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Prognostic factors determining mortality in surgical neonates
Vivek Manchanda1, Yogesh Kumar Sarin1, Siddharth Ramji
1Department of Paediatric Surgery, Maulana Azad Medical College, New Delhi, INDIA.
Journal of Neonatal Surgery
|May 30, 2015
Summary
Prognosis for surgical neonates depends on early gestational age, respiratory distress, and shock. Improving antenatal care and neonatal handling is crucial for better outcomes.
Area of Science:
- Neonatal surgery
- Pediatric critical care
- Clinical neonatology
Background:
- Assessing prognosis in surgical neonates is vital.
- Identifying mortality factors in neonates is a key challenge.
Purpose of the Study:
- To evaluate the prognosis of surgical neonates upon admission.
- To determine factors contributing to mortality in this population.
Main Methods:
- Prospective study conducted over 15 months in a tertiary hospital.
- Collection and analysis of clinical and biochemical parameters.
- Statistical analysis using STATA® and SPSS®.
Main Results:
- Multivariate analysis of 165 neonates identified poor prognosis factors.
- Early gestational age, respiratory distress, and shock at presentation were significant.
- These factors may be linked to suboptimal antenatal care and neonatal sepsis.
Conclusions:
- Improving antenatal care is essential for surgical neonates.
- Enhanced asepsis during transfer and handling is critical.
- These interventions are paramount to improving neonatal prognosis.
