Pattern of Admission and Outcome of Neonate Admitted to Adama Hospital Medical College Neonatal Intensive Care Unit, Adama, Ethiopia
AbstractBackground: 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.
. 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
. 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.
. 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.
. 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.
Authors who submit papers with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- By submitting the processing fee, it is understood that the author has agreed to our terms and conditions which may change from time to time without any notice.
- It should be clear for authors that the Editor In Chief is responsible for the final decision about the submitted papers; have the right to accept\reject any paper. The Editor In Chief will choose any option from the following to review the submitted papers:A. send the paper to two reviewers, if the results were negative by one reviewer and positive by the other one; then the editor may send the paper for third reviewer or he take immediately the final decision by accepting\rejecting the paper. The Editor In Chief will ask the selected reviewers to present the results within 7 working days, if they were unable to complete the review within the agreed period then the editor have the right to resend the papers for new reviewers using the same procedure. If the Editor In Chief was not able to find suitable reviewers for certain papers then he have the right to accept\reject the paper.B. sends the paper to a selected editorial board member(s). C. the Editor In Chief himself evaluates the paper.
- Author will take the responsibility what so ever if any copyright infringement or any other violation of any law is done by publishing the research work by the author
- Before publishing, author must check whether this journal is accepted by his employer, or any authority he intends to submit his research work. we will not be responsible in this matter.
- If at any time, due to any legal reason, if the journal stops accepting manuscripts or could not publish already accepted manuscripts, we will have the right to cancel all or any one of the manuscripts without any compensation or returning back any kind of processing cost.
- The cost covered in the publication fees is only for online publication of a single manuscript.