphyxia, prematurity, and sepsis accounted for 26.8%, 18.4%, and 15.4% of the causes of admission, respectively, where asphyxia and sepsis contributed a lesser proportion as a cause of admission when compared to ours. Also sepsis, prematurity, and asphyxia were described as major reasons for admission in Nigeria 14 and Pakistan, 15 the proportion accounted by each disease entity as a cause of admission varies across the centers. Sepsis and prematurity were also major causes of morbidity in another study in Nigeria.…”

Section: Discussionmentioning

confidence: 99%

“…Our finding that prematurity (36.6%), sepsis (22.7%), and asphyxia (16.2%) were the most common factors for admission was consistent with the reports from other centers. [12][13][14] The proportion of prematurity, sepsis, and asphyxia as causes of admission vary across different centers. In Tanzania, 13 asphyxia, prematurity, and sepsis accounted for 26.8%, 18.4%, and 15.4% of the causes of admission, respectively, where asphyxia and sepsis contributed a lesser proportion as a cause of admission when compared to ours.…”

Section: Discussionmentioning

confidence: 99%

“…Studies conducted in other centers reported prematurity, asphyxia, and sepsis as major causes of mortality in a neonatal care unit. 13,14,16,19 The high rate of mortality because of asphyxia in our finding is of particular interest since this is a preventable cause of neonatal death. Also the fact that prematurity was related to higher mortality in our neonatal unit may be related to the lack of appropriate treatment modalities, such as mechanical ventilation, surfactant administration, and parenteral nutrition.…”

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confidence: 92%

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Reasons for admission and neonatal outcome in the neonatal care unit of a tertiary care hospital in Addis Ababa: a prospective study

Tekleab¹,

Amaru²,

Tefera³

2016

RRN

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Background:The neonatal mortality rate in Ethiopia remains greater than 35 per 1,000 live births. Hence, identifying the reasons for neonatal admission and mortality in a hospital setting is crucial to improve the quality of existing practices in the hospital. The objective of this study was to describe the reasons for admission and the magnitude of neonatal mortality in the neonatal care unit of St Paul's Hospital Millennium Medical College. Methods and subjects: A prospective cohort study was conducted. A total of 216 neonates who were admitted to the neonatal care unit of St Paul's Hospital Millennium Medical College from March 1, 2015, to May 31, 2015, were included in this study. Data fields, determined prospectively, were collected by monitoring the neonates until discharge or death. The independent variables were demographic, obstetric, and clinical characteristics, while the dependent variable was neonatal mortality. Data were analyzed using simple frequencies, odds ratio, and finally binary logistic regression analysis for mortality outcome. Results: The most common primary diagnoses at admission to the neonatal care unit were prematurity with respiratory problem (36.6%), neonatal sepsis (22.7%), and asphyxia (16.2%). Out of the 216 neonates studied, 50 (23.2%) died. High case fatality was observed among neonates with the diagnosis of prematurity with respiratory problem (40.5%) and asphyxia (40.0%). Under multivariate analysis, diagnosis of asphyxia was an independent predictor of mortality (adjusted odds ratio =5.817; 95% confidence interval: 1.611-20.977), while gestational age above the mean of the study population (36.6 weeks) was protective of mortality (adjusted odds ratio =0.683; 95% confidence interval: 0.588-0.795). Conclusion: Nearly a quarter of admitted neonates died. This study identified asphyxia and prematurity as major causes of admission and mortality. Emphasis has to be given to prevent asphyxia and to improve the survival of preterm babies.

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“…Neonatal disease pattern varies from place to place and time to time even in the same place and it is a useful pointer of effectiveness of maternal and child health care services [8].This study aimed to assess mortality and morbidity pattern of NICU and to develop interventions for better outcome.…”

Section: Discussionmentioning

confidence: 99%

Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India

Iyer¹,

Gornale²,

Pj³

et al. 2015

Int J Pediatr Res

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Background: Neonatal outcome is a sensitive indicator of availability, utilization and effectiveness of obstetrics and neonatal health care in the community. Review of hospital based mortality and morbidity pattern is critical to improve the quality of health care delivery system in that hospital. Objectives: To study the morbidity and mortality pattern of neonates admitted to neonatal intensive care unit (NICU) of a rural medical college hospital. Material and methods: All the neonates admitted to NICU from July 2013 to June 2015 were retrospectively analysed for demographic profile, short term morbidity and outcome. Results: 1580 neonates were admitted in the study period. 59.5% were Males, 63% were inborn, 75% were term babies and 59.5% had normal birth weight. 89.8% were admitted in early neonatal period. Important causes for admission were sepsis (24%)), birth asphyxia (23.6%), prematurity and low birth weight care (18.5%), Respiratory problems (13.9%) and hyperbilirubinemia (10.3%). The outcome of the admitted babies showed 83% discharges, 3.7% deaths, 12.2% discharge against medical advice and 1.96% referred to another centre. The major causes of mortality were birth asphyxia including hypoxic ischemic encephalopathy (45%), sepsis (27.5%) and respiratory problems (27.5%). The survival of term as well as inborn babies was better than that of preterm and out born neonates respectively. Conclusion: Birth asphyxia, neonatal sepsis, prematurity and respiratory problems were major causes of both mortality and morbidity. There is need to strengthen services to address these problems more effectively.

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Pattern of neonatal admissions and outcome in a tertiary institution in north central Nigeria

Cited by 26 publications

References 0 publications

Pattern of Admission and Outcome in a Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Dhaka, Bangladesh

Pattern of Admission and Outcome in a Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Dhaka, Bangladesh

Reasons for admission and neonatal outcome in the neonatal care unit of a tertiary care hospital in Addis Ababa: a prospective study

Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India

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