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首页> 外文期刊>Journal of paediatrics and child health >Three years of neonatal morbidity and mortality at the national hospital in Dili, East Timor
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Three years of neonatal morbidity and mortality at the national hospital in Dili, East Timor

机译：东帝汶帝力国立医院三年的新生儿发病率和死亡率

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Aim The aim of this study was to undertake a retrospective review of admissions and discharges to the neonatal unit at the National Hospital Guido Valadares, Dili, in order to gain insight into the epidemiology of hospitalised neonates in East Timor, as the information cannot be obtained from the hospital health management information system. Method Data were sourced from unit registers for 3 years, 2008-2010 inclusive. Demographic characteristics and diagnoses were related to the risk of dying using stepwise multivariate logistic regression and adjusting for potential confounders of age, sex and weight. Results Two thousand eighty-eight babies were admitted to the unit over the study period. Over a quarter of babies weighed <2.5 kg on admission. Almost half were admitted from emergency or outpatient departments and only 27% were admitted within their first week of life. The most common reasons for admission were sepsis and respiratory disease (38 and 22%, respectively). Overall mortality was 11.4%, mainly attributed to prematurity (28%), infection (26%) and asphyxia (24%). Home birth, male gender, very low weight, young age and a short duration of hospitalisation were independently associated with an increased risk of death. Half of all babies weighing <1.5 kg died. Two-thirds of deaths occurred within 2 days of admission. Conclusions The study provides, for the first time, an insight into the admissions and outcomes of the largest neonatal unit in East Timor. It is a baseline from which improvements to the quality of clinical care and data collection can be made.
机译：目的本研究的目的是对帝力国立吉多·瓦拉达雷斯国家医院新生儿科的收治和出院进行回顾性回顾，以了解东帝汶住院新生儿的流行病学情况。来自医院健康管理信息系统。方法数据来自2008年至2010年3年（含3年）的单位登记册。人口统计学特征和诊断与使用逐步多元logistic回归并针对年龄，性别和体重的潜在混杂因素进行调整的死亡风险相关。结果在研究期间，有288名婴儿入院。超过四分之一的婴儿入院时体重<2.5公斤。几乎一半的患者是在急诊或门诊就诊的，只有27％的患者在出生后的第一周就被接受了。入院的最常见原因是败血症和呼吸系统疾病（分别为38％和22％）。总死亡率为11.4％，主要归因于早产（28％），感染（26％）和窒息（24％）。家庭出生，男性，极低的体重，年轻和住院时间短均与死亡风险增加相关。体重<1.5千克的婴儿中有一半死亡。三分之二的死亡发生在入院后2天内。结论该研究首次为东帝汶最大的新生儿科的入院情况和结局提供了见识。这是可以改善临床护理和数据收集质量的基准。

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