Predictors of poor outcome in neonates with respiratory distress


  • Veeraraja B. Sathenahalli Department of Pediatrics, Shyam Shah Medical College, Rewa, India
  • Deepak Dwivedi Department of Pediatrics, Shyam Shah Medical College, Rewa, India
  • Naresh Bajaj Department of Pediatrics, Shyam Shah Medical College, Rewa, India
  • H. P. Singh Department of Pediatrics, Shyam Shah Medical College, Rewa, India



Neonates, Respiratory distress, Neonatal mortality, Special care new born unit


Background: To identify the determinants of mortality in neonates admitted in sncu of tertiary care hospital with respiratory distress. Neonatal intensive care unit in a tertiary level care hospital in central India. Study Design was a prospective observational study. Neonates admitted with respiratory distress over a period of 8 months.

Methods: Neonates with respiratory distress i.e. respiratory rate >60/min, chest retraction, grunting, central cyanosis, were included in the study. Surgical problems causing respiratory distress i.e., congenital malformations affecting respiratory tract and congenital heart disease were excluded from the study. All the cases were divided in two groups based on outcome with good outcome defined as those babies who were discharged and poor outcome defined as those babies who expired during the treatment and analyzed.

Results: On analysis, Antenatal history of per vaginal bleed, meconium stained liquor, prolonged rupture of membrane, VLBW, prematurity, pre-ductal SpO2 , shock, apneic attacks, positive sepsis screen were found to be significantly associated with death.

Conclusions: India in recent times has made huge improvement in neonatal care with establishing special care new born units. But, still the neonatal mortality rate is in higher range and needs further intense approach to reduce it. The antenatal and neonatal factors discussed above can be used as referral criteria for early referral of a new born with respiratory distress to a tertiary level new born unit for further management. The early identification and referral of a neonate with above risk factors may help in reducing the associated mortality and hence will reduce neonatal mortality.


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