Neonatal mortality and associated factors in newborn infants admitted to a Neonatal Care Unit

Title

Neonatal mortality and associated factors in newborn infants admitted to a Neonatal Care Unit

Creator

Lona Reyes JC; Perez Ramirez RO; Llamas Ramos L; Gomez Ruiz LM; Benitez Vazquez EA; Rodriguez Patino V

Publisher

Archivos Argentinos De Pediatria

Date

2018

Subject

child mortality; Neonatal mortality; Neonatal respiratory distress syndrome; Perinatal mortality; preterm birth

Description

INTRODUCTION: The increasing survival rate of preterm infants has altered the epidemiology of neonatal diseases; however, neonatal mortality is still the main component of child mortality. The objective of this study was to evaluate neonatal mortality and associated factors in newborn infants admitted to a neonatal care unit. MATERIAL AND METHODS: Prospective cohort study conducted between January 2016 and January 2017 at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca." The incidence of deaths and associated conditions was evaluated using a multivariate logistic regression analysis. RESULTS: A total of 9366 live births were registered; 15% (n: 1410) of these were admitted to the neonatal care unit. The mortality rate was 125.5 per 1000 hospitalized newborn infants (95% confidence interval [CI]: 109-144); the main reasons for admission were congenital malformations or genetic disorders (28.2%), infections (24.9%), and respiratory distress (20.9%). The conditions associated with death were gestational age < 37 weeks (OR: 2.41, 95% CI: 1.49-3.93), birth weight < 1500 grams (OR: 6.30, 95% CI: 4.15-9.55), moderate/severe respiratory distress at 10 minutes (OR: 1.89, 95% CI: 1.24-2.86), Apgar score < 7 at 5 minutes (OR: 9.40, 95% CI: 5.76-15.31), congenital malformations (OR: 5.52, 95% CI: 3.12-9.78), and less than 5 antenatal care visits (OR: 1.51, 95% CI: 1.09-2.08). CONCLUSIONS: Preterm birth, low birth weight, respiratory distress, Apgar score < 7, congenital malformations, and a history of < 5 antenatal care visits were associated with a higher risk for death.
2018-02

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

March 2018 List

Issue

1

Volume

116

Collection

Citation

Lona Reyes JC; Perez Ramirez RO; Llamas Ramos L; Gomez Ruiz LM; Benitez Vazquez EA; Rodriguez Patino V, “Neonatal mortality and associated factors in newborn infants admitted to a Neonatal Care Unit,” Pediatric Palliative Care Library, accessed January 17, 2022, https://pedpalascnetlibrary.omeka.net/items/show/14587.

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