Performance of Neonatal Unit, Arifin Achmad Hospital, Pekanbaru
Abstract: Arifin Achmad
Hospital is the largest hospital in 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 with 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 ICD 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 BOR from 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.
Author: Dewi Anggraini
Wisnumurti
Journal Code: jpkedokterangg120137
