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MONTHLY MORTALITY
NICU 2
MARCH
2024
STATISTICS FOR TOTAL ADMISSIONS
Total admissions: 218
Total discharge: 130
 Total expiries: 66
 Referred : 0
 LAMA: 9
 Under treatment: 13
PERCENT MORTALITY : 30.2%
DISCHARGE : 59%
EXPIRIES STATS 83 (32.17%)
EXPIRIES WITHIN 24
HRS OF ADMISSION
32 48.4 % of total expiries
14.6% of total
admissions
EXPIRIES FROM 1 TO 7
DAYS OF ADMISSION
22 33 % of total expiries
10 % of total admissions
EXPIRIES AFTER 7 DAYS
OF ADMISSION
12 18.1 % of total expiries
5. I% of total admissions
ADMISSIONS STATS
• OPD/ER CASES: 138
• INSIDE ATH: 50
• REFFERED CASES: 30
EXPIRIES STATS AS PER ADMISSIONS
 OPD/ER CASES: 34 EXPIRIES (138 TOTAL ADMISSIONS)
24.6% OF TOTAL OPD ADMISSIOS
51.5 % OF TOTAL EXPIRIES
15.5 % OF TOTAL ADMISSIONS
 INSIDE ATH REFERRALS: 18 EXPIRIES ( 50 TOTAL ADMISSIONS)
36 % OF ATH ADMISSIONS
27.2% OF TOTAL EXPIRIES
&.2 % OF TOTAL ADMISSIONS
 REFFERED CASES: 14 EXPIRIES ( 30 TOTAL ADMISSIONS)
46.6 % OF TOTAL REFFERED ADMISSIONS
21.2 % OF TOTAL EXPIRIES
6.4 % OF TOTAL ADMISSION
DIAGNOSIS BASED STATISTICAL
DISTRIBUTION
COMPARISON
BETWEEN
ADMISSONS AND
EXPIRIES
ADMISSIONS EXPIRIES
HIE 68 29
EONS 22 1
LONS 13 5
TTN 15 0
PRETERM+LBW 50 25
IDM 2 0
NNJ 33 1
SYNDROMIC+ ANAMOLOUS 1 1
RDS 5 2
CONGENITAL PNEUMONIA 1 0
CHD 1 1
IUGR 4 1
TETANUS 0 0
MMC 3 0
TOTAL 204 66
HIE
 Total: 68
 discharge: 38
 LAMA:1
 Expire:29
 PERCENT MORTALITY: 43.9% out of total expiries
 13.3 % of total admissions
 18 WITHIN 24 HOURS OF ADMISSION( 73.6 %)
HIE
CASES TOTAL DISCCHAR
GED
EXPIRED LAMA REFFERED ADMITTED
HIE 1 33 26 4 3 - -
HIE 2 20 9 11 0 -
HIE 3 15 1 14 0 - -
Neonatal jaundice
 Total admissions: 33
 Total discharges: 28
 Total expiries: 1
patient presented with kernicterus signs
 Lama: 1
 Percentage: 1.5 % of total expiries and 3 % of total admissions
Exchange transfusions : 4
DOUBLE EXCHANGE: 0
0 cases of G6PD deficiency detected
5 cases of RH incomp.
6 cases of ABO
1 case of breast milk jaundice.
NEONATAL SEPSIS
 TOTAL : 35
 EXPIRED : 6
 LAMA: 2
 DISCHARGED: 20
 EXPIRED WITH 24 HOURS : 2
 PERCENT MORTALITY : 9% of total expiries
 2.7 % of total admissions
EARLY ONSET NEONATAL SEPSIS
TOTAL 22
DISCHARGE 17
EXPIRE 1
LAMA 1
REFERRED 0
PERCENT MORTALITY 1.5% of total expiries
0.4 % of total admissions
LATE ONSET NEONATAL SEPSIS
TOTAL 13
EXPIRE 05
DISCHARGE 4
LAMA 0
REFERRED 0
PERCENT
MORTALITY
7.5% 0f total expiries
2.2% of total admission
PRE TERM STATISTICS
 TOTAL ADMISSIONS: 50
 TOTAL EXPIRIES: 25
 12 WITHIN 24 HOUR
 TOTAL DISCHARGES: 20
 LAMA: 1
 MORTALITY:
50% OF TOTAL PRETERM ADMISSIONS
37.8% OF TOTAL EXPIRIES
11.4% OF TOTAL ADMISSIONS
• IN HOSPITAL PRETERMS: 40
EXPIRED: 20
50 % OF IN HOSPITAL PRETERMS
30.3 % OF TOTAL EXPIRIES
• OPD AND REFFERED PRETERMS : 10
EXPIRIED : 5
LAMA: 0
50% OF OPD/REFFERED PRETERM EXPIRED
7.5% OF TOTAL EXPIRIES
Preterm mortality
 LESS THAN 28 WEEKS POG
7 out of 8 expired
 28+1 to 31+6 WEEKS POG
10 out of 16 expired
 32 to 33+6 WEEKS POG
07 out of 20 expired
 > 34 WEEKS POG
1 out of 6 expired
Gestation age
based mortality
IUGR
 TOTAL PATIENTS: 04
 EXPIRED: 01
 DISCHARGED: 2
 Lama:1
 MORTALITY:
25% OF IUGR babies
1.5 % OF TOTAL EXPIRIES
0.4% OF TOTAL ADMISSION
 Infant mortality rate Pakistan 2022
56/1000
 Neonatal mortality rate of Pakistan in 2022 is
42/1000
 GLOBAL NMR 17
PAKISTAN
NEONATE
S STATS:
THANK YOU

