Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000

Vinod K. Paul, S. Jain, P. Jain, M. Verma, B. Chacko, V. S. Dani, D. P. Agarwal, R. K. Kiratkar, R. Shanmughasundaram, E. Padmapriya, L. Swaminathan, R. A. Jaishree, K. K. Diwakar, L. E. Lewis, R. Nayak, A. Pandit, U. Vaidya, A. Shenoi, N. K. Nagesh, D. J. Gandhi & 17 others V. Nayak, E. A. Dalal, R. H. Udani, R. N. Nanavati, A. V. Mauskar, N. Kler, S. Saluja, P. Garg, S. N. Vani, A. K. Dutta, A. K. Saili, N. Kler, M. Singh, A. K. Deorari, S. Narayan, R. Aggarwal, R. Agarwal

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

The National Neonatal Perinatal Database (NNPD) network is a collaborative group of leading neonatal units in India involved in the prospective collection of morbidity and mortality data on uniform protocols. The present article reports the morbidity and mortality profile of outborn neonates in the year 2000. Ten centers provided data on outborn neonates. The data were analysed at the nodal center using Epi-Info statistical software version 6 and Excel 97. A total of 3831 neonates were admitted at the participating institutions. A majority of them (87.2 per cent) were delivered in nursing homes and small hospitals. Most of the admissions (68.7 per cent) were male. Nearly half of them (48.7 per cent) were low birthweight and one-third (32.1 per cent) were preterm. Overall mortality was 16.4 per cent, while 7.5 per cent left hospitals against medical advice. Nearly half of all neonatal deaths occurred within the first 48 h following admission. Common primary causes of deaths (n = 630) included: infections (36.0 per cent), prematurity related conditions (26.5 per cent), perinatal hypoxia (10.0 per cent), and malformations (7.8 per cent). Systemic infections (28.4 per cent), hyperbilirubinemia (27.9 per cent), seizures (11.7 per cent), hypoglycemia (11.5 per cent), hypoxic ischemic encephalopathy (8.3 per cent), anemia (8.9 per cent), and hypocalcemia (8.6 per cent) were common morbidities observed. Of systemic infections, 39.2 per cent were culture positive and 51.4 per cent were early onset (< 72 h). Sick babies were managed with antibiotics (75 per cent), oxygen administration (45.3 per cent), phototherapy (34.9 per cent), and assisted ventilation (16.3 per cent). In conclusion, the present study describes the morbidity and mortality profile of a large multicentric cohort of outborn neonates from a developing country.

Original languageEnglish
Pages (from-to)170-174
Number of pages5
JournalJournal of Tropical Pediatrics
Volume50
Issue number3
DOIs
Publication statusPublished - 01-06-2004

Fingerprint

Tertiary Healthcare
India
Morbidity
Mortality
Infection
Brain Hypoxia-Ischemia
Hyperbilirubinemia
Phototherapy
Hypocalcemia
Nursing Homes
Hypoglycemia
Developing Countries
Ventilation
Anemia
Cause of Death
Seizures
Software
Databases
Oxygen
Anti-Bacterial Agents

