Table 4 For ‘preterm’ infants, admission to neonatal unit, care in the neonatal unit and outcome at discharge
|
CMC (n = 46)a |
Mulago (n = 93) |
Mbale (n = 37) |
Kenyatta (n = 57) |
FBH/LNH (n = 24)a |
Total (n = 257)a | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Level of neonatal care after birth | ||||||||||||
| Postnatal ward | 1 | (2%) | 2 | (2%) | 7 | (19%) | 1 | (2%) | 2 | (8%) | 13 | (5%) |
| Neonatal unit, Level 1 | – | – | – | – | 30 | (81%) | – | – | 7 | (29%) | 37 | (14%) |
| Neonatal unit, Level 2 | 30 | (65%) | 91 | (98%) | – | – | 55 | (96%) | – | – | 176 | (68%) |
| Neonatal unit, Level 3 | 14 | (30%) | -b | – | -b | – | 1 | (2%) | 14 | (58%) | 29 | (11%) |
| Temperature on admission (°C) | ||||||||||||
| Mean [SD] | 36.1 | [0.7] | 34.7 | [0.8] | 35.6 | [0.9] | 35.5 | [0.8] | 37 | [0.2] | 35.5 | [1.0] |
| < 34.5 | – | – | 27 | (29%) | 6 | (16%) | 3 | (5%) | – | – | 36 | (14%) |
| 34.5–35.4 | 8 | (17%) | 52 | (56%) | 7 | (19%) | 26 | (46%) | – | – | 93 | (36%) |
| 35.5–36.4 | 21 | (46%) | 14 | (15%) | 18 | (49%) | 19 | (33%) | 1 | (4%) | 73 | (28%) |
| 36.5–37.4 | 14 | (30%) | – | – | 5 | (14%) | 6 | (11%) | 20 | (83%) | 45 | (18%) |
| ≥ 37.5 | 1 | (2%) | – | – | – | – | 2 | (4%) | – | – | 3 | (1%) |
| Not known | 2 | (4%) | – | – | 1 | (3%) | 1 | (2%) | 3 | (13%) | 7 | (3%) |
| Respiratory support | ||||||||||||
| Any respiratory support | 5 | – | 89 | – | 8 | – | 52 | – | 5 | – | 159 | – |
| Type of support and duration (days) | ||||||||||||
| Oxygen | 1 | – | 71 | – | 4 | – | 46 | – | – | – | 122 | – |
| Median {25, 75} | 1 | {1, 1} | 2 | {1, 3} | 3 | {3, 3.5} | 4 | {3, 6} | – | – | 3 | {2, 4} |
| CPAP | 4 | – | 46 | – | 1 | – | 2 | – | – | – | 53 | – |
| Median {25, 75} | 4 | {2.5, 5} | 2 | {1.5, 4} | 2 | {2,2} | 3 | {3, 3} | – | – | 2 | {2, 4} |
| Ventilation | 1 | – | 1 | – | 3 | – | 5 | – | 5 | – | 15 | – |
| Median {25, 75} | 2 | {2, 2} | 1 | {1, 1} | 4 | {3, 7} | 3 | {3, 5} | 1 | {1, 3} | 3 | {1, 5} |
| Cranial ultrasound | 13 | – | 2 | – | – | – | – | – | – | – | 15 | – |
| IVH | 5 | – | 1 | – | – | – | – | – | – | – | 6 | – |
| Duration of stay in neonatal care (days)* | ||||||||||||
| Median {25, 75} | 8.5 | {5, 25.5} | 4 | {2, 7} | 1 | {1, 4} | 5 | {2.5, 22} | 3 | {1, 6} | 4.5 | {2, 8} |
| Min, max | 1, 66 | < 1, 47 | < 1, 19 | < 1, 102 | < 1, 16 | < 1, 102 | ||||||
| < 1 | – | – | 4 | (4%) | 5 | (14%) | 6 | (11%) | 3 | (13%) | 18 | (7%) |
| 1–2 | 3 | (7%) | 20 | (22%) | 16 | (43%) | 8 | (14%) | 7 | (29%) | 54 | (21%) |
| 3–6 | 12 | (26%) | 42 | (45%) | 9 | (24%) | 17 | (30%) | 7 | (29%) | 87 | (34%) |
| 7–14 | 12 | (26%) | 24 | (26%) | 5 | (14%) | 5 | (9%) | 3 | (13%) | 49 | (19%) |
| ≥ 15 | 17 | (37%) | 3 | (3%) | 1 | (3%) | 20 | (35%) | 1 | (4%) | 42 | (16%) |
| After leaving neonatal care, discharged | ||||||||||||
| Home | 36 | (78%) | 85 | (91%) | 29 | (78%) | 54 | (95%) | 12 | (50%) | 216 | (84%) |
| To another ward in the hospital | 8 | (17%) | 8 | (9%) | 7 | (19%) | 2 | (4%) | 9 | (38%) | 34 | (13%) |
| Not known | 2 | (4%) | – | – | 1 | (3%) | 1 | (2%) | 3 | (13%) | 7 | (3%) |
| Outcome at discharge from hospital | ||||||||||||
| Early neonatal death (0–6 days) | 1 | – | 12 | – | 3 | – | 27 | – | 4 | – | 47 | – |
| Late neonatal death (7–27 days) | – | – | 4 | – | 1 | – | 5 | – | 1 | – | 11 | – |
| Post neonatal death (> 27 days) | – | – | – | – | – | – | 1 | – | – | – | 1 | – |