Causes of death in a neonatal intensive care unit in Southeast region of Turkey
Causes of death in a neonatal intensive care unit in Southeast region of Turkey
Aim: Neonatal mortality rate is a good indicator to show the developmental status of a country. The aim was to assess mortality rateand causes of death in a tertiary level neonatal intensive care unit (NICU) at Sanliurfa Training and Research Hospital.Material and Methods: All infant deaths occurred in one year period between 2017 and 2018 at Sanliurfa Training and ResearchHospital NICU were retrospectively reviewed and causes of death and mortality rate were examined.A total of 189 (9.4%) infants died in the study period. Most common cause of death was prematurity and associated conditions(49.2%) followed by perinatal asphyxia (16.4%) and congenital anomalies (12.7%). In term infants perinatal asphyxia (36.9%),congenital anomalies (16.9%) and acute bilirubin encephalopathy (12.3%) were the three leading causes of death. The median ageof death was 3 (1-240) days. Most of the deaths (73%) occurred in the early neonatal period.Conclusion: Prematurity, perinatal asphyxia, congenital anomalies and severe hyperbilirubinemia are the leading causes of neonatalmortality in Sanliurfa. Measures for antenatal follow-up, diagnosis of antenatal risk factors, early neonatal follow-up and certificationof health staff in delivery room would contribute for reduction of neonatal mortality in southeast region of Turkey.
___
- 1. Wang H, Bhutta ZA, Coates MM, Coggeshall M, Dandona
L, Diallo K, et al.; GBD 2015 Child Mortality Collaborators.
Global, regional, national, and selected subnational levels
of stillbirths, neonatal, infant, and under-5 mortality, 1980-
2015: a systematic analysis for the Global Burden of Disease
Study 2015. Lancet 2016(8);388:1725-74.
- 2. The Ministry of Health of the Republic of Turkey. Health
statistics year¬book, 2011. Ankara: The Ministry of Health
of the Republic of Turkey; 2012 [cited 2015 May 3]. http://
sbu.saglik. gov.tr/Ekutuphane/kitaplar/health_statistics_
yearbook_2011.pdf access date 28.12.2018
- 3. The Ministry of Health of the Republic of Turkey. Health
statistics year¬book, 2017 https://dosyamerkez.saglik.gov.
tr/Eklenti/27344,saglik-istatistikleri-yilligi-2017-haberbultenipdf.
pdf?0 access date 02.01.2019
- 4. Turkish Statistical Institute population and demography
statistics 2017. http://www.turkstat.gov.tr/UstMenu.do?
metod= temelist access date 24.12.2018
- 5. Demirel G, Tezel B, Ozbas S, et al. Rapid decrease of neonatal
mortality in Turkey. Matern Child Health J 2013;17:1215-21.
- 6. Black RE, Cousens S, Johnson HL, et al. Child health
epidemiology reference group of WHO and UNICEF. Global,
regional, and national causes of child mortality in 2008: A
systematic analysis. Lancet 2010;375:1969-87.
- 7. Eventov- Friedman S, Kanevsky H, Bar-Oz B. Neonatal Endof-
Life Care: A Single-Center NICU Experience in Israel Over
a Decade. Pediatrics 2013;131:e1889-96.
- 8. Dilli D, Köse MR, Gündüz RC, et al. Recent declines in infant
and neonatal mortality in turkey from 2007 to 2012: impact
of improvements in health policies. Cent Eur J Public Health
2016;24:52-7.
- 9. Özdemir AA, Elgörmüş Y. Yenidoğan yoğun bakım ünitesinde
yatan hastalarda ölüm nedenlerinin değerlendirilmesi
(2012-2014). Van Tıp Derg 2016;23:46-50.
- 10. Hacettepe University Institute of Population Studies 2009.
Turkey Demographic and Health Survey, 2008. Hacettepe
University Institute of Population Studies, Ministry of
Health General Directorate of Mother and Child Health and
Family Planning T.R. Prime Ministry Undersecretary of State
Planning Organization and TÜBİTAK, Ankara, Turkey
- 11. Yasmin S, Osrin D, Paul E, et al. Neonatal mortality of lowbirth-
weight infants in Bangladesh. Bull World Health Organ
2001;79:608-14.
- 12. Beck S, Wojdyla D, Say L, et al. The worldwide incidence of
preterm birth: a systematic review of maternal mortality and
morbidity. Bull World Health Organ 2010;88:31-8.
- 13. Tıraş Ü, Saç R, Tazegül A, ve ark. Hastanemiz yenidoğan
yoğun bakım ünitesinde izlenerek ölen vakaların sosyal ve
klinik özellikleri. Türkiye Klinikleri J Pediatr 2007;16:151-7.
- 14. Arslan S, Bülbül A, Aslan AŞ, ve ark. Yenidoğan yoğun bakım
ünitesinde beş yıllık sürede (2007-2011) neonatal ölüm
nedenleri. Ş.E.E.A.H. Tıp Bülteni 2013;47:16-20.
- 15. Sankaran K, Chien LY, Walker R, et al. Canadian Neonatal
Network. Variations in mortality rates among Canadian
neonatal intensive care units. CMAJ 2002;166:173-8.
- 16. Feng Y, Abdel-Latif ME, Bajuk B, Causes of death in infants
admitted to Australian neonatal intensive care units between
1995 and 2006. Acta Paediatr 2013;102:e17-23.
- 17. Costa S, Rodrigues M, Centeno MJ, et al. Diagnosis and cause
of death in a neonatal intensive care unit--how important is
autopsy? J Matern Fetal Neonatal Med 2011;24:760-3.