Clincal Audit of Admission Pattern and its outcome in the NICU of Rehman Medical Institute, Peshawar

Anwar Zeb Jan, Shahzada Bakhtyar Zahid, Samreen Ahmad

Abstract


Background: Neonatal period is the most susceptible period of life due to different diseases, which in most cases are preventable. The objective of this study was to assess frequency and pattern of neonatal mortality and morbidity. Material & Methods: A retrospective clinical audit was conducted at a grade IIIA NICU, Rehman Medical Institute, Peshawar. The data of all neonates was analyzed retrospectically from June, 2006 to June, 2012. Results: A total of 4900 patients were admitted in the study period. Among them males were 3104 (63.3%) and females were 1796 (36.71%). Sepsis neonatorum (NNS) accounted for 2027 (41.36%), Neonatal Jaundice (NNJ) 1777 (36.2%), intrauterine growth retardation (IUGR) 941 (19.2%), prematurity 515 (10.5%), birth asphyxia (BA) 446 (9.1%) and meconium aspiration syndrome (MAS) 362 (7.3%) accounted of total admissions. Among total admissions 4331 (88.4%) were sent home after complete recovery, 407 (8.3%) expired, while 162 (3.3%) left against medical advice (LAMA). Conclusions: There is a need for timely referral to a tertiary care hospital from peripheral and non-tertiary setups to prevent and control neonatal mortality and morbidity.

Keywords


Neonatal mortality; Intrauterine growth retardation; Low birth weight

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References


Rahim F, Mohammad AJ, Iqbal H. Patterns and outcome of admissions to neonatal unit of Khyber Teaching Hospital, Peshawar. Pak J Med Sci 2007; 23:249-53.

Chaudhry IJ, Chaudhry NA, Hussain R, Munir M, Tayyab M. Neonatal septicemia. Pak Postgrad Med J 2003; 14:18-22.

Ng PC. Diagnostic members of infection in neonates. Arch Diseases Chil. 2004 89:F229-235.

United Nations. Resolution adopted by the General Assembly. S-27/2. A world fit for children. New York: United Nations; 2002.

Jehan I, Harris H, Salat S, Zeb A. Moben N, Pasha O, McCure EM, Moore J, Wright LL, Goldenberg RL (2009). Neonatal mortality: risk factors and causes: a prospective population-based cohort study in Pakistan. Bulletin of the World Health Organization87: 130-138.

World health report 2005: Make every mother and child count. Geneva: WHO; 2005.

Lawan JE, Cousens S, Zupan J. 4 million neonatal deaths: when? Where? Why? Lancet 2005, 365: 891-900.

Aurangzeb B, Hammad A. Neonatal sepsis in hospital born babies: bacterial isolates and antibiotic susceptibility pattern. J Coll Physicians Surg 2003; 13: 629-632.

Jalil F. Perinatal health in Pakistan: a review of the current situation. Acta Paediatr 2004; 93: 1273-9.

Sarnat HB, Sarnat MS. Neonatal encephalopathy following fetal distress: A clinical and electroencephalographic study. Arch Neurol 1976; 33:696–705.

Chisti AZ, Iqbal MA, Anjum A, Maqbool S. Risk factor analysis of birth asyphyxia at the Children’s Hospital, Lahore. Pak Padiatr J 2002; 26: 47-53.

William RL, Creasy RK, Cunningham GC. Fetal growth and perinatal viability in California. Obstet and Gynecol; 1982; 59: 624-32.

Rahman S, Hameed A, Roghani MT, Ullah Z. Multi drug resistant neonatal sepsis in Peshawar. Arch Dis Chidl Fetal Neonatal 2002; 87:52-4.

Parkash J, Das N. Pattern of admission to neonatal unit. J Coll Physician Surg Pak 2005; 15: 341-4.

Butt NA, Malik A, Kazi MY. Pattern of neonatal admissions in tertiary care hospital. Pak Journal of Med & Health Sci 2010; 4: 436-8.

HoqueM, HaaqS, Islam R. Causes of neonatal admission and deaths at a rural hospital in KwaZulu-Naal, South Africa.South Afr J Epidemiol Infect 2011; 26: 26-9.

Nahar J, Zabeen B, Akhter S, Azad K, Nahar N. Neonatal morbidity and mortality pattern in the special care baby unit of Birdem: Ibrahim Med Coll J 2007; 1: 1-4.

Ogunlesi TA, Ogunfowora OB, Adekanmi AF, Fetuga MB, Runsewe TI, MMOgundeyi. Neonatal mortality at Olabisi Onabanjor University Teaching Hospital, Sagamu: Niger J Pediatr 2006; 33: 40-6.

Seyal T, Husnain F, Anwar A. Audit of Neonatal Morbidity and Mortality at Neonatal unit of Sir Gangaram Hospital Lahore. Annal King Edward Med Coll 2011; 1: 9-13.

Anjum ZM, Shamoon M. Pattern of Neonatal unit of Allied Hospital Faisalabad Pakistan, Annals Punjab Med Col 2009; 3: 129-131.

Narayan R. A study of pattern of admission and outcome in a neonatal intensive care unit at high altitude. Sri Lanka Journal of child Health 2012; 41: 79-81.

Jamal M, Khan N. Neonatal morbidity and mortality in high risk pregnancies. J Coll Physician Surg Pak 2202; 12: 657-61.

Abbasi KA. Neonatal disease profile in Larkana before and after establishment of neonatal ward. J Pak Med Assoc 1995; 45: 236-6.


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