scholarly journals Mortality Pattern of In-Born vs Out-Born Neonates - Comparative Study of Neonates Admitted to Special New Born Care Units of a Tertiary Care Hospital of Hilly Region of North India

2021 ◽  
Vol 10 (44) ◽  
pp. 3757-3761
Author(s):  
Ambika Sood ◽  
Rakesh Sharma ◽  
Raju Katoch ◽  
Sanya Sharma
Keyword(s):  
Respiratory Distress Syndrome ◽  
Neonatal Mortality ◽  
Distress Syndrome ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Neonatal Care ◽  
Care Hospital ◽  
Mortality Pattern ◽  
Causes Of Mortality

BACKGROUND The high incidence of global neonatal mortality has triggered several efforts to improve facility-based neonatal care but despite these many advances in perinatal and neonatal care, the outcomes achievable at different levels are comparable. This study was undertaken to compare the mortality pattern among both the inborn and outborn neonates admitted to the special new born care units (SNCU)s of tertiary care hospital of Shimla city, in the hilly state of Himachal Pradesh. METHODS A cross-sectional study involving a record review of all neonates admitted to the specialized neonatal care units of the paediatric ward of IGMC, Shimla & Kamla Nehru Hospital (KNH) over five years from January 2016 to December 2020 was conducted. The most important causes of mortality and its associated factors were analysed, and a statistical inference was made. RESULTS Among the 4018 outborn neonates admitted to the SNCU of the pediatric ward of IGMC, Shimla, 2440 (60.73 %) were males and 1578 (39.27 %) were females while 6607 inborn neonates were admitted to the SNCU of KNH Shimla and among them 3655 (55.32 %) were males and 2952 (44.68 %) were females. In the outborn SNCU of IGMC Shimla, 307 (7.64 %) died while in the inborn SNCU of KNH Shimla, 366 (5.54 %) neonates died over a span of 5 years. In outborn SNCU of IGMC Shimla, a maximum of 110 (35.83 %) neonates died due to sepsis/pneumonia/meningitis, followed by 60 (19.54 %) due to respiratory distress syndrome and 50 (16.29 %) due to HIE/moderate-severe birth asphyxia while in case of inborn SNCU of KNH, maximum deaths of 115 (31.42 %) were due to respiratory distress syndrome, followed by 93 (25.41 %) due to sepsis/pneumonia/meningitis and 69 (18.85 %) due to HIE/moderate-severe birth asphyxia. At outborn SNCU of IGMC, Shimla, most of the neonates who died 118 (38.44 %) weighed about 1500-2499 gm, while in inborn SNCU of KNH, Shimla, most of the neonates 147 (40.16 %) had weight between 1000-1499 gm. At outborn SNCU of IGMC Shimla, 131 (42.67 %) were preterm while at inborn SNCU of KNH, 305 (83.3 %) were preterm. CONCLUSIONS Sepsis, birth asphyxia and RDS are the important causes of mortality, which must be urgently addressed. Improving antenatal care, improved access to health facilities, early identification of danger signs, timely referral, capacity building, can reduce neonatal mortality. KEY WORDS Comparison, Neonatal Mortality, SNCUs, Tertiary Care Hospital, Inborn Neonate, Outborn Neonate.

scholarly journals Assessment of Neonatal Respiratory Distress Incidences with Causes, Mortality and Morbidity in a Tertiary Care Hospital

2020 ◽  
pp. 6-10
Author(s):  
Kanwal Baloch ◽  
Delijan Mugheri ◽  
Abdul Majeed Soomro ◽  
Wasim Sarwar Bhatti ◽  
Muhammad Khan ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Morbidity Rate ◽  
Care Hospital ◽  
Neonatal Respiratory Distress

Background: The objective of this study conducted in a neonatal intensive care unit of a tertiary care hospital Larkana was to check the prevalence of respiratory distress in neonates and their morbidity and mortality associated with respiratory distress. Methods: A retrospective analysis of neonates with the respiratory distress syndrome during the period of one year was evaluated. The prevalence, risk factors related with respiratory distress syndrome were compared on the basis of neonatal and maternal factors. Results: The Majority of respiratory distress in our study, were due to Transient Tachypnea of newborn (TTN) 29.8%, RDS 22.1%, birth asphyxia 17%, and Meconium Aspiration Syndrome (MAS) 15.7%.  Overall outcome of Neonatal Respiratory Distress was cure rate in 65.4%, Neonatal mortality rate 26.84% with highest mortality due to RDS and Sepsis and the morbidity rate is 7.7%. Conclusion: The TTN was the most common cause of respiratory distress in neonates. Mortality rate was 26.84% and was highest among the neonates with respiratory distress syndrome.

