Outcome of neonates ventilated in NICU of a tertiary care hospital and factors associated with poor outcome
PAFMJ-Pakistan Armed Forces Medical Journal. 2018; 68 (2): 300-304
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| IMEMR
| ID: emr-198902
Biblioteca responsable:
EMRO
Objective: To ascertain the outcome of neonates who are ventilated for various reasons in our Neonatal Intensive Care Unit [NICU] and determine the risk factors associated with increased incidence of adverse outcome. Study Design: Retrospective study. Place and Duration of Study: Neonatal Intensive Care Unit of Combined Military Hospital Rawalpindi from Jul 2016 to Dec 2016
Material and Methods: All neonates who received mechanical ventilation during the study period were included in the study
Results: Total sixty seven [35.8% females and 64.15% males] neonates were ventilated during the study period for various reasons. Of these 67 neonates who were ventilated, 35 [52.23%] died and 32 [47.76%] survived to be discharged home. 10 babies were born less than 28+ 0weeks gestation and all [100%] expired. Of 7 babies born between 28+1-31+6 weeks gestation, only 01 [14.28%] survived. Of 50 newborns between 32+0-36+6 weeks, 20 [40%] died and 30 [60%] survived to be discharged home. In our cohort of ventilated babies, 7 weighed less than 1000 gm of which 6 [85.71%] died and only 01 [14.28%] survived. Of 18 babies born 1000-1499 gm, 14 [77.77%] died and 4 [22.22%] survived. Of 14 babies born between 1500-2499 gm, 6 [42.85%] died and 8 [57.14%] survived. Of all ventilated babies, 28 weighed more than 2500 gm, of which 10 [35.71%] died and 18 [64.28%] survived. Out of our cohort of 67 babies, 14 were diagnosed with hypoxic ischemic encephalopathy grade 3, of which 11 [78.57%] died and 3 [21.42%] were discharged. Twenty three had RDS, of which 11 [47.82%] died and 12 [52.17%] survived. Ten babies were ventilated due to sepsis, of which 6 [60%] died and 4 [40%] survived
Conclusion: We conclude that gestational age less than 32+0 weeks, birth weight less than 1500 gm, Hypoxic Ischemic Encephalopathy grade 3 and sepsis are associated with a poor outcome in babies who are mechanically ventilated
Material and Methods: All neonates who received mechanical ventilation during the study period were included in the study
Results: Total sixty seven [35.8% females and 64.15% males] neonates were ventilated during the study period for various reasons. Of these 67 neonates who were ventilated, 35 [52.23%] died and 32 [47.76%] survived to be discharged home. 10 babies were born less than 28+ 0weeks gestation and all [100%] expired. Of 7 babies born between 28+1-31+6 weeks gestation, only 01 [14.28%] survived. Of 50 newborns between 32+0-36+6 weeks, 20 [40%] died and 30 [60%] survived to be discharged home. In our cohort of ventilated babies, 7 weighed less than 1000 gm of which 6 [85.71%] died and only 01 [14.28%] survived. Of 18 babies born 1000-1499 gm, 14 [77.77%] died and 4 [22.22%] survived. Of 14 babies born between 1500-2499 gm, 6 [42.85%] died and 8 [57.14%] survived. Of all ventilated babies, 28 weighed more than 2500 gm, of which 10 [35.71%] died and 18 [64.28%] survived. Out of our cohort of 67 babies, 14 were diagnosed with hypoxic ischemic encephalopathy grade 3, of which 11 [78.57%] died and 3 [21.42%] were discharged. Twenty three had RDS, of which 11 [47.82%] died and 12 [52.17%] survived. Ten babies were ventilated due to sepsis, of which 6 [60%] died and 4 [40%] survived
Conclusion: We conclude that gestational age less than 32+0 weeks, birth weight less than 1500 gm, Hypoxic Ischemic Encephalopathy grade 3 and sepsis are associated with a poor outcome in babies who are mechanically ventilated
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Índice:
IMEMR
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Pak. Armed Forces Med. J.
Año:
2018