Pattern of Admission and Outcome of Neonate Admitted to Adama Hospital Medical College Neonatal Intensive Care Unit, Adama, Ethiopia

  • Jorge Seboka Adama Hospital Medical College, P.O.Box 84, Adama, Ethiopia
  • Abdu Mohammed Abera Biomedical Sciences Department, Adama Hospital Medical College, P.O.Box 84, Adama, Ethiopia
  • Abdulkerim Dedefo Rebitu Biomedical Sciences Department, Adama Hospital Medical College, P.O.Box 84, Adama, Ethiopia
Keywords: Neonatal admission, Treatment outcome, Sepsis, NICU, Adama, Ethiopia.

Abstract

Background: Neonatal morbidity and mortality remains a major health problem, and contributes largely to under-five mortality, especially in developing countries. Hence, identifying the reasons for neonatal admission and outcomes in a hospital setting is important to improve the quality of existing practices in the hospital.Objective: The aim of this study was to assess the pattern of admission and outcomes of neonates admitted to Adama Hospital Medical College, Neonatal Intensive Care Unit (NICU).            Method: Institution based cross sectional study design was conducted. A total of 384 selected neonates who were admitted to Adama Hospital Medical College, Neonatal Intensive Care Unit (NICU) from 11/09/2015 to 10/09/2016 were included in this study. The data was collected using data collection check list. By using SPSS version 20, simple frequency and bivariate logistic regression used to summarize socio-demographic and other variables.  95% CI and P value less than 0.05 were considered statistically significant. Results: A total of 1550 neonates were admitted to NICU from 11/09/2015 to 10/09/2016, of those 384 were selected.The most common cause of admission diagnosis at NICU was sepsis 78.4% (301), followed by prematurity 14.1% (54) and respiratory distress 8.3% (32).Out of 384 selected neonates, 91.9% (353) improved and discharged, 4.9% (19) died, 1.8% (7) referred and 1.3% (5) left against medical advice. Among selected neonates deaths were high with the diagnosis of sepsis 52.6% (10) and respiratory distress 26.3% (5).Conclusion: This study shows that sepsis, prematurity and respiratory distress were the most common cause of neonatal admission; and also neonatal jaundice, perinatal asphyxia and meconium aspiration syndrome contribute less. From admitted neonates 91.9% were improved and discharged and 4.9% were died, among this fatality was highest for sepsis.

References

. Kliegman, Robert; Nelson, Waldo E (Waldo Emerson), 1898-1997. Nelson Textbook of Pediatrics.19th ed. / (edited by) Robert M. Kliegman ... (et al.). Philadelphia, PA: Elsevier/Saunders, 2011.

. 2. Kliegman, Robert; Nelson, Waldo E (Waldo Emerson), 1898-. Nelson Textbook of Pediatrics. 18th ed. / (edited by) Robert M. Kliegman ... (et al.). Philadelphia: Saunders, 2007.

. Hedstrom, A., Ryan, T., Otai, C., Nyonyintono, J., McAdams, R.M., Lester, D., Batra, M. (2014). “Demographics, clinical characteristics and neonatal outcomes in a rural Ugandan NICU.” BMC Pregnancy and Childbirth. 14:327.

. Ugwu, G.I.M. (2012). “Pattern of morbidity and mortality in the newborn special care unit in a tertiary institution in the Niger Delta region of Nigeria: A two-year prospective study.” Global Advanced Research Journal of Medicine and Medical Sciences. 1(6):133-8.

. Gerensea, H. (2017). “Trend and pattern of neonatal morbidity and mortality in Tigray Region, Ethiopia.” Edorium J Pediatr. 1:1–5. Article ID: 100001P05HG2017

doi:10.5348/P05-2017-1-OA-1

. Aijaz, N., Huda, N., Kausar, S. (2012). “Disease Burden of NICU, at a Tertiary Care Hospital, Karachi.” Journal of the Dow University of Health Sciences Karachi, Vol. 6 (1): 32-35.

