The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study
High global neonatal deaths have triggered efforts to improve facility-based care. However, the outcomes achievable at different levels of care are unclear. This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome,...
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| Veröffentlicht in: | PloS one 2020-05, Vol.15 (5), p.e0232406 |
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| creator | Tette, Edem M A Nartey, Edmund T Nuertey, Benjamin D Azusong, Emmanuel A Akaateba, Dominic Yirifere, Judith Alandu, Augustine Seneadza, Nana Ayegua Hagan Gandau, Naa Barnabas Renner, Lorna A |
| description | High global neonatal deaths have triggered efforts to improve facility-based care. However, the outcomes achievable at different levels of care are unclear. This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.
This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.
A cross-sectional study involving a records-review over one year at the Upper West Regional Hospital, and three years at St Joseph's District Hospital, Jirapa was carried out. Age, sex, gestational age, weight, duration of admission, diagnosis, among others were examined. The data were analysed and statistical inference made.
Altogether, 2004 newborns were examined, comprising 1,241(62%) from St Joseph's District Hospital and 763(38%) from Upper West Regional Hospital. The proportion of neonatal deaths was similar, 8.94% (St Joseph's District Hospital) and 8.91% (Upper West Regional Hospital). Prematurity, neonatal sepsis, birth asphyxia, low birth weight, neonatal jaundice and pneumonia contributed the most to mortality and suspected infections including malaria accounted for almost half (45.5%). Mortality was significantly associated with duration of stay of 48 hours, being premature, and being younger than 3 days.
Majority of the mortality among the neonates admitted was due to preventable causes. Better stabilization and further studies on the epidemiology of sepsis, prematurity, low birth weight, including the contribution of malaria to these and outcome of transferred neonates are needed. |
| doi_str_mv | 10.1371/journal.pone.0232406 |
| format | Article |
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This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.
A cross-sectional study involving a records-review over one year at the Upper West Regional Hospital, and three years at St Joseph's District Hospital, Jirapa was carried out. Age, sex, gestational age, weight, duration of admission, diagnosis, among others were examined. The data were analysed and statistical inference made.
Altogether, 2004 newborns were examined, comprising 1,241(62%) from St Joseph's District Hospital and 763(38%) from Upper West Regional Hospital. The proportion of neonatal deaths was similar, 8.94% (St Joseph's District Hospital) and 8.91% (Upper West Regional Hospital). Prematurity, neonatal sepsis, birth asphyxia, low birth weight, neonatal jaundice and pneumonia contributed the most to mortality and suspected infections including malaria accounted for almost half (45.5%). Mortality was significantly associated with duration of stay of 48 hours, being premature, and being younger than 3 days.
Majority of the mortality among the neonates admitted was due to preventable causes. Better stabilization and further studies on the epidemiology of sepsis, prematurity, low birth weight, including the contribution of malaria to these and outcome of transferred neonates are needed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0232406</identifier><identifier>PMID: 32365073</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Asphyxia ; Asphyxia Neonatorum - epidemiology ; Asphyxia Neonatorum - mortality ; Biology and Life Sciences ; Birth weight ; Births ; Child mortality ; Childrens health ; Cross-Sectional Studies ; Epidemiology ; Fatalities ; Female ; Gestational age ; Ghana - epidemiology ; Health aspects ; Health surveys ; Hospital Mortality ; Hospitalization ; Hospitals, District ; Humans ; Infant ; Infant Mortality ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Jaundice ; Low birth weight ; Malaria ; Male ; Maternal & child health ; Medical schools ; Medicine and Health Sciences ; Morbidity ; Mortality ; Mortality patterns ; Neonatal jaundice ; Neonatal Sepsis - epidemiology ; Neonatal Sepsis - mortality ; Neonates ; Newborn babies ; Newborn infants ; Patient Admission ; People and Places ; Pneumonia ; Risk factors ; Sepsis ; Statistical analysis ; Statistical inference ; Studies ; Teaching hospitals ; Vector-borne diseases ; Weight</subject><ispartof>PloS one, 2020-05, Vol.15 (5), p.e0232406</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Tette et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Tette et al 2020 Tette et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-499e481b0aa8f66a4d9080466a7e73887f4cb1995abed618a5bf86dd0af407323</citedby><cites>FETCH-LOGICAL-c692t-499e481b0aa8f66a4d9080466a7e73887f4cb1995abed618a5bf86dd0af407323</cites><orcidid>0000-0001-8219-6980</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197810/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197810/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79472,79473</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32365073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Moyer, Cheryl A.</contributor><creatorcontrib>Tette, Edem M A</creatorcontrib><creatorcontrib>Nartey, Edmund T</creatorcontrib><creatorcontrib>Nuertey, Benjamin D</creatorcontrib><creatorcontrib>Azusong, Emmanuel A</creatorcontrib><creatorcontrib>Akaateba, Dominic</creatorcontrib><creatorcontrib>Yirifere, Judith</creatorcontrib><creatorcontrib>Alandu, Augustine</creatorcontrib><creatorcontrib>Seneadza, Nana Ayegua Hagan</creatorcontrib><creatorcontrib>Gandau, Naa Barnabas</creatorcontrib><creatorcontrib>Renner, Lorna A</creatorcontrib><title>The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>High global neonatal deaths have triggered efforts to improve facility-based care. However, the outcomes achievable at different levels of care are unclear. This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.
