EVALUATION OF CLINICAL PARAMETERS FOR THE PREDICTION OF HOSPITAL STAY IN NEONATES ADMITTED IN A TERTIARY REFERRAL HOSPITAL IN A DEVELOPING COUNTRY

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SINGLA GAURAV; BAINS HARMESH S.; SONI R.K.

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Journal: Iranian Journal of Neonatology Year:2015 | Volume:6 | Issue:3 Page(s): 6-11

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Title

EVALUATION OF CLINICAL PARAMETERS FOR THE PREDICTION OF HOSPITAL STAY IN NEONATES ADMITTED IN A TERTIARY REFERRAL HOSPITAL IN A DEVELOPING COUNTRY

Author(s)

SINGLA GAURAV | BAINS HARMESH S. | SONI R.K. | Issue Writer Certificate

Keywords

CLINICAL PARAMETERS

HOSPITAL STAY

NEONATES

TERTIARY REFERRAL HOSPITAL

Abstract

Background: The present study aimed to evaluate different CLINICAL PARAMETERS on admission for the prediction of HOSPITAL STAY in NEONATES.Methods: This prospective observational study was conducted during one year (Jan-Dec 2010) in a TERTIARY REFERRAL HOSPITAL in North India. Out of 344 NEONATES admitted at the hospital, 41 were discharged against medical advice and excluded from the study. At the time of admission, initial vital signs and basic information of the NEONATES were recorded. Subjects were evaluated based on CLINICAL PARAMETERS and followed-up until discharge/death. Final outcomes were recorded in terms of total length of HOSPITAL STAY in surviving and non-surviving NEONATES. In the statistical analysis, odds ratio with 95% confidence interval were calculated for each parameter, and significant associations were investigated between the variables (P≤0.05).Results: Of 30 clinical variables, 18 were found to be significantly associated with prolonged hospitalization (>7 days) in surviving NEONATES. These parameters included abnormal heart rate (>160/min or<100/min), abnormal respiratory rate (>60/min or<30/min), abnormal SpO2 (<90%), prolonged capillary refill time (≥3 seconds), moderate hypothermia or hyperthermia, decreased consciousness, abnormal crying, reduced or lack of physical activity, presence of pallor, icterus involving soles, central cyanosis, dehydration, chest recessions, respiratory distress, abdominal distension, hypotonia, incomplete or absent Moro reflexes in term NEONATES, and absent or sluggish deep tendon reflexes. Additionally, three parameters were found to be significantly associated with the mortality of non-surviving NEONATES within 7 days of HOSPITAL STAY, including abnormal respiratory rate (>60/min or<30/min), abnormal SpO2 (<90%) and prolonged capillary refill time (≥3 seconds).Conclusion: According to the results of this study, length of hospitalization in NEONATES could be predicted at the time of admission using simple, easily-assessed CLINICAL PARAMETERS.

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APA: Copy

SINGLA, GAURAV, BAINS, HARMESH S., & SONI, R.K.. (2015). EVALUATION OF CLINICAL PARAMETERS FOR THE PREDICTION OF HOSPITAL STAY IN NEONATES ADMITTED IN A TERTIARY REFERRAL HOSPITAL IN A DEVELOPING COUNTRY. IRANIAN JOURNAL OF NEONATOLOGY, 6(3), 6-11. SID. https://sid.ir/paper/696064/en

Vancouver: Copy

SINGLA GAURAV, BAINS HARMESH S., SONI R.K.. EVALUATION OF CLINICAL PARAMETERS FOR THE PREDICTION OF HOSPITAL STAY IN NEONATES ADMITTED IN A TERTIARY REFERRAL HOSPITAL IN A DEVELOPING COUNTRY. IRANIAN JOURNAL OF NEONATOLOGY[Internet]. 2015;6(3):6-11. Available from: https://sid.ir/paper/696064/en

IEEE: Copy

GAURAV SINGLA, HARMESH S. BAINS, and R.K. SONI, “EVALUATION OF CLINICAL PARAMETERS FOR THE PREDICTION OF HOSPITAL STAY IN NEONATES ADMITTED IN A TERTIARY REFERRAL HOSPITAL IN A DEVELOPING COUNTRY,” IRANIAN JOURNAL OF NEONATOLOGY, vol. 6, no. 3, pp. 6–11, 2015, [Online]. Available: https://sid.ir/paper/696064/en

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