Admission and mortality at the main neonatal intensive care unit in Guinea-Bissau

Anne Sofie Pinstrup Joergensen, Morten Bjerregaard-Andersen*, Sofie Biering-Sørensen, Stine Byberg, Luis Camala, Cesario Martins, Amabelia Rodrigues, Peter Aaby, Christine Stabell Benn

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Resumé

Background: The authors assessed the risk of admission and mortality at the main neonatal intensive care unit (NICU) at the National Hospital Simão Mendes (NHSM) in Guinea-Bissau.

Methods: The Bandim Health Project (BHP) maintains a health and demographic surveillance system (HDSS) in the capital Bissau, including at the NHSM. Data from January 2008 to August 2013 was used to assess NICU incubator admissions and mortality.

Results: The overall NICU admission rate was 4.8% (1575/33,005); the lowest rate in 2012 (4.0% (214/5293)) and the highest rate in 2009 (6.0% (369/6134)). The overall mortality among admitted children was 19.6% (289/1476), declining from 26.7% (68/255) in 2008 to 13.0% (16/123) in 2013. Birth weight <1500 g (OR=353, (95% CI: 244-510) compared with normal birth weight 2500 g-4000 g), Apgar score≤3 (OR=13.2 (9.72-18.0) compared with Apgar score 7-10) and single motherhood (OR=1.44 (1.20-1.74)) were associated with NICU admission. Low Apgar score was a risk factor for NICU mortality (OR=6.21 (2.05-18.81)) and females (OR=0.55 (0.38-0.79) had a lower mortality than males.

Conclusion: Approximately 5% of the hospital-born children were admitted to an incubator and among those almost 20% died, although mortality did decline. Male sex, very low birth weight and low Apgar score were strongly associated with NICU admissions and mortality.

OriginalsprogEngelsk
TidsskriftTransactions of the Royal Society of Tropical Medicine and Hygiene
Vol/bind112
Udgave nummer7
Sider (fra-til)335-341
ISSN0035-9203
DOI
StatusUdgivet - 1. jul. 2018

Fingeraftryk

Guinea-Bissau
Neonatal Intensive Care Units
Incubators
Very Low Birth Weight Infant
Health

Citer dette

Joergensen, Anne Sofie Pinstrup ; Bjerregaard-Andersen, Morten ; Biering-Sørensen, Sofie ; Byberg, Stine ; Camala, Luis ; Martins, Cesario ; Rodrigues, Amabelia ; Aaby, Peter ; Benn, Christine Stabell. / Admission and mortality at the main neonatal intensive care unit in Guinea-Bissau. I: Transactions of the Royal Society of Tropical Medicine and Hygiene. 2018 ; Bind 112, Nr. 7. s. 335-341.
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abstract = "Background: The authors assessed the risk of admission and mortality at the main neonatal intensive care unit (NICU) at the National Hospital Sim{\~a}o Mendes (NHSM) in Guinea-Bissau.Methods: The Bandim Health Project (BHP) maintains a health and demographic surveillance system (HDSS) in the capital Bissau, including at the NHSM. Data from January 2008 to August 2013 was used to assess NICU incubator admissions and mortality.Results: The overall NICU admission rate was 4.8{\%} (1575/33,005); the lowest rate in 2012 (4.0{\%} (214/5293)) and the highest rate in 2009 (6.0{\%} (369/6134)). The overall mortality among admitted children was 19.6{\%} (289/1476), declining from 26.7{\%} (68/255) in 2008 to 13.0{\%} (16/123) in 2013. Birth weight <1500 g (OR=353, (95{\%} CI: 244-510) compared with normal birth weight 2500 g-4000 g), Apgar score≤3 (OR=13.2 (9.72-18.0) compared with Apgar score 7-10) and single motherhood (OR=1.44 (1.20-1.74)) were associated with NICU admission. Low Apgar score was a risk factor for NICU mortality (OR=6.21 (2.05-18.81)) and females (OR=0.55 (0.38-0.79) had a lower mortality than males.Conclusion: Approximately 5{\%} of the hospital-born children were admitted to an incubator and among those almost 20{\%} died, although mortality did decline. Male sex, very low birth weight and low Apgar score were strongly associated with NICU admissions and mortality.",
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Admission and mortality at the main neonatal intensive care unit in Guinea-Bissau. / Joergensen, Anne Sofie Pinstrup; Bjerregaard-Andersen, Morten; Biering-Sørensen, Sofie; Byberg, Stine; Camala, Luis; Martins, Cesario; Rodrigues, Amabelia; Aaby, Peter; Benn, Christine Stabell.

