Characteristics of referral neonates in Sanglah Hospital: reviewed from the S.T.A.B.L.E program
Keywords:
characteristics, mortality, neonates, referral, S.T.A.B.L.E programAbstract
The purpose of this study was to investigate the number of referral neonates that came with an unstable condition (according to a S.T.A.B.L.E program) and characteristic of unstable conditions of the referred neonates. An observational prospective study was conducted for two years from 1st January 2018 to 31st December 2019 in the Emergency Department of Sanglah Hospital, Bali, Indonesia. Referred neonates were assessed in terms of gender, gestational age, referral characteristic, and condition on arrival at the hospital according to S.T.A.B.L.E criteria. According to S.T.A.B.L.E criteria, 283 neonates (54.8%) came on unstable condition. Prematurity (42.6%) was the main reason for referral, 37.9% of them were very low birth weight. Most of them were referred from Denpasar (33.9%), the equipment of transportation was incubator transport (41.8%). T-piece resuscitator was used in 30.4% of referred neonates. Characteristics of unstable conditions were mostly hypoglycemia (33%) and 36% of unstable neonates had more than one condition of instability. This study revealed 283 neonates were unstable and the main reason of transfer neonates is prematurity. Most of them come with unstable conditions that could lead to higher mortality. This study could be a reference for improvement in the neonatal transportation system in Bali.
Downloads
References
Alasiry, E. (2016). Profil bayi rujukan saat masuk rawat ditinjau dari the stable program. Sari Pediatri, 13(4), 235-8.
Anurekha, V., & Kumaravel, K. S. (2018). Satheesh kumar D. Clinical profile of neonates admitted to a neonatal intensive care unit at a referral hospital in South India. Int J Pediatr Res, 5(2), 72-77.
Badan Pusat Statistik, (2020), Kepadatan Penduduk Menurut Kabupaten/Kota di Bali, 2010-2019. [online].
Batki, A., Baron-Cohen, S., Wheelwright, S., Connellan, J., & Ahluwalia, J. (2000). Is there an innate gaze module? Evidence from human neonates. Infant Behavior and Development, 23(2), 223-229. https://doi.org/10.1016/S0163-6383(01)00037-6
Biederman, J., Faraone, S. V., Mick, E., Williamson, S., Wilens, T. E., Spencer, T. J., ... & Zallen, B. (1999). Clinical correlates of ADHD in females: findings from a large group of girls ascertained from pediatric and psychiatric referral sources. Journal of the American Academy of Child & Adolescent Psychiatry, 38(8), 966-975. https://doi.org/10.1097/00004583-199908000-00012
Committee on fetus and newborn. (2018). Levels of neonatal care. Pediatrics, 130, 587-587.
de Almeida, M. F. B., Guinsburg, R., Sancho, G. A., Rosa, I. R. M., Lamy, Z. C., Martinez, F. E., ... & de Cássia Silveira, R. (2014). Hypothermia and early neonatal mortality in preterm infants. The Journal of pediatrics, 164(2), 271-275. https://doi.org/10.1016/j.jpeds.2013.09.049
Dramawan, A. (2018). The influence of supportive psychotherapy toward patient anxiety to pre-hyperbaric therapy. International journal of health sciences, 2(3), 55-64. https://doi.org/10.29332/ijhs.v2n3.219
Gilbert, M., Busund, R., Skagseth, A., Nilsen, P. Å., & Solbø, J. P. (2000). Resuscitation from accidental hypothermia of 13• 7 C with circulatory arrest. The Lancet, 355(9201), 375-376. https://doi.org/10.1016/S0140-6736(00)01021-7
Howson, C. P., Kinney, M. V., & Lawn, J. E. (2012). March of Dimes, PMNCH, Save the children, WHO. Born too soon: the global action report on preterm birth. Geneva: World Health Organization.
Karlsen, (2018), Pre-transport/post-resuscitation stabilization care of sick infants’ guidelines for neonatal healthcare providers. [online].
Lasswell, S. M., Barfield, W. D., Rochat, R. W., & Blackmon, L. (2010). Perinatal regionalization for very low-birth-weight and very preterm infants: a meta-analysis. Jama, 304(9), 992-1000. https://doi.org/10.1001/jama.2010.1226
Null, D., Crezee, K., & Bleak, T. (2016). Noninvasive respiratory support during transportation. Clinics in Perinatology, 43(4), 741-754. https://doi.org/10.1016/j.clp.2016.07.009
Parekh, Z. R., Bharadwaj, R., Parmar, G., & Shah, A. (2018). Study of Referral Pattern of Neonates at Tertiary Care Centre and Role of TOPS Score in Assessing Morbidity and Mortality. Natl J Community Med, 9(3), 157-60.
Peterson, S., Nsungwa-Sabiiti, J., Were, W., Nsabagasani, X., Magumba, G., Nambooze, J., & Mukasa, G. (2004). Coping with paediatric referral—Ugandan parents' experience. The Lancet, 363(9425), 1955-1956. https://doi.org/10.1016/S0140-6736(04)16411-8
Ravelli, A. C. J., Jager, K. J., De Groot, M. H., Erwich, J. J. H. M., Rijninks?van Driel, G. C., Tromp, M., ... & Mol, B. W. J. (2011). Travel time from home to hospital and adverse perinatal outcomes in women at term in the Netherlands. BJOG: An International Journal of Obstetrics & Gynaecology, 118(4), 457-465. https://doi.org/10.1111/j.1471-0528.2010.02816.x
World Health Organization, (2003), Managing newborn problems: a guide for doctors, nurses, and midwive. [online].
Published
How to Cite
Issue
Section
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.