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: Merinda Miles, Khu Thi Khanh Dung, Le Thi Ha, Nguyen Thanh Liem, Khu Ha, Rod W Hunt, Kim Mulholland, Chris Morgan, Fiona M Russell
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: PLoS ONE, Vol 12, Iss 3, p e0173407 (2017)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0173407
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
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