scholarly journals Morbidity and mortality pattern among babies admitted in special newborn care unit, Nellore, Andhra Pradesh, India

2019 ◽  
Vol 6 (5) ◽  
pp. 1898
Author(s):  
Lakshmi Prasanna Chintha ◽  
Suneetha Bollipo ◽  
Ravi Prabhu Gottumukkala ◽  
Sathya Prakash Palepu
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Neonatal Mortality ◽  
Andhra Pradesh ◽  
Distress Syndrome ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Newborn Care ◽  
Morbidity And Mortality ◽  
Care Teaching

Background: India contributes to 25% of neonatal mortality around the world. In developing countries neonatal mortality is quite high despite of advances in perinatal and neonatal care. The establishment of Special Newborn Care Units (SNCU) has been quite essential in reducing the neonatal morbidity and mortality. This study was conducted to assess the outcome of SNCU at a newly commissioned tertiary care teaching hospital at Nellore District, Andhra Pradesh. Aim of this study the morbidity and mortality patterns in an SNCU at tertiary care teaching hospital.Methods: It was a Retrospective, Hospital based, Descriptive study which was done among neonates admitted to SNCU, Nellore District, Andhra Pradesh for a period of 1 year (January 2015-December 2015). All the neonates admitted to SNCU, Nellore District, Andhra Pradesh during the study period were included in the study. Data was recorded in a predesigned semi-structured proforma. the data was entered into excel-sheet and analyzed using SPSS software version 21.Results: A total of 1015 babies were included in the study. Almost half 592(58.32%) were born in this hospital(inborn) and 423(41.67%) babies were referred from peripheral hospitals and nursing homes (out born). about 3/4th 767(75.5%) of babies were admitted in the first 24 hours of life. Almost half (53.4%) of the study group were male and 46.6% were female. The chief causes of admission in SNCU were Respiratory Distress Syndrome (40.2%) followed by birth asphyxia (19.1%), sepsis (13.3%), Neonatal Jaundice (9.9%) and prematurity (6.6%). In our study 63.0% patients were discharged, 19.3% had left hospital against medical advice, 10.1% died and 7.6% were referred to other institutions for specialized treatment.Conclusion: Respiratory Distress Syndrome, neonatal sepsis, neonatal hyperbilirubinemia, and HIE as the major causes of morbidity. Low Birth Weight and prematurity were the commonest contributors of death, therefore, attempts to prolong the pregnancy each week might improve the neonatal outcome considerably.

scholarly journals AN AUDIT ON PATTERN OF MORTALITY IN A MEDICINE ICU AT TERTIARY CARE HOSPITAL OF NORTH-EAST INDIA

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Achintya Pal ◽  
Prashanth K
Keyword(s):  
Intensive Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Mortality Pattern ◽  
North East India ◽  
North East ◽  
Causes Of Mortality ◽  
Study Population ◽  
One Year

Background: Mortalities in medical Intensive Care Units (ICUs) are largely variable. Intensive care medicine has developed significantly over time. But still it is unpredictable in terms of pattern of mortality. Materials and Methods: A total of 266 patients who died in the ICU of a tertiary care Hospital over the period of one year were studied retrospectively to review the mortality pattern. Results: Out of 266 patients Male comprised 71.8% and female 28.2 %. Patients from rural area were 70.7% where as 29.3% belong to urban society. Among the study population preexisting diabetic and hypertensive patients were 10.5% and 16.5 % whereas 12.4 % were suffering from both. 56% of the study population was from more than 60 years age group. Sepsis (26.3%) was the leading cause of death followed by stroke (19.9%) and COPD (13.9%). Mean duration of hospital stay among study population was 7.61 days. Conclusion: Sepsis, stroke, respiratory and cardiovascular diseases are the leading causes of mortality in our study. Prospective, larger, more studies regarding ICU mortality should be carried out for policy planning to improve the healthcare resources. Keywords:  mortality pattern, Intensive Care Unit, sepsis

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