The Prevalence, Patterns, and Causes of Deaths of Operated Surgical Neonates at Ain Shams University Neonatal Intensive Care UnitManal Sayed Mohamed
AbstractSUMMARY AND CONCLUSION T he present retrospective study was conducted in Ain Shams University Children’s Hospital NICU using the records of the year 2011 till 2013. The recorded data included gestational age; postnatal age at admission; surgical diagnosis; surgery outcome; risk factors for occurrence of sepsis, classification of type of sepsis if present; length of hospital stay; cause of death; sex; maternal age; mode of delivery and need for ventilation. The study included 69 patients with surgical problems who were admitted at NICU from 2011 to 2013. There were 45 males and 24 females with a male to female ratio of 1.8: 1. Gestational age was preterm (14.49%) and full-term (85.51%); range (mean ± SD): 32-40 [36.91±1.98]. Admission age: 1-2 days (33.33%), 3-4 days (20.29%), 5-7 days (4.35%) and >7 days (42.03%); range (mean ± SD):: 1-44 [9.49±10.37] days. Gastrointestinal lesions were the major surgical emergency accounting 60% of the total surgeries; Central nervous system 19%; Respiratory 10%, cardiovascular 7% and other cases 4%. The total mortality rate is 27.54%. Sepsis was the major cause of death (84.21%) of all deaths, then, hear
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