Ali M A, Latif T, Taher M A
Pediatrics Department, Mymensingh Medical College, Mymensingh, Bangladesh.
Mymensingh Med J. 2009 Jul;18(2):136-41.
This retrospective study in pediatric ward of general hospital, which is a secondary care level hospital having 100 beds. Study period was six months, from 1st July 2006 to 31st December 2006. Records of all admitted patients was meticulously reviewed and analyzed. During this period 11,580 patients were admitted in the hospital of which 2638(22.86%) were pediatric patients. Among the pediatric patient 909(34.46%) were neonate. These 909 neonates were enrolled in this study. The top three neonatal diseases were perinatal asphyxia (57.2%), neonatal septicemia (18.5%) low birth weight including very low birth weight (8.91%). Among admitted patient 70% were out born. Most of the neonatal disease were male predominant. Most of the death was due to perinatal asphyxia (63.06%) then septicemia (17.88%) and preterm low birth weight including very low birth weight babies (8.99%). Death among low birth weight babies were higher (35.58%) than normal birth weight babies (27.29%). Death also was common in preterm babies (43.70%) than term babies (16.8%). Association of septicemia and death among low birth weight babies were higher than normal birth weight babies. Association of septicemia among low birth weight babies was 33.06% and among normal birth weight babies were 12.87%. Death among low birth weight babies was 23.1% and among normal birth weight babies were 16.87%. Total death rate among admitted patients was 20.79%.
这项回顾性研究在一家综合医院的儿科病房开展，该医院是一家拥有100张床位的二级护理水平医院。研究期间为6个月，从2006年7月1日至2006年12月31日。对所有入院患者的记录进行了细致审查和分析。在此期间，该医院共收治了11580名患者，其中2638名（22.86%）为儿科患者。在儿科患者中，909名（34.46%）为新生儿。这909名新生儿被纳入本研究。最常见的三种新生儿疾病是围产期窒息（57.2%）、新生儿败血症（18.5%）、低出生体重包括极低出生体重（8.91%）。在入院患者中，70%为院外出生。大多数新生儿疾病以男性居多。大多数死亡原因是围产期窒息（63.06%），其次是败血症（17.88%）以及早产低出生体重包括极低出生体重婴儿（8.99%）。低出生体重婴儿的死亡率（35.58%）高于正常出生体重婴儿（27.29%）。早产婴儿的死亡率（43.70%）也高于足月儿（16.8%）。低出生体重婴儿中败血症与死亡的关联高于正常出生体重婴儿。低出生体重婴儿中败血症的关联率为33.06%，正常出生体重婴儿中为12.87%。低出生体重婴儿的死亡率为23.1%，正常出生体重婴儿中为16.87%。入院患者的总死亡率为20.79%。
