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BRIEF RESEARCH ARTICLE
Year : 2013  |  Volume : 57  |  Issue : 2  |  Page : 100-104

Predictors of mortality among the neonates transported to referral centre in Delhi, India


1 Lecturer, Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
2 Senior Resident, Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
3 Professor, Department of Community Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
4 Professor and Head, Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India

Correspondence Address:
Manish Narang
Lecturer, Department of Pediatrics (Ward 12), University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi - 110 095
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-557X.115003

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A descriptive study was conducted with an objective to determine the predictors of mortality among referred neonates and to ascertain their transport characteristics. A total of 300 consecutive neonates who were transferred to the centre were enrolled in the study. Following information were recorded: maternal details, birth details, interventions before transportation, details of transportation and neonatal condition at arrival. Detailed clinical assessment and management was done as per standard neonatal protocols. Birth weight <1 kg (OR 0.04; 95% CI: 0.006-0.295, P<0.01) and transportation time >1 hour (OR 5.58; 95% CI: 1.41-22.01, P=0.01) were found to be significant predictors for mortality among the transported neonate. Transport characteristics reflect road transport with limited utility of ambulances and lack of trained health personal. Hence to conclude, extreme low birth weight and prolonged transportation time were found to be significant predictors of neonatal mortality among the transported neonate.


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