. Baghel, B.., Sahu, A., Vishwanadham, K. (2016). “Pattern of Admission and Outcome of Neonates in a NICU of Tribal Region Bastar, India.” Int J Med Res Prof. 2(6); 147-50.

DOI: 10.21276/ijmrp.2016.2.6.029

. World Health Organization. “Estimates: Saving Newborn Lives. State of the World’s Newborns” Washington, DC: Save-the Children Federation-US. 2001; 1-49.

. World Health Organization. “Management of the sick new born: report of a technical working group, Ankara” Geneva: World Health Organization. 5-8 June, 1995. http://www.who.int/iris/handle/10665/63104

. World Health Organization. “World Health Report 2005- Make Every Mother and Child Count.” Geneva: World Health Organization 2005.

. Sivasubramaniam, P.G., Quinn, C.E., Blevins, M., Al Hajajra, A., Khuri-Bulos, N., Faouri, S., Halasa, N. (2015). “Neonatal Outcomes of Infants Admitted to a Large Government Hospital in Amman, Jordan.” Global Journal of Health Science; Vol. 7, No. 4:217-234. http://dx.doi.org/10.5539/gjhs.v7n4p217

. Orimadegun, A.E., Akinbanni, F.O., Tongo, O.O., and Okereke, J.O. (2008). “Comparison of neonates born outside and inside Hospitals in a children emergency unit, Southwest of Nigeria.” Pediatric emergency care. 24(6):354-358.

. Omoigberale, A.I., Sadoh, W.E., Nwaneri, D.U. (2010). “A 4-year review of neonatal outcome at the University of Benin Teaching Hospital, Benin City.” Nigerian Journal of Clinical Practice. 13(3): 321-325. http://www.njcponline.com

. Atnafu, M.T., Gesit, M.A., Yemisrach, A.T. (2016, March). ‘’ Reasons for admission and neonatal outcome in the neonatal care unit of a tertiary care hospital in Addis Ababa ‘’ dove press journal: Research and Reports in Neonatology. [On-line]. 6, pp. 17-23. http://dx.org/10.2147/RRN.S95455

. Dr. Nkuranga, J.B. “Pattern of admission, care and outcome of neonates managed in the neonatal intensive care unit (NICU) at Kenyatta National Hospital (KNH)’’ M.MED. thesis. University of Nairobi, Kenya, July 2012.

. WHO, UNICEF. “Every newborn: an action plan to end preventable deaths.” February, 2014.

. HOQUE, M.S., ALAM, S., AHMED, A. (2013, July). “Pattern of Neonatal Admissions and Outcome in an Intensive Care Unit (ICU) of a Tertiary Care Paediatric Hospital in Bangladesh.” Journal of Bangladesh College of Physicians and Surgeons. Vol. 31, No. 3:134-139.

. The Federal Democratic Republic of Ethiopia Ministry of Health. “Health Sector Transformation Plan (HSTP)” Oct 2015.

. Ike Elizabeth, U., Modupe, O. Oyetunde. (2015, May-Jun). “Pattern of Diseases and Care Outcomes of Neonates Admitted in Special Care Baby Unit of University College Hospital, Ibadan, Nigeria.” IOSR Journal of Nursing and Health Science. Volume 4, Issue 3 Ver. I: PP 62-71.

DOI: 10.9790/1959-04316271

. Ravindra, P., Raghavendraswamy, K., Dr Shreeshail, B. (2014). “Clinical Profile and Outcome of Babies Admitted to Neonatal Intensive Care Unit Mc Gann Teaching Hospital Shivamogga, Karnataka: A longitudinal Study.” Sch. J. App. Med. Sci. 2(6):3357-3360

. Narayan, R. (2012). “A study of the pattern of admissions and outcome in a neonatal intensive care unit at high altitude” Sri Lanka Journal of Child Health. 41(2): 79-81.

Published
2018-10-08
Section
Articles