ISSN: 2161-0665
+44 1478 350008
Ho Tan Thanh Binh
Neonatal Intensive Care Unit, Vietnam
Posters & Accepted Abstracts: Pediat Therapeut
Background: Neonatal deaths constitute the majority of child mortality in Vietnam, but studies are scare. In a prospective cohort study, we investigated deaths and discharge diagnostics among hospitalized neonates. Methods: During a 12 months period, neonates admitted to a province general hospital and a tertiary pediatric hospital, were studied. Potential risk factors of death covering socio-demographic, pregnancy history, previous neonatal period and admission status were registered at entry. The neonates were followed until discharge, death or withdrawing of life support or to 29 days of age if still admitted. The main outcome was neonatal dead. Results: Among admitted neonates of 2 hospitals, the discharge diagnoses were infection (91.8%, 76.8%), prematurity (20.0%, 15.3%), congenital malformations (4.7%, 16.4%) and asphyxia (4.4%, 4.3%). The hospital neonatal mortalities were 4.6% and 5%. In a multivariate analysis, associated risk factors of death were very / extremely low birth weight, no cry at birth and poor admission condition. Conclusion: Prematurity and asphyxia were diagnosed less frequently and infection more frequently than expected. The neonatal mortality was about 5%. No socio-demographic factors were associated with death.
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