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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Epidemiologic survey on hospitalized neonates in China
Ke-Lun Wei1, Yu-Jia Yang1, Yu-Jia Yao1
11 Department of Pediatrics, China Medical University Affiliated Shengjing Hospital; 2 Department of Pediatrics, Central South University Affiliated Xiangya Hospital; 3 Department of Pediatrics, Sichuan University Affiliated West China Second Hospital; 4 Zhejiang University School of Medicine Affiliated Children's Hospital; 5 Beihai Maternal and Child Health Care Hospital; 6 Beihai People's Hospital; 7 Beijing Children's Hospital Emergency Center; 8 Capital University of Medical Sciences Affiliated Beijing Obstetrics&Gynecology Hospital; 9 Chengdu Children's Hospital/Chengdu Children's Emergency Center; 10 Chongqing Fifth People's Hospital; 11 Chongqing Fulin District Maternal and Child Health Care Hospital; 12 Chongqing Maternal and Child Health Care Hospital; 13 Chongqing Medical University Affiliated Children's Hospital; 14 Chongqing Three Gorge Central Hospital Children Health Care Center; 15 Dalian Children's Hospital; 16 Fudan University Affiliated Children's Hospital; 17 Fudan University Affiliated Obstetrics & Gynecology Hospital; 18 Gansu Maternal and Child Health Care Hospital; 19 Guangdong People's Hospital; 20 Guangi Minzu Hospital; 21 Guangxi Children's Hospital; 22 Guangxi Maternal and Child Health Care Hospital; 23 Guangzhou Children's Hospital; 24 Guangzhou NO.1 People's Hospital; 25 Guangzhou NO.2 People's Hospital; 26 Guiyang Maternal and Child Health Care Hospital; 27 Haikou Maternal and Child Health Care Hospital; 28 Hainan Maternal and Child Health Care Hospital; 29 Hainan Medical College Affiliated Hospital; 30 Harbin Medical University Affiliated Second Hospital; 31 Hölün Buyer Maternal and Child Health Care Hospital; 32 Hubei Maternal and Child Health Care Hospital; 33 Hunan Children's Hospital; 34 Hunan Maternal and Child Health Care Hospital; 35 Hunan People's Hospital; 36 Inner Mongolia Maternal and Child Health Care Hospital; 37 Jiamusi University Affiliated First Hospital; 38 Jiaozuo Maternal and Child Health Care Hospital; 39 Jiaxi Chi
Objective:
To carry out a nationwide epidemiologic survey on the neonates in urban hospitals with an attempt to understand the disease spectrum and treatment outcomes of hospitalized neonates in China.
Methods:
The clinical data of 43,289 hospitalized neonates from 86 hospitals in 47 Chinese cities (22 provinces) between January 1, 2005 and December 31, 2005 were retrospectively analyzed.
Results:
The male:female ratio was 1.73:1. Premature infants accounted for 26.2% of the hospitalized neonates, which was higher than that reported in 2002 (19.7%). The top three diseases during the neonatal period were jaundice, pneumonia, and hypoxic-ischemic encephalopathy. The incidences of pneumonia, meconium aspiration syndrome, and bilirubin encephalopathy in term infants were higher than those in premature infants, while the incidences of asphyxia, respiratory distress syndrome, and pulmonary hemorrhage in term infants were lower than those in premature infants. The incidences of asphyxia, small for gestational age infant, and wet lung were higher in neonates whose mother had pregnancy induced hypertension. The outcomes of these hospitalized neonates included: recovered, 63.9%; improved, 27.3%; discharged due to the family's own decisions, 7.6%, and died, 1.2%. Nearly half (46.4%) of the neonatal death occurred within 24 hrs after admission.
Conclusion:
The incidence of premature birth shows an increasing trend among hospitalized neonates. Since the neonatal deaths mainly occur within 24 hrs after admission, monitoring during this period should be enhanced.
