Analysis of Neonatal Mortality and Case Fatality Rate

in Dr. Kariadi Hospital in 2017

Ika Rara Rosita, Arsita Eka Rini, Gatot Irawan Sarosa
Department of Pediatrics, Faculty of Medicine, Diponegoro University
Dr. Kariadi Hospital, Semarang
BACKGROUND METHODS
 Neonatal death contributes mostly to under five years old children • This descriptive retrospective study analyses the outcomes of all
mortality. neonatus treated in Dr. Kariadi Hospital in 2017
 It is estimated that 7.000 newborn die every day. • The data was collected from patient medical record.
 This study aims to describe the cause of neonatal mortality and • We were identified causes neonates death and calculated case
Case Fatality Rate (CFR). fatality rates by causes of death, low birth weight, and prematurity.
• Cause of mortality, gestational age, and birth weight were
registered.
• Statistical analysis was performed in SPSS 25.0

RESULTS
Table 1. Cause of death in neonates
Fig. 1. Total Patients
Frequency
1226 Patients Diagnosis (%)
Infections/sepsis 5 (3.9%)
Congenital malformation of heart 6 (4.7 %)
10.4%
Congenital malformation of gastro-intestinal 21 (16.5%)
Congenital malformation of central nerve system 7 (5.5%)
Survived Congenital malformation of vascular system 2 (1.6%)
Death Multiple congenital anomaly 22 (17.3%)
89.6% Asphyxia 36 (28.3%)
Respiratory disease 1 (0.8%)
Respiratory distress/HMD 27 (21.3%)
Total 127 (100%)

Fig. 3. Cause of death in neonates

Fig. 2. Main diagnosis of the neonatus
5
28
7.70% 6.40%

10.10% 15.30%
1.50%
58 Infections/sepsis
Infections/sepsis
Asphyxia
Congenital malformation
13.40% 36
Respiratory disease Asphyxia
Congenital malformation
19.60%
Respiratory distress/ HMD Respiratory disease
Hyperbilirubinemia
Congenital Hyperthyroid
15.20% Vigorous baby
Others
10.80%

Fig. 5. Gestational Age Characteristic in neonatal mortality

40.00% 35.4% 33.9%
30.00%
Fig. 4 Birth Weight Characteristic in neonatal mortality
20.00% 18.9%
11.8%
35.00%
31.5% 32.3% 10.00% Gestational Age
30.00%
0.00%
25.00%
Aterm Moderate-Late Very Preterm Extremely
20.00% 18.1%
15.7% Preterm (32-36 (28-<32 weeks) Preterm (<28
15.00% weeks) weeks)
Birth Weight
10.00% Table 3. Case Fatality Rate (CFR)
5.00%
Case Fatality Rate (CFR) =The number of deaths from a specified disease over a defined period of time X 100%
0.00% 2.4%
The number of individuals diagnosed with the disease during that time
Macrosomia (>4000 Normal birth weight Low birth weight Very low birth Extremely low birth
gr) (2500-4000 gr) (1500-2500 gr) weight (1000-1500 weight (<1000 gr) Diagnosis CFR (%)
gr)
Congenital malformation 43.6
Preterm 32.9
Low Birth Weight 20.1
Asphyxia 19.1
Respiratory distress/HMD 14.5
Infections/sepsis 6.3
CONCLUSION Respiratory disease 0.4
Congenital malformation is the major cause of neonatal mortality and the highest CFR as well

RESEARCH POSTER PRESENTATION DESIGN © 2015

RESEARCHwww.PosterPresentations.com
POSTER PRESENTATION DESIGN © 2015
16th Asia Pacific Congress of Pediatrics (APCP) 2018
Keywords : neonatal, mortality, case fatality rate
www.PosterPresentations.com
Contact email : ikarara_rosita@yahoo.com