Evidence map›Paper›PMID 28282433›Full record

ArticlePloS one2017

The cause-specific morbidity and mortality, and referral patterns of all neonates admitted to a tertiary referral hospital in the northern provinces of Vietnam over a one year period.

Merinda Miles, Khu Thi Khanh Dung, Le Thi Ha, Nguyen Thanh Liem, Khu Ha, Rod W Hunt, Kim Mulholland, Chris Morgan, Fiona M Russell

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Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
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5citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Merinda MilesFaculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
Khu Thi Khanh DungNational Hospital of Pediatrics, Hanoi, Vietnam.
Le Thi HaNational Hospital of Pediatrics, Hanoi, Vietnam.
Nguyen Thanh LiemNational Hospital of Pediatrics, Hanoi, Vietnam.
Khu HaNational Hospital of Pediatrics, Hanoi, Vietnam.
Rod W HuntMurdoch Childrens Research Institute, The Royal Children's Hospital, Melbourne, Australia.
Kim MulhollandMurdoch Childrens Research Institute, The Royal Children's Hospital, Melbourne, Australia.
Chris MorganCentre for International Health, Burnet Institute, Melbourne, Australia.
Fiona M RussellMurdoch Childrens Research Institute, The Royal Children's Hospital, Melbourne, Australia.ORCID http://orcid.org/0000-0002-3077-9639

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the cause-specific morbidity and mortality, and referral patterns of all neonates admitted to a tertiary referral hospital in the northern provinces of Vietnam.

designA prospective hospital based observational study.

settingThe Neonatal Department, National Hospital of Pediatrics, Hanoi, Vietnam. PATIENTS: All admissions to the Neonatal Department over a 12 month period.

main outcome measuresCause-specific morbidity and mortality; deaths.

resultsThere were 5064 admissions with the commonest discharge diagnoses being infection (32%) and prematurity (29%). The case fatality ratio (CFR) was 13.9% (n = 703). Infection (38%), cardio/respiratory disorders (27%), congenital abnormalities (20%) and neurological conditions (10%) were the main causes of death. Of all the deaths, 38% had an admission weight ≥2500g. Higher CFR were associated with lower admission weights. Very few deaths (3%) occurred in the first 24 hours of life. Most referrals and deaths came from Hanoi and neighbouring provincial hospitals, with few from the most distant provinces. Two distant referral provinces had the highest CFR.

conclusionsThe CFR was high and few deaths occurred in neonates <24 hours old. The high rates of infection call for an improvement in infection control practices and peripartum antibiotic use at provincial and tertiary level. Understanding provincial hospital capacity and referral pathways is crucial to improving the outcomes at tertiary centres. A quality of care audit tool would enable more targeted interventions and monitoring of health outcomes.

Indexed as

Cause of DeathInfant MortalityMorbidityCardiovascular DiseasesCongenital AbnormalitiesFemaleHospitalizationHumansInfantInfant, NewbornInfant, PrematureInfectionsMaleProspective StudiesTertiary Care CentersVietnam

Identifiers

PMID28282433
PMCPMC5345801

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.