A study on the length of stay of neonates in neonatal intensive care unit in a referral hospital in India

Authors

  • Kanimozhi P. Department of Pediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamil Nadu, India
  • Kumaravel K. S. Department of Pediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamil Nadu, India
  • Velmurugan K. Department of Pediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20190723

Keywords:

Length of stay, Low birth weight, Neonate, NICU

Abstract

Background: Estimate of length of stay is important while counseling the parents of preterm infants and also make them prepared psychologically.

Methods: A retrospective study done in the Neonatal Intensive Care Unit (NICU) of Government Mohan Kumaramangalam medical college hospital, Salem, Tamil Nadu, India between December 2017 and November 2018. All the neonates admitted during the study period formed the study group.

Results: There were 3902 neonates admitted in the NICU during the study period. The mean duration of stay of neonates in the NICU during the study period was 7 days. Out of 3902 neonates in the study group, 37 (0.94%) neonates stayed less than 24 hours, 2208 (56.58%) neonates stayed for 1 to 5 days, 929 (23.8%) neonates stayed for 6 to 10 days, 668 (17.11%) neonates stayed between 11 to 30 days, 41(1.05%) neonates stayed for 31 to 60 days and 7 (0.18%) neonates stayed for more than 61 days. About 45% of neonates in the birth weight category of 1001 to 1500g stayed for 11 to 30 days. A similar trend was also observed in the analysis of length of stay of 29 to 32 weeks preterm neonates.

Conclusions: Every hospital should have their own data to predict the length of stay of neonates in NICU. Future directions should include strategies in reducing the length of stay in NICU thereby optimising resources for the parents and the country.

References

Kumaravel KS, Ganesh J, Balaji J, Pugalendhiraja KV, Ramesh Babu B. A study on impact of NRHM on neonatal care and clinical profile of neonates admitted in a SNCU of a Rural Medical College. J Evolution Med Dental Sci. 2015;4(82):14335-47.

Kaiser JR, Tilford JM, Simpson PM, Salhab WA, Rosenfeld CR. Hospital survival of very-low-birth-weight neonates from 1977 to 2000. J Perinatol 2004;24:343-50.

Fanaroff AA, Hack M, Walsh MC. The NICHD neonatal research network: changes in practice and outcomes during the first 15 years. Semin Perinatol 2003;27:281-7.

Altman M, Vanpée M, Cnattingius S, Norman M. Moderately preterm infants and determinants of length of hospital stay. Arch Dis Childhood-Fetal Neonatal Edit. 2009: 21.

Lee HC, Bennett MV, Schulman J, Gould JB. Accounting for variation in length of NICU stay for extremely low birth weight infants. J Perinatol. 2013;33(11):872.

Manktelow B, Draper ES, Field C, Field D. Estimates of length of neonatal stay for very premature babies in the UK. Arch Dis Childhood-Fetal and Neonatal Edit. 2010;95(4):F288-92.

Seaton SE, Barker L, Jenkins D, Draper ES, Abrams KR, Manktelow BN. What factors predict length of stay in a neonatal unit: a systematic review. BMJ open. 2016;6(10):e010466.

Anurekha V, Kumaravel KS, Kumar P, Satheesh kumar D. Clinical profile of neonates admitted to a neonatal intensive care unit at a referral hospital in South India. Int J Pediatr Res.2018;5(2):72-77.

Mianaei SJ, Karahroudy FA, Rassouli M, Tafreshi MZ. The effect of Creating Opportunities for Parent Empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran. Iran J Nurs Midwifery Res. 2014;19(1):94-100.

Seaton SE, Barker L, Draper ES, Abrams KR, Modi N, Manktelow BN. et al. Estimating neonatal length of stay for babies born very preterm. Arch Dis Child Fetal Neonatal Ed 2018;0:F1-5.

Bhutta ZA, Khan I, Salat S, Raza F, Ara H. Reducing length of stay in hospital for very low birthweight infants by involving mothers in a stepdown unit: an experience from Karachi (Pakistan). BMJ. 2004;329(7475):1151-5.

Arif MA, Arif K. Low birthweight babies in the Third World: maternal nursing versus professional nursing care. J Trop Pediatr.1999;45:278-0.

Mbweza E. Bridging the gap between hospital and home for premature infants in Malawi. Int Nurs Rev 1996;43:53-7.

Tafari N, Sterky G. “Early” discharge of low birth-weight infants in a developing country. J Trop Pediatr Environ Child Health. 974;20:73-6.

Turner M, Winefield H, Chur-Hansen A. The emotional experiences and supports for parents with babies in a neonatal nursery. Adv Neonatal Care 2013;13:438-46.

Lee HC, Bennett MV, Schulman J, Gould JB, Profit J. Estimating length of stay by patient type in the neonatal intensive care unit. Am J Perinatol.2016;33(08):751-7.

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Published

2019-02-23

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Original Research Articles