Mortality risk factors for neonatal intestinal obstruction
Author
Source
Issue
Vol. 21, Issue 2 (31 Dec. 2015), pp.82-86, 5 p.
Publisher
University of Basrah College of Medicine
Publication Date
2015-12-31
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Pharmacy, Health & Medical Sciences
Abstract EN
This study aimed to determine the type of neonatal intestinal obstruction, their mortality, and the significance of the direct causes of death.
A retrospective study of all neonates managed for neonatal intestinal obstruction (total number studied was 161 child) at Basrah Children's Specialty Hospital (BCSH) between June 2012 and June 2014.
Data were collected from patients’ hospital records (neonatal intensive care unit) and analyzed for age, sex, clinical features, diagnosis, surgical procedure performed, prematurity, birth weight, duration of symptoms, complications and their management.
The mortality due to neonatal intestinal obstruction is still high in our setting (25.5%).
The significant factors associated with mortality were prematurity, birth weight, sepsis; reoperation, short bowel syndrome, and proximal intestinal stoma.
Certain causes of neonatal intestinal obstruction were associated with high mortality e.g.
jejunoileal atresia (52.6%), meconium ileus (50%), perforated viscus (46%), and duodenal atresia.
Male are affected more than female with M:F ratio of 2.4:1.
The most common cause of intestinal obstruction in neonates in this series was anorectal malformations (33.5%).
Other causes of neonatal intestinal obstruction included Hirschsprung’s disease (24.2%), small intestinal atresias (11.8%), intestinal malrotation with or without volvulus (9.3%), perforated viscus (8.1%), meconium ileus (7.5%), duodenal aresia (2.5%), annular pancreas (1.2%), and meconium plug syndrome, necrotizing enterocolitis and segmental dilatation (0.6%, each).
In conclusion, neonatal intestinal obstruction is a common cause of admission accounting for 28.2% of all admission.
Mortality from intestinal obstruction is still high in our society and strict measures regarding prenatal, natal and postnatal management should be addressed to save those neonates.
American Psychological Association (APA)
al-Moamin, Haytham Husayn Ali. 2015. Mortality risk factors for neonatal intestinal obstruction. Basrah Journal of Surgery،Vol. 21, no. 2, pp.82-86.
https://search.emarefa.net/detail/BIM-674301
Modern Language Association (MLA)
al-Moamin, Haytham Husayn Ali. Mortality risk factors for neonatal intestinal obstruction. Basrah Journal of Surgery Vol. 21, no. 2 (Dec. 2015), pp.82-86.
https://search.emarefa.net/detail/BIM-674301
American Medical Association (AMA)
al-Moamin, Haytham Husayn Ali. Mortality risk factors for neonatal intestinal obstruction. Basrah Journal of Surgery. 2015. Vol. 21, no. 2, pp.82-86.
https://search.emarefa.net/detail/BIM-674301
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 86
Record ID
BIM-674301