2017, Number 4
Complications and Pathologies Associated to Mortality in Newborns with Underlying Surgical Abdominal Illness
Sánchez-Morales C, Pérez-Díaz CI, Gutiérrez-Padilla JA, Yanowsky-Reyes G, Pérez Rulfo-Ibarra D, Martínez-Verónica R
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Language: Spanish
References: 9
Page: 154-158
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ABSTRACT
Introduction. Surgical abdominal pathologies in newborns constitute 6.2% of admissions and 11.8% of deaths in neonatal intensive care units. In order to increase survival rates it is necessary to determine the main complications and illnesses associated with mortality, and establish protocols and measures to prevent them. Hence, the objective of this study is to determine the main surgical abdominal disease and complications associated to mortality in newborns from the external neonatal intensive care unit at the Hospital Civil de Guadalajara Fray Antonio Alcalde.Material and Methods. This is an observational, transversal and analytic study. Medical records from newborns admitted to the UCINEX from 2012-2016 were analyzed. We examined abdominal disease surgical diagnoses. The following variables were studied: gestational age at admission, days after birth at admission, gender, weight, diagnosis at admission, disease and complications associated to mortality. Statistic tests were obtained using the computer program IBM SPSS (v.19.0) for Windows®.
Results. During 5 years (2012-2016) a total of 2,252 newborns were admitted to the UCINEX. 191 of them had a surgical abdominal disease, the majority were male sex (n= 112, 58.6%), median gestational age was 35.6 weeks, the average age in days at the time of admission was 5.2 days ( CI 95% 4.1-6.2). The mean for weight was 2719.7 grams. The main abdominal surgical pathology was esophageal atresia (n= 61, 31.9%), septic shock was the most associated to mortality (n= 18, 9.4%, p 0.001 OR 350.625, 41.337-2974).
Discussion and conclusions. Septic shock was the principal complication associated to mortality. Our study is similar to those reported by other institutions. Esophageal atresia turned out to be the most frequent abdominal disease, following necrotizing enterocolitis, gastroschisis, intestinal atresia, intestinal obstruction, duodenal atresia, pyloric hypertrophic stenosis, omphalocele, intestinal perforation, intestinal volvulus, choledochal cyst. Male gender was the most common among the newborn studied.
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