Performance of Neonatal Unit, Arifin Achmad Hospital, Pekanbaru

Abstract

Background Arifin Achmad Hospital is the largest hospital in Riau Province, Indonesia, which serves as referral hospital and offers tertiary care for sick neonates. Objective To review the performance of the Neonatal Unit of Arifin Ahmad Hospital as a mean to further improve the overall care Mth specific interest to improve neonatal outcomes. Methods We collected the clinical data of all patients admitted to the Neonatal Unit from 2008 to 2010. Diagnoses were classified according to the International Statistical Classification of Diseases and Related Health Problems 10th Revision (Revised leD 10). We evaluated the overall performance of the unit, including number of beds, number of patients, and bed occupancy rates (BOR). The spectrum of diagnoses was also described. Associations between clinical characteristics and patient outcomes were analyzed using univariate Chi square test. Results The number of available beds increased from 10 beds in 2008 to 24 beds in 2010, thereby decreasing the BORfrom 112% in 2008 to 82% in 2010, despite the yearly increase in number of patients (702 in 2008, 772 in 2009, and 821 in 2010). Most Neonatal Unit patients were male, aged 0􀁒3 days at the time of admission, had birth weights of 2500􀁒4000 grams, born in RSUD Arifin Achmad and were born vaginally. Respiratory problems, prematurity and infections were the three main reasons for admission. Birth weight, the presence of congenital malformations, referral status, and < 7 day length of stay were associated with mortality. Conclusions The performance of the unit increased during the 3􀁒year period of study. Most patients admitted had respiratory problems, fetal growth problems, or infections. We found that birth weight, congenital malformations, referral status, and decreased length of stay were prognostic factors for patient outcomes. [Paediatr rndones. 2012;52:356-61].

Keywords

• neonate
• mortality