Improved Neonatal Mortality at a District Hospital in Aweil, South Sudan

Hdl Handle:
http://hdl.handle.net/10144/618819
Title:
Improved Neonatal Mortality at a District Hospital in Aweil, South Sudan
Authors:
Thomson, J; Schaefer, M; Caminoa, B; Kahindi, D; Hurtado, N
Journal:
Journal of Tropical Pediatrics
Abstract:
Neonatal deaths comprise a growing proportion of global under-five mortality. However, data from the highest-burden areas is sparse. This descriptive retrospective study analyses the outcomes of all infants exiting the Médecins sans Frontières-managed neonatal unit in Aweil Hospital, rural South Sudan from 2011 to 2014. A total of 4268 patients were treated over 4 years, with annual admissions increasing from 687 to 1494. Overall mortality was 13.5% (n = 576), declining from 18.7% to 11.1% (p for trend <0.001). Newborns weighing <2500 g were at significantly increased mortality risk compared with babies ≥2500 g (odds ratio = 2.27, 95% confidence interval = 1.9-2.71, p < 0.001). Leading causes of death included sepsis (49.7%), tetanus (15.8%), respiratory distress (12.8%) and asphyxia (9.2%). Tetanus had the highest case fatality rate (49.7%), followed by perinatal asphyxia (26.5%), respiratory distress (20.4%) and neonatal sepsis (10.5%). Despite increasing admissions, overall mortality declined, indicating that survival of these especially vulnerable infants can be improved even in a basic-level district hospital programme.
Publisher:
Oxford University Press
Issue Date:
27-Oct-2016
URI:
http://hdl.handle.net/10144/618819
DOI:
10.1093/tropej/fmw071
PubMed ID:
27789662
Submitted date:
2016-11-09
Language:
en
ISSN:
1465-3664
Appears in Collections:
Paediatrics

Full metadata record

DC FieldValue Language
dc.contributor.authorThomson, Jen
dc.contributor.authorSchaefer, Men
dc.contributor.authorCaminoa, Ben
dc.contributor.authorKahindi, Den
dc.contributor.authorHurtado, Nen
dc.date.accessioned2017-02-28T22:23:51Z-
dc.date.available2017-02-28T22:23:51Z-
dc.date.issued2016-10-27-
dc.date.submitted2016-11-09-
dc.identifier.citationImproved Neonatal Mortality at a District Hospital in Aweil, South Sudan. 2016 J. Trop. Pediatr.en
dc.identifier.issn1465-3664-
dc.identifier.pmid27789662-
dc.identifier.doi10.1093/tropej/fmw071-
dc.identifier.urihttp://hdl.handle.net/10144/618819-
dc.description.abstractNeonatal deaths comprise a growing proportion of global under-five mortality. However, data from the highest-burden areas is sparse. This descriptive retrospective study analyses the outcomes of all infants exiting the Médecins sans Frontières-managed neonatal unit in Aweil Hospital, rural South Sudan from 2011 to 2014. A total of 4268 patients were treated over 4 years, with annual admissions increasing from 687 to 1494. Overall mortality was 13.5% (n = 576), declining from 18.7% to 11.1% (p for trend <0.001). Newborns weighing <2500 g were at significantly increased mortality risk compared with babies ≥2500 g (odds ratio = 2.27, 95% confidence interval = 1.9-2.71, p < 0.001). Leading causes of death included sepsis (49.7%), tetanus (15.8%), respiratory distress (12.8%) and asphyxia (9.2%). Tetanus had the highest case fatality rate (49.7%), followed by perinatal asphyxia (26.5%), respiratory distress (20.4%) and neonatal sepsis (10.5%). Despite increasing admissions, overall mortality declined, indicating that survival of these especially vulnerable infants can be improved even in a basic-level district hospital programme.en
dc.languageENG-
dc.language.isoenen
dc.publisherOxford University Pressen
dc.rightsWe regret that this article is behind a paywall.en
dc.titleImproved Neonatal Mortality at a District Hospital in Aweil, South Sudanen
dc.identifier.journalJournal of Tropical Pediatricsen

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