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march neonatl mortality nicu nersery.pptx

  • 2. STATISTICS FOR TOTAL ADMISSIONS Total admissions: 218 Total discharge: 130  Total expiries: 66  Referred : 0  LAMA: 9  Under treatment: 13 PERCENT MORTALITY : 30.2% DISCHARGE : 59%
  • 3. EXPIRIES STATS 83 (32.17%) EXPIRIES WITHIN 24 HRS OF ADMISSION 32 48.4 % of total expiries 14.6% of total admissions EXPIRIES FROM 1 TO 7 DAYS OF ADMISSION 22 33 % of total expiries 10 % of total admissions EXPIRIES AFTER 7 DAYS OF ADMISSION 12 18.1 % of total expiries 5. I% of total admissions
  • 4. ADMISSIONS STATS • OPD/ER CASES: 138 • INSIDE ATH: 50 • REFFERED CASES: 30
  • 5. EXPIRIES STATS AS PER ADMISSIONS  OPD/ER CASES: 34 EXPIRIES (138 TOTAL ADMISSIONS) 24.6% OF TOTAL OPD ADMISSIOS 51.5 % OF TOTAL EXPIRIES 15.5 % OF TOTAL ADMISSIONS  INSIDE ATH REFERRALS: 18 EXPIRIES ( 50 TOTAL ADMISSIONS) 36 % OF ATH ADMISSIONS 27.2% OF TOTAL EXPIRIES &.2 % OF TOTAL ADMISSIONS  REFFERED CASES: 14 EXPIRIES ( 30 TOTAL ADMISSIONS) 46.6 % OF TOTAL REFFERED ADMISSIONS 21.2 % OF TOTAL EXPIRIES 6.4 % OF TOTAL ADMISSION
  • 7. COMPARISON BETWEEN ADMISSONS AND EXPIRIES ADMISSIONS EXPIRIES HIE 68 29 EONS 22 1 LONS 13 5 TTN 15 0 PRETERM+LBW 50 25 IDM 2 0 NNJ 33 1 SYNDROMIC+ ANAMOLOUS 1 1 RDS 5 2 CONGENITAL PNEUMONIA 1 0 CHD 1 1 IUGR 4 1 TETANUS 0 0 MMC 3 0 TOTAL 204 66
  • 8. HIE  Total: 68  discharge: 38  LAMA:1  Expire:29  PERCENT MORTALITY: 43.9% out of total expiries  13.3 % of total admissions  18 WITHIN 24 HOURS OF ADMISSION( 73.6 %)
  • 9. HIE CASES TOTAL DISCCHAR GED EXPIRED LAMA REFFERED ADMITTED HIE 1 33 26 4 3 - - HIE 2 20 9 11 0 - HIE 3 15 1 14 0 - -
  • 10. Neonatal jaundice  Total admissions: 33  Total discharges: 28  Total expiries: 1 patient presented with kernicterus signs  Lama: 1  Percentage: 1.5 % of total expiries and 3 % of total admissions Exchange transfusions : 4 DOUBLE EXCHANGE: 0 0 cases of G6PD deficiency detected 5 cases of RH incomp. 6 cases of ABO 1 case of breast milk jaundice.
  • 11. NEONATAL SEPSIS  TOTAL : 35  EXPIRED : 6  LAMA: 2  DISCHARGED: 20  EXPIRED WITH 24 HOURS : 2  PERCENT MORTALITY : 9% of total expiries  2.7 % of total admissions
  • 12. EARLY ONSET NEONATAL SEPSIS TOTAL 22 DISCHARGE 17 EXPIRE 1 LAMA 1 REFERRED 0 PERCENT MORTALITY 1.5% of total expiries 0.4 % of total admissions
  • 13. LATE ONSET NEONATAL SEPSIS TOTAL 13 EXPIRE 05 DISCHARGE 4 LAMA 0 REFERRED 0 PERCENT MORTALITY 7.5% 0f total expiries 2.2% of total admission
  • 15.  TOTAL ADMISSIONS: 50  TOTAL EXPIRIES: 25  12 WITHIN 24 HOUR  TOTAL DISCHARGES: 20  LAMA: 1  MORTALITY: 50% OF TOTAL PRETERM ADMISSIONS 37.8% OF TOTAL EXPIRIES 11.4% OF TOTAL ADMISSIONS
  • 16. • IN HOSPITAL PRETERMS: 40 EXPIRED: 20 50 % OF IN HOSPITAL PRETERMS 30.3 % OF TOTAL EXPIRIES • OPD AND REFFERED PRETERMS : 10 EXPIRIED : 5 LAMA: 0 50% OF OPD/REFFERED PRETERM EXPIRED 7.5% OF TOTAL EXPIRIES
  • 17. Preterm mortality  LESS THAN 28 WEEKS POG 7 out of 8 expired  28+1 to 31+6 WEEKS POG 10 out of 16 expired  32 to 33+6 WEEKS POG 07 out of 20 expired  > 34 WEEKS POG 1 out of 6 expired Gestation age based mortality
  • 18. IUGR  TOTAL PATIENTS: 04  EXPIRED: 01  DISCHARGED: 2  Lama:1  MORTALITY: 25% OF IUGR babies 1.5 % OF TOTAL EXPIRIES 0.4% OF TOTAL ADMISSION
  • 19.  Infant mortality rate Pakistan 2022 56/1000  Neonatal mortality rate of Pakistan in 2022 is 42/1000  GLOBAL NMR 17 PAKISTAN NEONATE S STATS: