Sackey Adziri H, Tagoe Lily G
Department of Child Health, School of Medicine and Dentistry, University of Ghana, Accra, Ghana.
Department of Child Health, Korle-Bu Teaching Hospital, Accra, Ghana.
Ghana Med J. 2019 Jun;53(2):117-125. doi: 10.4314/gmj.v53i2.6.
To review admissions and deaths at the neonatal intensive care unit (NICU) of the Korle Bu Teaching Hospital (KBTH), Ghana from 2011 to 2015, for the purposes of documentation of outcomes and identification of areas for improvement.
A retrospective descriptive study of NICU Admissions & Discharges from 2011 to 2015. All data in the NICU Admissions & Discharge books were transferred into a spreadsheet and analysed.
The NICU of KBTH provides secondary and tertiary care for premature and critically ill term babies in the southern half of Ghana.
Over the 5-year period, 9213 babies were admitted to the NICU. Admission weights ranged from 300 to 6700g with median of 2400g. Overall mortality rate was 19.2%. Mortality rates were progressively and significantly higher in babies with lower admission weights and earlier gestations.
We report a high NICU mortality rate of 19.2%, compared to the worldwide range of 3.1% to 29%. This wide range of outcomes is attributable to differences in the severity of illness of patients and to the organisation of resources devoted to obstetric and neonatal care. To substantially improve perinatal and neonatal outcomes, there is a need for wider coverage and better quality of health care; and to consider rationing of care. Complex interventions are necessary to improve outcomes, not just an increase in the allocation of particular resources.
None declared.
回顾2011年至2015年加纳科勒布教学医院（KBTH）新生儿重症监护病房（NICU）的收治情况和死亡情况，以便记录治疗结果并确定需要改进的领域。
对2011年至2015年NICU的收治与出院情况进行回顾性描述性研究。将NICU收治与出院记录中的所有数据转移到电子表格中并进行分析。
KBTH的NICU为加纳南部一半地区的早产儿和危重新生儿提供二级和三级护理。
在这5年期间，9213名婴儿被收治到NICU。入院时体重范围为300至6700克，中位数为2400克。总体死亡率为19.2%。入院体重越低、孕周越早的婴儿死亡率逐步且显著更高。
我们报告的NICU死亡率为19.2%，高于全球范围的3.1%至29%。这种广泛的结果差异归因于患者疾病严重程度的不同以及用于产科和新生儿护理的资源组织情况。为了大幅改善围产期和新生儿结局，需要扩大医疗保健覆盖范围并提高质量；并考虑医疗资源的合理分配。需要采取复杂的干预措施来改善结局，而不仅仅是增加特定资源的分配。
未声明。
