Outborns or inborns: Clinical audit of the two intensive care units of Cairo University Hospital
Objective: To document and analyze mortality and morbidity of infants admitted to the inborn and outborn neonatal intensive care units (NICUs) of Cairo University Hospital in Egypt. Methods: Admission data, mode of delivery, gestational age, birth weight, diagnosis, period of stay and outcome (disch...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2017-03-01
|
Series: | Egyptian Pediatric Association Gazette |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1110663817300022 |
id |
doaj-1f4dc752d07240fc8d3a854e620f18e5 |
---|---|
record_format |
Article |
spelling |
doaj-1f4dc752d07240fc8d3a854e620f18e52020-11-25T02:07:53ZengSpringerOpenEgyptian Pediatric Association Gazette1110-66382017-03-01651101410.1016/j.epag.2017.01.004Outborns or inborns: Clinical audit of the two intensive care units of Cairo University HospitalNahed FahmyNermin RamySalma El HouchiKhalil Abdel KhalekWalaa AlsharanyAngie TossonObjective: To document and analyze mortality and morbidity of infants admitted to the inborn and outborn neonatal intensive care units (NICUs) of Cairo University Hospital in Egypt. Methods: Admission data, mode of delivery, gestational age, birth weight, diagnosis, period of stay and outcome (discharge or mortality) were retrospectively collected from January to December 2014 for infants admitted to either one of the two NICUs of Cairo University Hospital. Results: A total of 1725 babies were admitted, 600 (34.8%) were inborn and 1125 (65.2%) were outborn. The majority of inborns admitted (72.5%) were preterms, compared to a majority of full term admitted outborns (67.7%) (p < 0.001). Neonatal hyperbilirubinemia represented the main cause of admission among outborns. Mortality was significantly higher among inborns (37.2%) than outborns (17.2%) (p < 0.0001). Prematurity was the leading cause of death among inborns (78.48%) and was significantly higher than in outborns (57.22%) (p < 0.001), but when compared to admission ratio, premature expiries (especially <28 weeks of gestation) were high in both NICUs (83.3% for inborns and 93.8% for outborns) with no statistical difference. Early neonatal deaths (during the first week of life) represented the majority of inborns and outborns expiries (75.34% and 63.92% respectively). Other causes of death among inborns included septicemia, hypoxic encephalopathy, and congenital malformations whilst among outborns, prematurity and congenital malformations showed the highest case fatality (46.6% and 47.2% respectively). Conclusion: Prematurity is a significant cause of death in our NICUs. We speculate that improving survival requires regular recording and identification of our problems, with applying best practices using available and may be novel therapies.http://www.sciencedirect.com/science/article/pii/S1110663817300022MorbidityMortalityNeonatePrematurityNeonatal jaundice |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nahed Fahmy Nermin Ramy Salma El Houchi Khalil Abdel Khalek Walaa Alsharany Angie Tosson |
spellingShingle |
Nahed Fahmy Nermin Ramy Salma El Houchi Khalil Abdel Khalek Walaa Alsharany Angie Tosson Outborns or inborns: Clinical audit of the two intensive care units of Cairo University Hospital Egyptian Pediatric Association Gazette Morbidity Mortality Neonate Prematurity Neonatal jaundice |
author_facet |
Nahed Fahmy Nermin Ramy Salma El Houchi Khalil Abdel Khalek Walaa Alsharany Angie Tosson |
author_sort |
Nahed Fahmy |
title |
Outborns or inborns: Clinical audit of the two intensive care units of Cairo University Hospital |
title_short |
Outborns or inborns: Clinical audit of the two intensive care units of Cairo University Hospital |
title_full |
Outborns or inborns: Clinical audit of the two intensive care units of Cairo University Hospital |
title_fullStr |
Outborns or inborns: Clinical audit of the two intensive care units of Cairo University Hospital |
title_full_unstemmed |
Outborns or inborns: Clinical audit of the two intensive care units of Cairo University Hospital |
title_sort |
outborns or inborns: clinical audit of the two intensive care units of cairo university hospital |
publisher |
SpringerOpen |
series |
Egyptian Pediatric Association Gazette |
issn |
1110-6638 |
publishDate |
2017-03-01 |
description |
Objective: To document and analyze mortality and morbidity of infants admitted to the inborn and outborn neonatal intensive care units (NICUs) of Cairo University Hospital in Egypt.
Methods: Admission data, mode of delivery, gestational age, birth weight, diagnosis, period of stay and outcome (discharge or mortality) were retrospectively collected from January to December 2014 for infants admitted to either one of the two NICUs of Cairo University Hospital.
Results: A total of 1725 babies were admitted, 600 (34.8%) were inborn and 1125 (65.2%) were outborn. The majority of inborns admitted (72.5%) were preterms, compared to a majority of full term admitted outborns (67.7%) (p < 0.001). Neonatal hyperbilirubinemia represented the main cause of admission among outborns. Mortality was significantly higher among inborns (37.2%) than outborns (17.2%) (p < 0.0001). Prematurity was the leading cause of death among inborns (78.48%) and was significantly higher than in outborns (57.22%) (p < 0.001), but when compared to admission ratio, premature expiries (especially <28 weeks of gestation) were high in both NICUs (83.3% for inborns and 93.8% for outborns) with no statistical difference. Early neonatal deaths (during the first week of life) represented the majority of inborns and outborns expiries (75.34% and 63.92% respectively). Other causes of death among inborns included septicemia, hypoxic encephalopathy, and congenital malformations whilst among outborns, prematurity and congenital malformations showed the highest case fatality (46.6% and 47.2% respectively).
Conclusion: Prematurity is a significant cause of death in our NICUs. We speculate that improving survival requires regular recording and identification of our problems, with applying best practices using available and may be novel therapies. |
topic |
Morbidity Mortality Neonate Prematurity Neonatal jaundice |
url |
http://www.sciencedirect.com/science/article/pii/S1110663817300022 |
work_keys_str_mv |
AT nahedfahmy outbornsorinbornsclinicalauditofthetwointensivecareunitsofcairouniversityhospital AT nerminramy outbornsorinbornsclinicalauditofthetwointensivecareunitsofcairouniversityhospital AT salmaelhouchi outbornsorinbornsclinicalauditofthetwointensivecareunitsofcairouniversityhospital AT khalilabdelkhalek outbornsorinbornsclinicalauditofthetwointensivecareunitsofcairouniversityhospital AT walaaalsharany outbornsorinbornsclinicalauditofthetwointensivecareunitsofcairouniversityhospital AT angietosson outbornsorinbornsclinicalauditofthetwointensivecareunitsofcairouniversityhospital |
_version_ |
1724929040314269696 |