The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study

Autor: Dominic Akaateba, Emmanuel A. Azusong, Edem M. A. Tette, Nana Ayegua Hagan Seneadza, Augustine Alandu, Judith Y. Yirifere, Benjamin D. Nuertey, Naa Barnabas Gandau, Lorna Renner, Edmund T. Nartey
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Pediatrics
Cross-sectional study
Physiology
Pathology and Laboratory Medicine
Ghana
Geographical Locations
0302 clinical medicine
Patient Admission
Epidemiology
Infant Mortality
Medicine and Health Sciences
Birth Weight
030212 general & internal medicine
Hospital Mortality
Asphyxia Neonatorum
Multidisciplinary
Neonatal sepsis
Mortality rate
Gestational age
Hospitals
Hospitalization
Physiological Parameters
Medicine
Female
medicine.symptom
Neonatal Sepsis
Infant
Premature
Research Article
medicine.medical_specialty
Death Rates
Birth weight
Science
03 medical and health sciences
Asphyxia
Signs and Symptoms
Population Metrics
Diagnostic Medicine
030225 pediatrics
Sepsis
medicine
Parasitic Diseases
Humans
Population Biology
business.industry
Body Weight
Infant
Newborn
Biology and Life Sciences
Neonates
Infant
Infant
Low Birth Weight
medicine.disease
Tropical Diseases
Hospitals
District
Infant mortality
Malaria
Health Care
Low birth weight
Cross-Sectional Studies
Health Care Facilities
People and Places
Africa
business
Developmental Biology
Zdroj: PLoS ONE, Vol 15, Iss 5, p e0232406 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: Background High global neonatal deaths have triggered efforts to improve facility-based care. However, the outcomes achievable at different levels of care are unclear. This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality. Objective This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality. Methods A cross-sectional study involving a records-review over one year at the Upper West Regional Hospital, and three years at St Joseph's District Hospital, Jirapa was carried out. Age, sex, gestational age, weight, duration of admission, diagnosis, among others were examined. The data were analysed and statistical inference made. Results Altogether, 2004 newborns were examined, comprising 1,241(62%) from St Joseph's District Hospital and 763(38%) from Upper West Regional Hospital. The proportion of neonatal deaths was similar, 8.94% (St Joseph's District Hospital) and 8.91% (Upper West Regional Hospital). Prematurity, neonatal sepsis, birth asphyxia, low birth weight, neonatal jaundice and pneumonia contributed the most to mortality and suspected infections including malaria accounted for almost half (45.5%). Mortality was significantly associated with duration of stay of 48 hours, being premature, and being younger than 3 days. Conclusion Majority of the mortality among the neonates admitted was due to preventable causes. Better stabilization and further studies on the epidemiology of sepsis, prematurity, low birth weight, including the contribution of malaria to these and outcome of transferred neonates are needed.
Databáze: OpenAIRE
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