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CC BY 4.0 · Journal of Child Science 2021; 11(01): e287-e295
DOI: 10.1055/s-0041-1736478
Original Article

Study on Inborn and Outborn Neonatal Admissions in Relation to Gestational Maturity in Neonatal Intensive Care Unit at a Tertiary Care University Hospital in Upper Egypt

Safwat M. Abdel-Aziz 
1   Department of Paediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt
,
Enas A. Hamed 
2   Department of Medical Physiology, Faculty of Medicine, Assiut University, Assiut, Egypt
,
Amira M. Shalaby 
1   Department of Paediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt
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Abstract

Neonatal morbidity and mortality rates indicate a country's socioeconomic status and the quality, and effectiveness of its health care system. This research aimed to identify the clinical pattern and causes of neonatal admission for inborn and outborn babies in a tertiary care university hospital and their outcomes. Over a year, this prospective hospital-based research was conducted in the neonatal intensive care unit (NICU) of Assiut Children's Hospital in Upper Egypt (January 1st to December 31st, 2020). Gender, birth weight, gestational age, postnatal age, delivery mode, delivery place, admission cause, hospital stay period, and neonatal outcomes were collected. A total of 1,638 newborns were admitted; 930 (56.8%) were preterm and 708 (43.2%) full-term. Inborn admissions were 1,056 (64.5%) and outborn 582 (35.5%). The majority of inborn admissions were preterm 726 (68.8%), and outborn were full-term 378 (64.9%). The commonest admission causes among inborn and outborn preterm infants were respiratory distress syndrome (84.3%) and congenital intestinal obstruction (22.5%), respectively, while multiple congenital anomalies were the commonest cause for admission among both inborn and outborn full-term babies. The mortality rate was 708 (43.2%), higher among inborn (50%) versus outborn (30.9%). The leading cause of death was respiratory distress syndrome among premature inborn with case fatality rate of (56.9%) and multiple congenital anomalies among premature outborn (60%), as well as inborn (67.4%), and outborn (42.6%) full-term neonates. In conclusion, the neonatal mortality rate was high among studied cases. Morbidity and mortality of respiratory distress syndrome and congenital anomalies were alarmingly high. Therefore, all health care providers must devote a considerable effort to improve health care delivered to these neonates.

Keywords

admissions - inborn - neonatal intensive care unit - newborns - outborn

Authors' Contribution

S.M.A.-A. carried the study design, examined cases, and shared in the writing of manuscript. E.A.H. was involved in the selection of cases, data collection and entry, validation, and coding, as well as shared in writing the manuscript. A.M. S. was involved in selection of cases, data collection, and shared in writing the manuscript and gathering references. All authors have read and approved the manuscript for publication.




Publication History

Received: 21 May 2021

Accepted: 30 August 2021

Article published online:
22 November 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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