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Improved referral and survival of newborns after scaling up of intensive care in Suriname.
Zonneveld, Rens; Holband, Natanael; Bertolini, Anna; Bardi, Francesca; Lissone, Neirude P A; Dijk, Peter H; Plötz, Frans B; Juliana, Amadu.
Afiliação
  • Zonneveld R; Academic Pediatric Center Suriname, Academic Hospital Paramaribo, Flustraat 1, Paramaribo, Suriname.
  • Holband N; Department of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713, GZ, Groningen, The Netherlands.
  • Bertolini A; Department of Pediatrics, Tergooi Hospitals, Rijksstraatweg 1, 1261 AN, Blaricum, The Netherlands.
  • Bardi F; Academic Pediatric Center Suriname, Academic Hospital Paramaribo, Flustraat 1, Paramaribo, Suriname.
  • Lissone NPA; Department of Pediatrics, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713, GZ, Groningen, The Netherlands.
  • Dijk PH; Department of Pediatrics, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713, GZ, Groningen, The Netherlands.
  • Plötz FB; Academic Pediatric Center Suriname, Academic Hospital Paramaribo, Flustraat 1, Paramaribo, Suriname.
  • Juliana A; Department of Pediatrics, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713, GZ, Groningen, The Netherlands.
BMC Pediatr ; 17(1): 189, 2017 Nov 14.
Article em En | MEDLINE | ID: mdl-29137607
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Encaminhamento e Consulta / Unidades de Terapia Intensiva Neonatal / Terapia Intensiva Neonatal / Mortalidade Infantil / Melhoria de Qualidade / Centros de Atenção Terciária Tipo de estudo: Evaluation_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Infant / Male / Newborn País/Região como assunto: America do sul / Caribe ingles / Suriname Idioma: En Revista: BMC Pediatr Assunto da revista: PEDIATRIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Suriname País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Encaminhamento e Consulta / Unidades de Terapia Intensiva Neonatal / Terapia Intensiva Neonatal / Mortalidade Infantil / Melhoria de Qualidade / Centros de Atenção Terciária Tipo de estudo: Evaluation_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Infant / Male / Newborn País/Região como assunto: America do sul / Caribe ingles / Suriname Idioma: En Revista: BMC Pediatr Assunto da revista: PEDIATRIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Suriname País de publicação: Reino Unido