الفهرس 
ELECTRONIC MEDICAL RECORDOnly 14 pages are availabe for public view
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Abstract
Abstract
Background: The neonatal mortality rate is 19 deaths per 1000 live births worldwide. Studies have shown that neonatal registry network systems can provide the necessary data for establishing evidence-based strategies to decrease the complications in high-risk neonates and consequently reduce neonatal mortality rate.
Aim of the work: To determine the frequency and distribution of neonatal critical illnesses in Neonatal Intensive Care Unit (NICU) of Ain Shams University.
Patients and Methods: This descriptive study was conducted in NICU, Children’s Hospital, Ain Shams University. The data collected from intiated neonatal registry through electronic medical record to reach sample size number (381) patients. The current study was conducted after approval by the department of paediatric, the local ethics and research committee, faculty of medicine, Ain Shams University.
Results: The mean(SD) age at admission was 5.52(6.9) days, mean(SD) gestational age was 36.19(2.47) weeks, more than half of our patients were males (55.6%) and females represented in (44.4%), about two-thirds (64.2%) of our participants were full term, and preterm were only in (35.7%). The main etiology was respiratory disease (35.7%), then neonatal sepsis (25.2%), neonatal jaundice (21%), congenital anomalies (12.3%), CNS disease was (6.8%), inborn errors of metabolism (1%) and mortality rate was 10.5%. Four cases had inborn errors of metabolism; one case had Mable syrup urine disease, and one case had organic academia and 2 cases referred to genetic clinic. Regarding Congenital heart diseases in our study it was reported in (7.9%) of our NICU patients; the main etiology among them was reported in following order: PDA / pulmonary hypertension(26.7%), VSD (13.3%), fallot tetralogy (10%), Transposition of great arteries (10%), Supraventricular trachea (6.7%) then many etiologies represented in 3.3% as Ebstien anomalie, Right single ventricle, Heart block, Pulmonary artery stenosis, Arrhythmia, Tricuspid atresia and Lt Hypoplastic heart disease.
Conclusion: The main etiology for NICU admission in children hospital, Ain Shams hospital was mainly respiratory disease (35.7%), neonatal sepsis (25.2%), neonatal jaundice (21%), and Congenital anomalies (12.3%). CNS disease and inborn errors of metabolism came at last, with 10.5% of our participants were died