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首页> 外文期刊>BMC Pediatrics >Improved referral and survival of newborns after scaling up of intensive care in Suriname
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Improved referral and survival of newborns after scaling up of intensive care in Suriname

机译：在苏里南扩大重症监护后，新生儿的转诊和生存率得到改善

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Scaling up neonatal care facilities in developing countries can improve survival of newborns. Recently, the only tertiary neonatal care facility in Suriname transitioned to a modern environment in which interventions to improve intensive care were performed. This study evaluates impact of this transition on referral pattern and outcomes of newborns. A retrospective chart study amongst newborns admitted to the facility was performed and outcomes of newborns between two 9-month periods before and after the transition in March 2015 were compared. After the transition more intensive care was delivered (RR 1.23; 95% CI 1.07–1.42) and more outborn newborns were treated (RR 2.02; 95% CI 1.39–2.95) with similar birth weight in both periods (P=0.16). Mortality of inborn and outborn newborns was reduced (RR 0.62; 95% CI 0.41–0.94), along with mortality of sepsis (RR 0.37; 95% CI 0.17–0.81) and asphyxia (RR 0.21; 95% CI 0.51–0.87). Mortality of newborns with a birth weight <1000 grams (34.8%; RR 0.90; 95% CI 0.43–1.90) and incidence of sepsis (38.8%, 95% CI 33.3–44.6) and necrotizing enterocolitis (NEC) (12.5%, 95% CI 6.2–23.6) remained high after the transition. After scaling up intensive care at our neonatal care facility more outborn newborns were admitted and survival improved for both in- and outborn newborns. Challenges ahead are sustainability, further improvement of tertiary function, and prevention of NEC and sepsis.
机译：在发展中国家扩大新生儿护理设施可以改善新生儿的生存。最近，苏里南唯一的三级新生儿护理机构过渡到了现代环境，在该环境中进行了改善重症监护的干预措施。这项研究评估了这种转变对新生儿的转诊模式和结局的影响。对入院的新生儿进行了回顾性图表研究，并比较了2015年3月过渡前后两个9个月之间的新生儿结局。过渡后，在两个时期中，出生体重相似（P = 0.16），提供了更重的护理（RR 1.23; 95％CI 1.07–1.42），并治疗了更多的新生儿（RR 2.02; 95％CI 1.39–2.95）。新生儿和新生儿的死亡率降低（RR 0.62; 95％CI 0.41-0.94），败血症死亡率（RR 0.37; 95％CI 0.17-0.81）和窒息死亡率（RR 0.21; 95％CI 0.51-0.87）降低。出生体重<1000克的新生儿的死亡率（34.8％; RR 0.90; 95％CI 0.43-1.90）和败血症的发生率（38.8％，95％CI 33.3-44.6）和坏死性小肠结肠炎（NEC）（12.5％，95）过渡后，CI 6.2–23.6％仍然很高。在我们的新生儿护理机构扩大重症监护后，更多的新生儿入院，并且新生儿和新生儿的生存期均得到改善。未来的挑战是可持续性，三级功能的进一步改善以及预防NEC和败血症。

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