I: Transactions of the Royal Society of Tropical Medicine and Hygiene, Bind 112, Nr. 7, 01.07.2018, s. 335-341.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Admission and mortality at the main neonatal intensive care unit in Guinea-Bissau

AU - Joergensen, Anne Sofie Pinstrup

AU - Bjerregaard-Andersen, Morten

AU - Biering-Sørensen, Sofie

AU - Byberg, Stine

AU - Camala, Luis

AU - Martins, Cesario

AU - Rodrigues, Amabelia

AU - Aaby, Peter

AU - Benn, Christine Stabell

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Background: The authors assessed the risk of admission and mortality at the main neonatal intensive care unit (NICU) at the National Hospital Simão Mendes (NHSM) in Guinea-Bissau.Methods: The Bandim Health Project (BHP) maintains a health and demographic surveillance system (HDSS) in the capital Bissau, including at the NHSM. Data from January 2008 to August 2013 was used to assess NICU incubator admissions and mortality.Results: The overall NICU admission rate was 4.8% (1575/33,005); the lowest rate in 2012 (4.0% (214/5293)) and the highest rate in 2009 (6.0% (369/6134)). The overall mortality among admitted children was 19.6% (289/1476), declining from 26.7% (68/255) in 2008 to 13.0% (16/123) in 2013. Birth weight <1500 g (OR=353, (95% CI: 244-510) compared with normal birth weight 2500 g-4000 g), Apgar score≤3 (OR=13.2 (9.72-18.0) compared with Apgar score 7-10) and single motherhood (OR=1.44 (1.20-1.74)) were associated with NICU admission. Low Apgar score was a risk factor for NICU mortality (OR=6.21 (2.05-18.81)) and females (OR=0.55 (0.38-0.79) had a lower mortality than males.Conclusion: Approximately 5% of the hospital-born children were admitted to an incubator and among those almost 20% died, although mortality did decline. Male sex, very low birth weight and low Apgar score were strongly associated with NICU admissions and mortality.

AB - Background: The authors assessed the risk of admission and mortality at the main neonatal intensive care unit (NICU) at the National Hospital Simão Mendes (NHSM) in Guinea-Bissau.Methods: The Bandim Health Project (BHP) maintains a health and demographic surveillance system (HDSS) in the capital Bissau, including at the NHSM. Data from January 2008 to August 2013 was used to assess NICU incubator admissions and mortality.Results: The overall NICU admission rate was 4.8% (1575/33,005); the lowest rate in 2012 (4.0% (214/5293)) and the highest rate in 2009 (6.0% (369/6134)). The overall mortality among admitted children was 19.6% (289/1476), declining from 26.7% (68/255) in 2008 to 13.0% (16/123) in 2013. Birth weight <1500 g (OR=353, (95% CI: 244-510) compared with normal birth weight 2500 g-4000 g), Apgar score≤3 (OR=13.2 (9.72-18.0) compared with Apgar score 7-10) and single motherhood (OR=1.44 (1.20-1.74)) were associated with NICU admission. Low Apgar score was a risk factor for NICU mortality (OR=6.21 (2.05-18.81)) and females (OR=0.55 (0.38-0.79) had a lower mortality than males.Conclusion: Approximately 5% of the hospital-born children were admitted to an incubator and among those almost 20% died, although mortality did decline. Male sex, very low birth weight and low Apgar score were strongly associated with NICU admissions and mortality.

KW - Africa

KW - Incubator

KW - Intensive care

KW - Low-income setting

KW - Neonatal mortality

U2 - 10.1093/trstmh/try061

DO - 10.1093/trstmh/try061

M3 - Journal article

C2 - 30010994

AN - SCOPUS:85055182608

VL - 112

SP - 335

EP - 341

JO - Transactions of the Royal Society of Tropical Medicine and Hygiene

JF - Transactions of the Royal Society of Tropical Medicine and Hygiene

SN - 0035-9203

IS - 7

ER -