IJSR - International Journal of Scientific Research

DR.ANISH CHATTERJEE; DR. MEENAKSHI BISWAS; DR. DEBARSHI JANA

Volume : VIII, Issue : VIII, August - 2019

CLINICAL PROFILE AND OUTCOME OF NEONATES ADMITTED IN A NEONATAL INTENSIVE CARE UNIT OF A TERTIARY CARE CENTRE

Dr. Anish Chatterjee, Dr. Meenakshi Biswas, Dr. Debarshi Jana

Abstract :

It has been estimated that about 70% of neonatal deaths could be prevented if proven interventions are implemented effectively with high coverage. This study aims at assessing the clinical profile and outcome of babies admitted to Neonatal Intensive Care Unit of out Institute i.e. Dr B. C Roy Post Graduate Institute of Paediatric Sciences which is level III NICU with 20 beds equipped with 10 mechanical ventilators, 4 CPAP machines, besides phototherapy units, cardio respiratory monitors, availability of ABG facility, Surfactant therapy, 24 hr radiology facility and a very dedicated and competent staff. There were total 2292 neonatal admissions in the Hospital from 1st January 2017 till 31st December 2017, of which 518 (22.6%) required NICU admission. In our study, Birth asphyxia accounts for the major cause of admission i.e 188, (36.3%) followed by prematurity with low birth weight 107(20.7%), sepsis 84(16.2%),neonatal jaundice 34(6.6%), Respiratory distress syndrome 25(4.8%), meconium aspiration syndrome 20(3.9%),surgical causes 18(3.5%), congenital heart diseases 14(2.7%), Transient tachypnea of newborn 11(2.1%), congenital anomalies 7(1.4%) and others including neonatal varicella 7(1.4%). Among the babies with birth asphyxia, 40.7% had HIE I, 45.2% had HIE II and 14.1% had HIE III. According to outcome, of the 518 admitted babies, 252 babies i.e (48.6%) were discharged, 260 (50.2%) were expired and 6 of them i.e. (1.2 %) left against medical advice. In our study, Birth asphyxia, Sepsis, Prematurity with low birth weight are the leading causes of NICU admission, and the leading cause of mortality being birth asphyxia, prematurity and sepsis.