OBJECTIVE: To determine the morbidity and mortality in ELBW babies till discharge from a Neonatal Intensive Care Unit (NICU). METHODS: This study was a prospective observational study conducted in a 40 bed well equipped level III care NICU between 01.12.2006 and 30.04.2008. All ELBW babies admitted during this period were assessed for morbidities and interventions required during NICU stay and for their outcome like survival or death. RESULTS: The survival rate of 87 ELBW babies admitted during this period was 56.1 %. Pulmonary hemorrhage was the commonest cause of death (25 %) followed by respiratory distress syndrome (22.5 %), intraventricular hemorrhage (22.5 %) and sepsis (20 %). Significantly higher number of non-survivors were <750 g at birth (p = 0.0001) and <28 wk gestation (p = 0.0001). Small for gestational babies had better chances of survival compared to those appropriate for gestational age (p = 0.005). RDS (67.8 %), probable sepsis (62.1 %) and hyperbilirubinemia (59.8 %) were the most frequent morbidities. Conventional ventilation (72.4 %) and nasal CPAP(48.3 %) were the commonest respiratory interventions. Surfactant replacement therapy was required in 47.1 % babies. CONCLUSIONS: ELBW babies have a major contribution to mortality in a NICU. Babies with birth weight <750 g and gestation <28 wk have poor survival. RDS, pulmonary hemorrhage, IVH and sepsis are the common causes of death while RDS, sepsis and hyperbilirubinemia are the most common morbidities.
OBJECTIVE: To determine the morbidity and mortality in ELBW babies till discharge from a Neonatal Intensive Care Unit (NICU). METHODS: This study was a prospective observational study conducted in a 40 bed well equipped level III care NICU between 01.12.2006 and 30.04.2008. All ELBW babies admitted during this period were assessed for morbidities and interventions required during NICU stay and for their outcome like survival or death. RESULTS: The survival rate of 87 ELBW babies admitted during this period was 56.1 %. Pulmonary hemorrhage was the commonest cause of death (25 %) followed by respiratory distress syndrome (22.5 %), intraventricular hemorrhage (22.5 %) and sepsis (20 %). Significantly higher number of non-survivors were <750 g at birth (p = 0.0001) and <28 wk gestation (p = 0.0001). Small for gestational babies had better chances of survival compared to those appropriate for gestational age (p = 0.005). RDS (67.8 %), probable sepsis (62.1 %) and hyperbilirubinemia (59.8 %) were the most frequent morbidities. Conventional ventilation (72.4 %) and nasal CPAP(48.3 %) were the commonest respiratory interventions. Surfactant replacement therapy was required in 47.1 % babies. CONCLUSIONS: ELBW babies have a major contribution to mortality in a NICU. Babies with birth weight <750 g and gestation <28 wk have poor survival. RDS, pulmonary hemorrhage, IVH and sepsis are the common causes of death while RDS, sepsis and hyperbilirubinemia are the most common morbidities.
Authors: Shankar Narayan; Rajiv Aggarwal; Amit Upadhyay; Ashok K Deorari; Meharban Singh; Vinod K Paul Journal: Indian Pediatr Date: 2003-02 Impact factor: 1.411
Authors: Augusto Zani; Justyna Wolinska; Giovanni Cobellis; Priscilla P L Chiu; Agostino Pierro Journal: Pediatr Surg Int Date: 2015-10-30 Impact factor: 1.827
Authors: Selina Chow; Ronald Chow; Mila Popovic; Michael Lam; Marko Popovic; Joav Merrick; Ruth Naomi Stashefsky Margalit; Henry Lam; Milica Milakovic; Edward Chow; Jelena Popovic Journal: Front Public Health Date: 2015-10-07