The cause-specific morbidity and mortality, and referral patterns of all neonates admitted to a tertiary referral hospital in the northern provinces of Vietnam over a one year period
| Autor: | Fiona M. Russell, Rod W. Hunt, Nguyen Thanh Liem, Kim Mulholland, Khu Thi Khanh Dung, Christopher Morgan, Le Thi Ha, Khu Ha, Merinda Miles |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics Nosocomial Infections Psychological intervention lcsh:Medicine Tertiary Care Centers Geographical Locations 0302 clinical medicine Cause of Death Infant Mortality Case fatality rate Medicine and Health Sciences Infection control Prospective Studies 030212 general & internal medicine lcsh:Science Prospective cohort study Cause of death Multidisciplinary Congenital Anomalies Hospitals 3. Good health Hospitalization Infectious Diseases Vietnam Cardiovascular Diseases Female Pediatric Infections Infant Premature Research Article medicine.medical_specialty Asia Referral Infections Tertiary referral hospital Congenital Abnormalities 03 medical and health sciences 030225 pediatrics Congenital Disorders medicine Humans business.industry lcsh:R Infant Newborn Infant Biology and Life Sciences Neonates Infant mortality Health Care Health Care Facilities People and Places Emergency medicine lcsh:Q Morbidity Health Statistics business Developmental Biology |
| Zdroj: | PLoS ONE, Vol 12, Iss 3, p e0173407 (2017) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Objective To describe the cause-specific morbidity and mortality, and referral patterns of all neonates admitted to a tertiary referral hospital in the northern provinces of Vietnam. Design A prospective hospital based observational study. Setting The Neonatal Department, National Hospital of Pediatrics, Hanoi, Vietnam. Patients All admissions to the Neonatal Department over a 12 month period. Main outcome measures Cause-specific morbidity and mortality; deaths. Results There were 5064 admissions with the commonest discharge diagnoses being infection (32%) and prematurity (29%). The case fatality ratio (CFR) was 13.9% (n = 703). Infection (38%), cardio/respiratory disorders (27%), congenital abnormalities (20%) and neurological conditions (10%) were the main causes of death. Of all the deaths, 38% had an admission weight ≥2500g. Higher CFR were associated with lower admission weights. Very few deaths (3%) occurred in the first 24 hours of life. Most referrals and deaths came from Hanoi and neighbouring provincial hospitals, with few from the most distant provinces. Two distant referral provinces had the highest CFR. Conclusions The CFR was high and few deaths occurred in neonates |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|