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Infectious Diseases

Cite this

Paul, Vinod K. ; Jain, S. ; Jain, P. ; Verma, M. ; Chacko, B. ; Dani, V. S. ; Agarwal, D. P. ; Kiratkar, R. K. ; Shanmughasundaram, R. ; Padmapriya, E. ; Swaminathan, L. ; Jaishree, R. A. ; Diwakar, K. K. ; Lewis, L. E. ; Nayak, R. ; Pandit, A. ; Vaidya, U. ; Shenoi, A. ; Nagesh, N. K. ; Gandhi, D. J. ; Nayak, V. ; Dalal, E. A. ; Udani, R. H. ; Nanavati, R. N. ; Mauskar, A. V. ; Kler, N. ; Saluja, S. ; Garg, P. ; Vani, S. N. ; Dutta, A. K. ; Saili, A. K. ; Kler, N. ; Singh, M. ; Deorari, A. K. ; Narayan, S. ; Aggarwal, R. ; Agarwal, R. / Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000. In: Journal of Tropical Pediatrics. 2004 ; Vol. 50, No. 3. pp. 170-174.
@article{25209c36f4d145cb8af57748b0c71c7e,
title = "Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000",
abstract = "The National Neonatal Perinatal Database (NNPD) network is a collaborative group of leading neonatal units in India involved in the prospective collection of morbidity and mortality data on uniform protocols. The present article reports the morbidity and mortality profile of outborn neonates in the year 2000. Ten centers provided data on outborn neonates. The data were analysed at the nodal center using Epi-Info statistical software version 6 and Excel 97. A total of 3831 neonates were admitted at the participating institutions. A majority of them (87.2 per cent) were delivered in nursing homes and small hospitals. Most of the admissions (68.7 per cent) were male. Nearly half of them (48.7 per cent) were low birthweight and one-third (32.1 per cent) were preterm. Overall mortality was 16.4 per cent, while 7.5 per cent left hospitals against medical advice. Nearly half of all neonatal deaths occurred within the first 48 h following admission. Common primary causes of deaths (n = 630) included: infections (36.0 per cent), prematurity related conditions (26.5 per cent), perinatal hypoxia (10.0 per cent), and malformations (7.8 per cent). Systemic infections (28.4 per cent), hyperbilirubinemia (27.9 per cent), seizures (11.7 per cent), hypoglycemia (11.5 per cent), hypoxic ischemic encephalopathy (8.3 per cent), anemia (8.9 per cent), and hypocalcemia (8.6 per cent) were common morbidities observed. Of systemic infections, 39.2 per cent were culture positive and 51.4 per cent were early onset (< 72 h). Sick babies were managed with antibiotics (75 per cent), oxygen administration (45.3 per cent), phototherapy (34.9 per cent), and assisted ventilation (16.3 per cent). In conclusion, the present study describes the morbidity and mortality profile of a large multicentric cohort of outborn neonates from a developing country.",
author = "Paul, {Vinod K.} and S. Jain and P. Jain and M. Verma and B. Chacko and Dani, {V. S.} and Agarwal, {D. P.} and Kiratkar, {R. K.} and R. Shanmughasundaram and E. Padmapriya and L. Swaminathan and Jaishree, {R. A.} and Diwakar, {K. K.} and Lewis, {L. E.} and R. Nayak and A. Pandit and U. Vaidya and A. Shenoi and Nagesh, {N. K.} and Gandhi, {D. J.} and V. Nayak and Dalal, {E. A.} and Udani, {R. H.} and Nanavati, {R. N.} and Mauskar, {A. V.} and N. Kler and S. Saluja and P. Garg and Vani, {S. N.} and Dutta, {A. K.} and Saili, {A. K.} and N. Kler and M. Singh and Deorari, {A. K.} and S. Narayan and R. Aggarwal and R. Agarwal",
year = "2004",
month = "6",
day = "1",
doi = "10.1093/tropej/50.3.170",
language = "English",
volume = "50",
pages = "170--174",
journal = "Journal of Tropical Pediatrics",
issn = "0142-6338",
publisher = "Oxford University Press",
number = "3",

}

Paul, VK, Jain, S, Jain, P, Verma, M, Chacko, B, Dani, VS, Agarwal, DP, Kiratkar, RK, Shanmughasundaram, R, Padmapriya, E, Swaminathan, L, Jaishree, RA, Diwakar, KK, Lewis, LE, Nayak, R, Pandit, A, Vaidya, U, Shenoi, A, Nagesh, NK, Gandhi, DJ, Nayak, V, Dalal, EA, Udani, RH, Nanavati, RN, Mauskar, AV, Kler, N, Saluja, S, Garg, P, Vani, SN, Dutta, AK, Saili, AK, Kler, N, Singh, M, Deorari, AK, Narayan, S, Aggarwal, R & Agarwal, R 2004, 'Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000', Journal of Tropical Pediatrics, vol. 50, no. 3, pp. 170-174. https://doi.org/10.1093/tropej/50.3.170

Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000. / Paul, Vinod K.; Jain, S.; Jain, P.; Verma, M.; Chacko, B.; Dani, V. S.; Agarwal, D. P.; Kiratkar, R. K.; Shanmughasundaram, R.; Padmapriya, E.; Swaminathan, L.; Jaishree, R. A.; Diwakar, K. K.; Lewis, L. E.; Nayak, R.; Pandit, A.; Vaidya, U.; Shenoi, A.; Nagesh, N. K.; Gandhi, D. J.; Nayak, V.; Dalal, E. A.; Udani, R. H.; Nanavati, R. N.; Mauskar, A. V.; Kler, N.; Saluja, S.; Garg, P.; Vani, S. N.; Dutta, A. K.; Saili, A. K.; Kler, N.; Singh, M.; Deorari, A. K.; Narayan, S.; Aggarwal, R.; Agarwal, R.

In: Journal of Tropical Pediatrics, Vol. 50, No. 3, 01.06.2004, p. 170-174.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000

AU - Paul, Vinod K.

AU - Jain, S.

AU - Jain, P.

AU - Verma, M.

AU - Chacko, B.

AU - Dani, V. S.

AU - Agarwal, D. P.

AU - Kiratkar, R. K.

AU - Shanmughasundaram, R.

AU - Padmapriya, E.

AU - Swaminathan, L.

