Immediate outcome of mechanically ventilated terms babies in Hospital Kota Bharu and Hospital Universiti Sains Malaysia
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Date
2002
Authors
Che Mohd Razali, Che Hadibiah
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Objectives:To determine the demographic profile, clinical characteristics and
common causes of ventilation and complications among ventilated term babies
weighing > 2.50 Kg and to determine the predictive factors for the outcome of
these ventilated term babies.
Methodology: A prospective study was conducted from 1st July 2000 until 31st
December 2000 in Hospital Kota Bharu and from 1st January 2001 to 31st
December 2001 in Hospital Universiti Sa ins Malaysia. All the term babies weighing
more than or equal to 2.50 kilogram and received assisted ventilation were
included in the study. Data regarding demographic and clinical characteristics were
collected and all the complications that occurred during ventilation and the final
outcome were documented. The predictors that determine the outcome were
analysed using multiple logistic regression.
Results: The proportion of male to female babies that required ventilation were
60.9°/o and 39.1 °/o respectively and more than 50°/o of babies weighed between
3.00 -3.49 Kg. The most common reasons for ventilation among term babies were
asphyxia (42o/o), MAS (28%,), congenital pneumonia (21 °/o) and sepsis {9°/o). Many
complications occurred while on ventilation like hypotension, seizures, PPHN and
others. The significant predictors that determined the outcome of ventilated babies
Were Apgar score less than 4 at 1 minute (p=0.001 ), intracranial haemorrhage
(p=0.009), PPHN (p= 0.018) and pneumothorax (p=0.036).
Conclusions: Asphyxia, MAS, congenital pneumonia and sepsis were the most
common cause of ventilation and assisted ventilation was common among male
babies. These results corresponded well to other studies. The complications that
occured were mostly related to asphyxia and most causes of death were
preventable.
Description
Keywords
Demographic profile, clinical characteristics of ventilated term babies