AustralieFrV1, Main, Exploration, bibRecord, 001C99

Improved Neonatal Mortality at a District Hospital in Aweil, South Sudan

Identifieur interne : 001C99 ( Main/Exploration ); précédent : 001C98; suivant : 001D00

Improved Neonatal Mortality at a District Hospital in Aweil, South Sudan

Auteurs : Johanna Thomson [France] ; Myrto Schaefer [Australie] ; Belen Caminoa [Australie] ; David Kahindi [Soudan du Sud] ; Northan Hurtado [États-Unis]

Source :

Journal of Tropical Pediatrics [ 0142-6338 ] ; 2016.

RBID : PMC:5452431

Abstract

Neonatal deaths comprise a growing proportion of global under-five mortality. However, data from the highest-burden areas is sparse. This descriptive retrospective study analyses the outcomes of all infants exiting the Médecins sans Frontières-managed neonatal unit in Aweil Hospital, rural South Sudan from 2011 to 2014. A total of 4268 patients were treated over 4 years, with annual admissions increasing from 687 to 1494. Overall mortality was 13.5% (n = 576), declining from 18.7% to 11.1% (p for trend <0.001). Newborns weighing <2500 g were at significantly increased mortality risk compared with babies ≥2500 g (odds ratio = 2.27, 95% confidence interval = 1.9–2.71, p < 0.001). Leading causes of death included sepsis (49.7%), tetanus (15.8%), respiratory distress (12.8%) and asphyxia (9.2%). Tetanus had the highest case fatality rate (49.7%), followed by perinatal asphyxia (26.5%), respiratory distress (20.4%) and neonatal sepsis (10.5%). Despite increasing admissions, overall mortality declined, indicating that survival of these especially vulnerable infants can be improved even in a basic-level district hospital programme.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452431

DOI: 10.1093/tropej/fmw071
PubMed: 27789662
PubMed Central: 5452431

Affiliations:

Le document en format XML

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<p>Neonatal deaths comprise a growing proportion of global under-five mortality. However, data from the highest-burden areas is sparse. This descriptive retrospective study analyses the outcomes of all infants exiting the Médecins sans Frontières-managed neonatal unit in Aweil Hospital, rural South Sudan from 2011 to 2014. A total of 4268 patients were treated over 4 years, with annual admissions increasing from 687 to 1494. Overall mortality was 13.5% (<italic>n</italic>
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Improved Neonatal Mortality at a District Hospital in Aweil, South Sudan

Improved Neonatal Mortality at a District Hospital in Aweil, South Sudan

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