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Neonatal Profile and Outcome in Neonatal Intensive Care Unit Sanglah Hospital

Received: 27 June 2020     Accepted: 9 July 2020     Published: 23 July 2020
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Abstract

Children face the highest risk of dying in their first month of life, at an average global rate of 2.5 million deaths in 2018. The highest neonatal mortality rate in 2018 occurred in Sub-Saharan Africa which reached 28 deaths per 1000 live births, followed by East Mediaterania with 25 deaths per 1000 live births. Meanwhile, based on Central Bureau of Statistics, the neonatal mortality rate in Indonesia were 15 deaths per 1000 live births in 2017. More than 80% death in neonates caused by 3 preventable factors such as complication of prematurity, complication of birth like asphyxia and neonatal infection (such as sepsis and pneumonia). Furthermore intensive care unit play crucial role in critically ill neonate. In this study we aimed to determine profile and outcome of neonates treated in Neonatal Intensive Care Unit (NICU) of Sanglah Hospital. This was a descriptive cross sectional study and data was taken retrospectively from medical record of neonates treated in NICU during 2019. We got 393 neonates admitted in NICU, but forty patients were excluded due to readmission and insufficient data. Finally there were 208 (62.1%) male neonates and 127 (37.9%) female neonates, with 208 subjects were premature neonates (<37 weeks). Their median length of stay was 7 days. Most cases were treated due to respiratory distress (84.1%). In 2019, we found 111 neonates passed away with sepsis as the most common cause of neonatal death. Neonates treated in NICU were dominated by premature neonates, male and low birth weight (<2500 gram). There was 28.2% neonatal death in 2019.

Published in American Journal of Pediatrics (Volume 6, Issue 3)
DOI 10.11648/j.ajp.20200603.29
Page(s) 289-294
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Profile, Outcome, Neonates, NICU

References
[1] Neonatal mortality [Internet]. UNICEF DATA. [cited 2020 May 8]. Available from: https://data.unicef.org/topic/child-survival/neonatal-mortality/.
[2] Yembise Y. S, Suhariyanto, Yuwono M., Lumaksono A. 2018. Profil Anak Indonesia 2018. Jakarta: Kementerian Pemberdayaan Perempuan dan Perlindungan Anak (KPPPA).
[3] WHO | Under-five mortality [Internet]. WHO. World Health Organization; [cited 2020 May 8]. Available from: http://www.who.int/gho/child_health/mortality/mortality_under_five_text/en/.
[4] Shah G. S., Shah L. R., Thapa A. Clinical profile and outcome of neonates admitted to the Neonatal Intensive Care Unit (NICU) at BPKIHS: A need for advanced neonatal care. Qatar Med J [Internet]. 2017 Feb 14 [cited 2020 May 8]; 2017 (1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474642/.
[5] Panda P. K. Clinical profile and outcome of newborns admitted to a secondary-level neonatal intensive care unit in tribal region of Odisha. J Clin Neonatol. 2019; 18 (3): 155-8.
[6] Unger A., Jagsch R., Baewert A., Winklbaur B., Rohrmeister K., Martin P. R., et al. Are male neonates more vulnerable to neonatal abstinence syndrome than female neonates? Gend Med. 2011; 8 (6): 355-64.
[7] Singh Kotwal Y. Neonatal morbidity and mortality in a neonatal intensive care unit: a hospital based prospective study. 2018; 2: 232-6.
[8] Kambarami R., Chidede O., Chirisa M. Neonatal intensive care in a developing country: outcome and factors associated with mortality. Cent Afr J Med. 2000; 46 (8): 205-7.
[9] Seid S. S., Ibro S. A., Ahmed A. A., Olani Akuma A., Reta E. Y., Haso T. K., et al. Causes and factors associated with neonatal mortality in Neonatal Intensive Care Unit (NICU) of Jimma University Medical Center, Jimma, South West Ethiopia. Pediatr Health Med Ther. 2019. 3; 10: 39-48.
[10] Sankar M. J., Natarajan C. K., Das R. R., Agarwal R., Chandrasekaran A., Paul V. K. When do newborns die? A systematic review of timing of overall and cause-specific neonatal deaths in developing countries. J Perinatol. 2016; 36 (Suppl 1): S1-11.
[11] Fleischmann-Struzek C., Goldfarb D. M., Schlattmann P., Schlapbach L. J., Reinhart K., Kissoon N. The global burden of paediatric and neonatal sepsis: a systematic review. Lancet Respir Med. 2018; 6 (3): 223-30.
[12] Adatara P., Afaya A., Salia S. M., Afaya R. A., Konlan K. D., Agyabeng-Fandoh E., et al. Risk Factors Associated with Neonatal Sepsis: A Case Study at a Specialist Hospital in Ghana [Internet]. Vol. 2019, The Scientific World Journal. Hindawi; 2019 [cited 2020 Jun 15]. p. e9369051. Available from: https://www.hindawi.com/journals/tswj/2019/9369051/.
[13] Sudhakar, Vijayalaxmi, Akhila. A Study of Laboratory Profile of Neonatal Sepsis at NICU (SNCU), Warangal. J Evid Based Med Healthc. 2016; 1: 1-3.
[14] Polin R. A., Saiman L. Nosocomial Infections in the Neonatal Intensive Care Unit. NeoReviews. 2003; 14 (3): e81-9.
[15] Baghianimoghadam M. H., Baghianimoghadam B., Ardian N., Alizadeh E. Risk factors of low birth weight and effect of them on growth pattern of children up to sixth months of life: A cross-sectional study. J Educ Health Promot [Internet]. 2015 [cited 2020 May 29]; 4. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456878/.
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  • APA Style

