Pattern of Disease Admissions and Their Outcome of Neonates Admitted In Neonatal Intensive Care Unit of A Tertiary Care Hospital in Quetta

Hira Javed; Arshad Khushdil; Khursheed Ali Bangash; Rida Tahir; Faisal Javed; Sidra

doi:10.51253/pafmj.v74i2.9520

Authors

Hira Javed Department of Paeds, Combined Military Hospital Rawalpindi/ National University of Medical Sciences (NUMS) Pakistan
Arshad Khushdil Department of Paeds / Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Khursheed Ali Bangash Department of Neurosurgery / Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Rida Tahir Department of Paeds, Combined Military Hospital Rawalpindi/ National University of Medical Sciences (NUMS) Pakistan
Faisal Javed Department of Medicine / Abbasi Shaheed Hospital Karachi
Sidra Department of Paeds / Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i2.9520

Keywords:

Caesarean section, Intensive Care Unit, Mortality, Neonates, Pakistan

Abstract

Objective: to determine the admission pattern and outcomes of neonatal admissions to a neonatal intensive care unit (NICU) in a tertiary care hospital of Quetta Pakistan.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Neonatal Intensive Care Unit, Combined Military Hospital (CMH), Quetta Pakistan, from Jan to Dec 2020.

Methodology: All neonates admitted to the NICU Indoor or Outdoor Department during study duration were included. The disease pattern of the admission was noted, along with information regarding gender, gestational age, birth weight, diagnosis, duration of NICU stay, and outcome.

Results: Of 424 neonates, respiratory-related disorders were predominantly higher (185,43.6%) followed by infection/sepsis-related disorders (105,24.8%), care of prematurity (81,19.1%), whereas 53(12.5%) had miscellaneous disorders. The overall mortality rate was observed in 34(8.0%) babies. A significant mean difference in gestational age (p: <0.001), birth weight (p: <0.001), and duration of stay (p: 0.003) was observed for reasons for admissions. Furthermore, a significant association of reasons for admission was observed with gender (p: 0.013), route of admission (p: <0.001), and respiratory support (p: <0.001).

Conclusion: The pattern of the disease admission showed that respiratory-related disorders were predominantly higher, followed by infection/sepsis-related disorders and care of prematurity. Though the mortality rate was low, however, low birth weight, prematurity, and caesarean delivery are common risk factors.

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