TY - JOUR AU - Khushdil, Arshad Khushdil, AU - Waqar, Talal AU - Ahmed, Zeeshan PY - 2018/04/30 Y2 - 2024/03/29 TI - OUTCOME OF NEONATES VENTILATED IN NICU OF A TERTIARY CARE HOSPITAL AND FACTORS ASSOCIATED WITH POOR OUTCOME: Outcome of Neonates Ventilated in NICU JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 68 IS - 2 SE - Original Articles DO - UR - https://www.pafmj.org/PAFMJ/article/view/1345 SP - 300-304 AB - <p><em><strong>Objective</strong></em>: To ascertain the outcome of neonates who are ventilated for various reasons in our Neonatal Intensive Care Unit (NICU) and determine the risk factors associated with increased incidence of adverse outcome.<br><strong><em>Study Design:</em> </strong>Retrospective study.<br><em><strong>Place and Duration of Study</strong></em>: Neonatal Intensive Care Unit of Combined Military Hospital Rawalpindi from Jul<br>2016 to Dec 2016.<br><em><strong>Material and Methods</strong></em>: All neonates who received mechanical ventilation during the study period were included in the study.<br><em><strong>Results</strong></em>: Total sixty seven (35.8% females and 64.15% males) neonates were ventilated during the study period for various reasons. Of these 67 neonates who were ventilated, 35 (52.23%) died and 32 (47.76%) survived to be discharged home. 10 babies were born less than 28+ 0weeks gestation and all (100%) expired. Of 7 babies born between 28+1-31+6 weeks gestation, only 01 (14.28%) survived. Of 50 newborns between 32+0-36+6 weeks, 20 (40%) died and 30 (60%) survived to be discharged home.<br>In our cohort of ventilated babies, 7 weighed less than 1000 gm of which 6 (85.71%) died and only 01 (14.28%) survived. Of 18 babies born 1000-1499 gm, 14 (77.77%) died and 4 (22.22%) survived. Of 14 babies born between 1500-2499 gm, 6 (42.85%) died and 8 (57.14%) survived. Of all ventilated babies, 28 weighed more than 2500 gm, of which 10 (35.71%) died and 18 (64.28%) survived.<br>Out of our cohort of 67 babies, 14 were diagnosed with hypoxic ischemic encephalopathy grade 3, of which 11 (78.57%) died and 3 (21.42%) were discharged. Twenty three had RDS, of which 11 (47.82%) died and 12 (52.17%) survived. Ten babies were ventilated due to sepsis, of which 6 (60%) died and 4 (40%) survived.<br><em><strong>Conclusion:</strong> </em>We conclude that gestational age less than 32+0 weeks, birth weight less than 1500 gm, Hypoxic<br>Ischemic Encephalopathy grade 3 and sepsis are associated with a poor outcome in babies who are mechanically ventilated.<br><br></p> ER -