    Kirana Dyah Larasati Budhiarta, I Made Kardana. (2020). Neonatal Profile and Outcome in Neonatal Intensive Care Unit Sanglah Hospital. American Journal of Pediatrics, 6(3), 289-294. https://doi.org/10.11648/j.ajp.20200603.29

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    ACS Style

    Kirana Dyah Larasati Budhiarta; I Made Kardana. Neonatal Profile and Outcome in Neonatal Intensive Care Unit Sanglah Hospital. Am. J. Pediatr. 2020, 6(3), 289-294. doi: 10.11648/j.ajp.20200603.29

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    AMA Style

    Kirana Dyah Larasati Budhiarta, I Made Kardana. Neonatal Profile and Outcome in Neonatal Intensive Care Unit Sanglah Hospital. Am J Pediatr. 2020;6(3):289-294. doi: 10.11648/j.ajp.20200603.29

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  • @article{10.11648/j.ajp.20200603.29,
      author = {Kirana Dyah Larasati Budhiarta and I Made Kardana},
      title = {Neonatal Profile and Outcome in Neonatal Intensive Care Unit Sanglah Hospital},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {3},
      pages = {289-294},
      doi = {10.11648/j.ajp.20200603.29},
      url = {https://doi.org/10.11648/j.ajp.20200603.29},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200603.29},
      abstract = {Children face the highest risk of dying in their first month of life, at an average global rate of 2.5 million deaths in 2018. The highest neonatal mortality rate in 2018 occurred in Sub-Saharan Africa which reached 28 deaths per 1000 live births, followed by East Mediaterania with 25 deaths per 1000 live births. Meanwhile, based on Central Bureau of Statistics, the neonatal mortality rate in Indonesia were 15 deaths per 1000 live births in 2017. More than 80% death in neonates caused by 3 preventable factors such as complication of prematurity, complication of birth like asphyxia and neonatal infection (such as sepsis and pneumonia). Furthermore intensive care unit play crucial role in critically ill neonate. In this study we aimed to determine profile and outcome of neonates treated in Neonatal Intensive Care Unit (NICU) of Sanglah Hospital. This was a descriptive cross sectional study and data was taken retrospectively from medical record of neonates treated in NICU during 2019. We got 393 neonates admitted in NICU, but forty patients were excluded due to readmission and insufficient data. Finally there were 208 (62.1%) male neonates and 127 (37.9%) female neonates, with 208 subjects were premature neonates (<37 weeks). Their median length of stay was 7 days. Most cases were treated due to respiratory distress (84.1%). In 2019, we found 111 neonates passed away with sepsis as the most common cause of neonatal death. Neonates treated in NICU were dominated by premature neonates, male and low birth weight (<2500 gram). There was 28.2% neonatal death in 2019.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Neonatal Profile and Outcome in Neonatal Intensive Care Unit Sanglah Hospital
    AU  - Kirana Dyah Larasati Budhiarta
    AU  - I Made Kardana
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    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
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    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200603.29
    AB  - Children face the highest risk of dying in their first month of life, at an average global rate of 2.5 million deaths in 2018. The highest neonatal mortality rate in 2018 occurred in Sub-Saharan Africa which reached 28 deaths per 1000 live births, followed by East Mediaterania with 25 deaths per 1000 live births. Meanwhile, based on Central Bureau of Statistics, the neonatal mortality rate in Indonesia were 15 deaths per 1000 live births in 2017. More than 80% death in neonates caused by 3 preventable factors such as complication of prematurity, complication of birth like asphyxia and neonatal infection (such as sepsis and pneumonia). Furthermore intensive care unit play crucial role in critically ill neonate. In this study we aimed to determine profile and outcome of neonates treated in Neonatal Intensive Care Unit (NICU) of Sanglah Hospital. This was a descriptive cross sectional study and data was taken retrospectively from medical record of neonates treated in NICU during 2019. We got 393 neonates admitted in NICU, but forty patients were excluded due to readmission and insufficient data. Finally there were 208 (62.1%) male neonates and 127 (37.9%) female neonates, with 208 subjects were premature neonates (<37 weeks). Their median length of stay was 7 days. Most cases were treated due to respiratory distress (84.1%). In 2019, we found 111 neonates passed away with sepsis as the most common cause of neonatal death. Neonates treated in NICU were dominated by premature neonates, male and low birth weight (<2500 gram). There was 28.2% neonatal death in 2019.
    VL  - 6
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    ER  - 

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Author Information
  • Department of Child Health, Sanglah Hospital, Faculty of Medicine, Udayana University, Denpasar, Indonesia

  • Department of Child Health, Sanglah Hospital, Faculty of Medicine, Udayana University, Denpasar, Indonesia

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