Neonatal outcome in the United Arab Emirates: the effect of changes in resources and practices.
Selective improvements in neonatal care resources and practices were instituted between 1992/1994 (period 1) and 1995/1998 (period 2) following a neonatal audit in the United Arab Emirates. We evaluated the effect of these changes on neonatal mortality rate (NNMR), birth-weight-specific mortality rates and causes of mortality. Overall there was a 17% decline in the NNMR from periods 1 to 2. Mortality rates in infants with birth weight < 1000 g and > 2500 g decreased by 36% and 35% respectively from periods 1 to 2. Modest declines in deaths from asphyxia, sepsis and complications of preterm births occurred from periods 1 to 2 but the differences were not statistically significant.
Dawodu
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Cincinnati Children's Hospital and University of Cincinnati, Cincinnati, Ohio, USA. Adekunle.Dawodu@cchmc.org
Varady
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Nath
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Rajan
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D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001238:Asphyxia Neonatorum / Q000401:mortality; D001724:Birth Weight; D002423:Cause of Death; D000013:Congenital Abnormalities / Q000401:mortality; D006295:Health Resources / Q000458:organization & administration*; D006302:Health Services Research; D006784:Hospitals, Teaching; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000401:mortality; D015931:Intensive Care, Neonatal / Q000458:organization & administration*; D008485:Medical Audit; D009359:Neonatology / Q000458:organization & administration*; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D018743:Perinatal Care / Q000458:organization & administration*; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D011663:Pulmonary Surfactants / Q000627:therapeutic use; D012127:Respiratory Distress Syndrome, Newborn / Q000188:drug therapy / Q000401:mortality; D018805:Sepsis / Q000401:mortality; D014479:United Arab Emirates / Q000453:epidemiology
D000305:Adrenal Cortex Hormones; D011663:Pulmonary Surfactants