2014, Number 4
Morbidity and mortality profiling at the External Neonatal Intensive Care Unit of the Civil Hospital Fray Antonio Alcalde in Guadalajara from 2005 to 2012
Full text
Language: Spanish
References: 20
Page: 182-188
PDF size: 574.05 Kb.
ABSTRACT
Introduction. Neonatal mortality worldwide and in the Mexican Republic is a severe problem of public health. The study of the causes of morbidity and mortality on newborns is an evaluation method concerning the performance and efficiency of the neonatal intensive care units, knowing this and other associated data will allow providing a higher quality medical attention.Objective. To know the morbidity and mortality at the external neonatal intensive care unit of the Civil Hospital during a period of 8 years, 2005 to 2012.
Material y Methods. Retrospective, observational, cross-sectional and descriptive study on the clinical history files in every minor under 28 days of age admitted to the intensive care unit. The diagnostics were analyzed according to the Worlds Health Organization's International Classification of diseases ICD-10. The variables studied were: Mother's place of residence, diagnostic of admittance, cause of decease and proportion of deaths by disease and other diseases associated to the death. The data was compiled and analyzed in Excel.
Results. From a total of 4131 admittances, 389 (9.4%) patients perished. The main cause of admittance was prematurity with 30.8% (n=1274), st followed by Respiratory distress syndrome with 9.8% (n=408). The main causes of death included respiratory failure in 1 place with 52% (n=202), septic shock with 25% (n=97), cardiogenic shock with 11% (n=43). The pathologies or diagnostics of admittance presenting a high instance of deaths according to the frequency were: Central nervous system disease with 50% and cardiologic congenital anomalies with 45%.
Discussion. The main causes of morbidity observed in our study were similar to those reported by other institutions including the WHO. We have observed the epidemiological transition in which the higher mortality was previously due to pathologies and prematurity finding congenital malformations take the first places.
REFERENCES
11.Gutiérrez-Padilla, José Alfonso, Martínez-Verónica, Ricardo, Angulo-Castellanos, Eusebio, López- Vargas, Laura, de la Torre-Gutiérrez, Martha, Aguilar-Villanueva, Martha, & Nolasco-Martínez, Horacio. (2012). Diagnóstico de neurodiscapacidad en el periodo neonatal en México, resultados de una encuesta realizada al personal de salud. Perinatología y reproducción humana, 26(1), 30-34.
Martínez Verónica, R., López Gallo, L., Rodríguez Medina, D., Gutiérrez, T., Soto Mancilla, J. L., Márquez Amezcua, M. & Gutiérrez Padilla, J. A. (2011). Transporte neonatal seguro en la población abierta del estado de Jalisco: impacto del programa STABLE en la morbilidad y mortalidad. Boletín médico del Hospital Infantil de México, 68(1), 34-39.
Zepeda-Romero, L. C., Barrera-de-Leon, J. C., Camacho-Choza, C., Bernal, C. G., Camarena- Garcia, E., Diaz-Alatorre, C. & Gilbert, C. (2011). Retinopathy of prematurity as a major cause of severe visual impairment and blindness in children in schools for the blind in Guadalajara city, Mexico. British Journal of Ophthalmology, 95(11), 1502-1505.
Gutiérrez-Padilla, J. A., González-Garrido, A. A., Gómez-Velázquez, F. R., Torre-Gutiérrez, M. D. L., Ávalos-Huizar, L. M., García-Hernández, H., ... & Martínez-Verónica, R. (2008). Hijos de madres adictas con síndrome de abstinencia en Terapia Intensiva Neonatal. Boletín médico del Hospital Infantil de México, 65(4), 276-281.