AU - Jaishree, R. A.

AU - Diwakar, K. K.

AU - Lewis, L. E.

AU - Nayak, R.

AU - Pandit, A.

AU - Vaidya, U.

AU - Shenoi, A.

AU - Nagesh, N. K.

AU - Gandhi, D. J.

AU - Nayak, V.

AU - Dalal, E. A.

AU - Udani, R. H.

AU - Nanavati, R. N.

AU - Mauskar, A. V.

AU - Kler, N.

AU - Saluja, S.

AU - Garg, P.

AU - Vani, S. N.

AU - Dutta, A. K.

AU - Saili, A. K.

AU - Kler, N.

AU - Singh, M.

AU - Deorari, A. K.

AU - Narayan, S.

AU - Aggarwal, R.

AU - Agarwal, R.

PY - 2004/6/1

Y1 - 2004/6/1

N2 - The National Neonatal Perinatal Database (NNPD) network is a collaborative group of leading neonatal units in India involved in the prospective collection of morbidity and mortality data on uniform protocols. The present article reports the morbidity and mortality profile of outborn neonates in the year 2000. Ten centers provided data on outborn neonates. The data were analysed at the nodal center using Epi-Info statistical software version 6 and Excel 97. A total of 3831 neonates were admitted at the participating institutions. A majority of them (87.2 per cent) were delivered in nursing homes and small hospitals. Most of the admissions (68.7 per cent) were male. Nearly half of them (48.7 per cent) were low birthweight and one-third (32.1 per cent) were preterm. Overall mortality was 16.4 per cent, while 7.5 per cent left hospitals against medical advice. Nearly half of all neonatal deaths occurred within the first 48 h following admission. Common primary causes of deaths (n = 630) included: infections (36.0 per cent), prematurity related conditions (26.5 per cent), perinatal hypoxia (10.0 per cent), and malformations (7.8 per cent). Systemic infections (28.4 per cent), hyperbilirubinemia (27.9 per cent), seizures (11.7 per cent), hypoglycemia (11.5 per cent), hypoxic ischemic encephalopathy (8.3 per cent), anemia (8.9 per cent), and hypocalcemia (8.6 per cent) were common morbidities observed. Of systemic infections, 39.2 per cent were culture positive and 51.4 per cent were early onset (< 72 h). Sick babies were managed with antibiotics (75 per cent), oxygen administration (45.3 per cent), phototherapy (34.9 per cent), and assisted ventilation (16.3 per cent). In conclusion, the present study describes the morbidity and mortality profile of a large multicentric cohort of outborn neonates from a developing country.

AB - The National Neonatal Perinatal Database (NNPD) network is a collaborative group of leading neonatal units in India involved in the prospective collection of morbidity and mortality data on uniform protocols. The present article reports the morbidity and mortality profile of outborn neonates in the year 2000. Ten centers provided data on outborn neonates. The data were analysed at the nodal center using Epi-Info statistical software version 6 and Excel 97. A total of 3831 neonates were admitted at the participating institutions. A majority of them (87.2 per cent) were delivered in nursing homes and small hospitals. Most of the admissions (68.7 per cent) were male. Nearly half of them (48.7 per cent) were low birthweight and one-third (32.1 per cent) were preterm. Overall mortality was 16.4 per cent, while 7.5 per cent left hospitals against medical advice. Nearly half of all neonatal deaths occurred within the first 48 h following admission. Common primary causes of deaths (n = 630) included: infections (36.0 per cent), prematurity related conditions (26.5 per cent), perinatal hypoxia (10.0 per cent), and malformations (7.8 per cent). Systemic infections (28.4 per cent), hyperbilirubinemia (27.9 per cent), seizures (11.7 per cent), hypoglycemia (11.5 per cent), hypoxic ischemic encephalopathy (8.3 per cent), anemia (8.9 per cent), and hypocalcemia (8.6 per cent) were common morbidities observed. Of systemic infections, 39.2 per cent were culture positive and 51.4 per cent were early onset (< 72 h). Sick babies were managed with antibiotics (75 per cent), oxygen administration (45.3 per cent), phototherapy (34.9 per cent), and assisted ventilation (16.3 per cent). In conclusion, the present study describes the morbidity and mortality profile of a large multicentric cohort of outborn neonates from a developing country.

UR - http://www.scopus.com/inward/record.url?scp=3042647311&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3042647311&partnerID=8YFLogxK

U2 - 10.1093/tropej/50.3.170

DO - 10.1093/tropej/50.3.170

M3 - Article

VL - 50

SP - 170

EP - 174

JO - Journal of Tropical Pediatrics

JF - Journal of Tropical Pediatrics

SN - 0142-6338

IS - 3

ER -