This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.
A cross-sectional study involving a records-review over one year at the Upper West Regional Hospital, and three years at St Joseph's District Hospital, Jirapa was carried out. Age, sex, gestational age, weight, duration of admission, diagnosis, among others were examined. The data were analysed and statistical inference made.
Altogether, 2004 newborns were examined, comprising 1,241(62%) from St Joseph's District Hospital and 763(38%) from Upper West Regional Hospital. The proportion of neonatal deaths was similar, 8.94% (St Joseph's District Hospital) and 8.91% (Upper West Regional Hospital). Prematurity, neonatal sepsis, birth asphyxia, low birth weight, neonatal jaundice and pneumonia contributed the most to mortality and suspected infections including malaria accounted for almost half (45.5%). Mortality was significantly associated with duration of stay of 48 hours, being premature, and being younger than 3 days.
Majority of the mortality among the neonates admitted was due to preventable causes. Better stabilization and further studies on the epidemiology of sepsis, prematurity, low birth weight, including the contribution of malaria to these and outcome of transferred neonates are needed.</description><subject>Asphyxia</subject><subject>Asphyxia Neonatorum - epidemiology</subject><subject>Asphyxia Neonatorum - mortality</subject><subject>Biology and Life Sciences</subject><subject>Birth weight</subject><subject>Births</subject><subject>Child mortality</subject><subject>Childrens health</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Fatalities</subject><subject>Female</subject><subject>Gestational age</subject><subject>Ghana - epidemiology</subject><subject>Health aspects</subject><subject>Health surveys</subject><subject>Hospital Mortality</subject><subject>Hospitalization</subject><subject>Hospitals, District</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Mortality</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Jaundice</subject><subject>Low birth weight</subject><subject>Malaria</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Medical schools</subject><subject>Medicine and Health Sciences</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Mortality patterns</subject><subject>Neonatal jaundice</subject><subject>Neonatal Sepsis - epidemiology</subject><subject>Neonatal Sepsis - mortality</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Newborn infants</subject><subject>Patient Admission</subject><subject>People and Places</subject><subject>Pneumonia</subject><subject>Risk factors</subject><subject>Sepsis</subject><subject>Statistical analysis</subject><subject>Statistical inference</subject><subject>Studies</subject><subject>Teaching hospitals</subject><subject>Vector-borne diseases</subject><subject>Weight</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99rFDEQxxdRbK3-B6IBQfThzmyym80iCKVoPSgUaquPYTY_blP2NmuSFe-v8F82e3ctd9IH2YcNM5_5TmYmk2UvczzPaZV_uHWj76GbD67Xc0woKTB7lB3nNSUzRjB9vHc-yp6FcItxSTljT7MjSigrcUWPsz_XrUYDxKh9j5xBvXY9ROgQqJUNwbo-IOgVWjmfrDauEUQEyOtlck1Y8ikborcyotaFwU7Btkcx6d4Mg_bohw4RXW0CpgznLfTwMWlI70JAQcu4lQpxVOvn2RMDXdAvdv-T7ObL5-uzr7OLy_PF2enFTLKaxFlR17rgeYMBuGEMClVjjot0qnRFOa9MIZu8rktotGI5h7IxnCmFwRSpbkJPstdb3aFzQex6GQShNc9LTghPxGJLKAe3YvB2BX4tHFixMTi_FOCjlZ0Wha4MBdWYmvBCUw1VqSpFDZGVNCWVSevTLtvYrLSSuo8eugPRQ09vW7F0v0SV1xXPcRJ4txPw7ueYGirSdKTuOkgDG7f3ZoQUdLr3m3_Qh6vbUUtIBdjeuJRXTqLiNAkxXjM8UfMHqPQpvbIyPTxjk_0g4P1BQGKi_h2XMIYgFt-u_p-9_H7Ivt1jWw1dbIPrxunphEOw2IKb1-W1uW9yjsW0N3fdENPeiN3epLBX-wO6D7pbFPoXUcAUrw</recordid><startdate>20200504</startdate><enddate>20200504</enddate><creator>Tette, Edem M A</creator><creator>Nartey, Edmund T</creator><creator>Nuertey, Benjamin D</creator><creator>Azusong, Emmanuel A</creator><creator>Akaateba, Dominic</creator><creator>Yirifere, Judith</creator><creator>Alandu, Augustine</creator><creator>Seneadza, Nana Ayegua Hagan</creator><creator>Gandau, Naa Barnabas</creator><creator>Renner, Lorna A</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-8219-6980</orcidid></search><sort><creationdate>20200504</creationdate><title>The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study</title><author>Tette, Edem M A ; Nartey, Edmund T ; Nuertey, Benjamin D ; Azusong, Emmanuel A ; Akaateba, Dominic ; Yirifere, Judith ; Alandu, Augustine ; Seneadza, Nana Ayegua Hagan ; Gandau, Naa Barnabas ; Renner, Lorna A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-499e481b0aa8f66a4d9080466a7e73887f4cb1995abed618a5bf86dd0af407323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Asphyxia</topic><topic>Asphyxia Neonatorum - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tette, Edem M A</au><au>Nartey, Edmund T</au><au>Nuertey, Benjamin D</au><au>Azusong, Emmanuel A</au><au>Akaateba, Dominic</au><au>Yirifere, Judith</au><au>Alandu, Augustine</au><au>Seneadza, Nana Ayegua Hagan</au><au>Gandau, Naa Barnabas</au><au>Renner, Lorna A</au><au>Moyer, Cheryl A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-05-04</date><risdate>2020</risdate><volume>15</volume><issue>5</issue><spage>e0232406</spage><pages>e0232406-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>High global neonatal deaths have triggered efforts to improve facility-based care. However, the outcomes achievable at different levels of care are unclear. This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.
This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.
A cross-sectional study involving a records-review over one year at the Upper West Regional Hospital, and three years at St Joseph's District Hospital, Jirapa was carried out. Age, sex, gestational age, weight, duration of admission, diagnosis, among others were examined. The data were analysed and statistical inference made.
Altogether, 2004 newborns were examined, comprising 1,241(62%) from St Joseph's District Hospital and 763(38%) from Upper West Regional Hospital. The proportion of neonatal deaths was similar, 8.94% (St Joseph's District Hospital) and 8.91% (Upper West Regional Hospital). Prematurity, neonatal sepsis, birth asphyxia, low birth weight, neonatal jaundice and pneumonia contributed the most to mortality and suspected infections including malaria accounted for almost half (45.5%). Mortality was significantly associated with duration of stay of 48 hours, being premature, and being younger than 3 days.
Majority of the mortality among the neonates admitted was due to preventable causes. Better stabilization and further studies on the epidemiology of sepsis, prematurity, low birth weight, including the contribution of malaria to these and outcome of transferred neonates are needed.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32365073</pmid><doi>10.1371/journal.pone.0232406</doi><tpages>e0232406</tpages><orcidid>https://orcid.org/0000-0001-8219-6980</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2398158228 |
| source | Open Access: PubMed Central; MEDLINE; Full-Text Journals in Chemistry (Open access); DOAJ Directory of Open Access Journals; Public Library of Science; EZB Electronic Journals Library |
| subjects | Asphyxia Asphyxia Neonatorum - epidemiology Asphyxia Neonatorum - mortality Biology and Life Sciences Birth weight Births Child mortality Childrens health Cross-Sectional Studies Epidemiology Fatalities Female Gestational age Ghana - epidemiology Health aspects Health surveys Hospital Mortality Hospitalization Hospitals, District Humans Infant Infant Mortality Infant, Low Birth Weight Infant, Newborn Infant, Premature Jaundice Low birth weight Malaria Male Maternal & child health Medical schools Medicine and Health Sciences Morbidity Mortality Mortality patterns Neonatal jaundice Neonatal Sepsis - epidemiology Neonatal Sepsis - mortality Neonates Newborn babies Newborn infants Patient Admission People and Places Pneumonia Risk factors Sepsis Statistical analysis Statistical inference Studies Teaching hospitals Vector-borne diseases Weight |
| title | The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T19%3A56%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20pattern%20of%20neonatal%20admissions%20and%20mortality%20at%20a%20regional%20and%20district%20hospital%20in%20the%20Upper%20West%20Region%20of%20Ghana;%20a%20cross%20sectional%20study&rft.jtitle=PloS%20one&rft.au=Tette,%20Edem%20M%20A&rft.date=2020-05-04&rft.volume=15&rft.issue=5&rft.spage=e0232406&rft.pages=e0232406-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0232406&rft_dat=%3Cgale_plos_%3EA622689608%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2398158228&rft_id=info:pmid/32365073&rft_galeid=A622689608&rft_doaj_id=oai_doaj_org_article_4e7f3adbf9284e3ea75d7d3f2c7cf53c&rfr_iscdi=true |