Conroy Niall, Barr David Adam, Nalley Joy, Conteh Juliana Emilia Mamie, Mitchell Louise, Bury Gerard
School of Public Health, University College Cork, Cork, Ireland.
Department of Public Health Medicine, HSE Dublin and South-East, Dublin, Ireland.
Acta Paediatr. 2025 Feb;114(2):340-345. doi: 10.1111/apa.17431. Epub 2024 Sep 20.
The aim of this study was to describe the evolution of a regional neonatal service in Sierra Leone and changes in mortality and service use as it transitioned from a non-specialist service to a dedicated special care baby unit (SCBU).
This was a retrospective observational study. Anonymised data were taken from the ward admissions books at Bo Government Hospital, and trends in admissions and mortality within the neonatal service were examined for each stage of the department's evolution.
Four phases of the service's development were identified between November 2015 and October 2019. Records of 2377 admissions and 333 deaths were identified. The average number of admissions per month and deaths per month varied by service development phase. There was a trend towards reduced death rates and increased numbers of admissions as the unit evolved into a dedicated neonatal unit with a reliable electricity supply.
The development of an adequately sized SCBU with a reliable electricity supply and specially trained staff was associated with a reduction in the death rate and an increase in admissions.
本研究旨在描述塞拉利昂一个地区新生儿服务的发展历程，以及在从非专科服务过渡到专门的特殊护理婴儿病房（SCBU）过程中死亡率和服务使用情况的变化。
这是一项回顾性观察研究。从博政府医院的病房入院登记簿中获取匿名数据，并针对该科室发展的每个阶段，研究新生儿服务的入院趋势和死亡率。
在2015年11月至2019年10月期间确定了该服务发展的四个阶段。共识别出2377例入院记录和333例死亡记录。每月平均入院人数和每月死亡人数因服务发展阶段而异。随着该病房发展成为拥有可靠电力供应的专门新生儿病房，死亡率呈下降趋势，入院人数有所增加。
建立一个规模适当、有可靠电力供应且配备经过专门培训 staff 的SCBU与死亡率降低和入院人数增加相关。
