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《Chinese Medical Record》 2012-05
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Analysis on 7970 Hospitalization Cases of Newborns

Rao Yi,Department of Information,Chang'an Hospital,Dongguan 523843, Guangdong Province,China  
Objectives This paper aims at knowing about the formation of cause of death about newborns which provides basis for newborns' disease prevention.Methods As the statistical standard of 28 day post-born of newborns,newborns that were born from 2004 to 2011 are investigated.Main diagnosis of hospitalization classifies and analyzes by ICD-10 coding.It summarizes main diseases and formation of cause of death of newborns by comparing the mortality of different diseases.It compared the change of disease spectrum and mortality in former and later 4 years by using χ2test.Results(1) The top disease categories of newborn are respectively hyperbilirubinemia,pneumonia,premature infants,asphyxia/brain injury,and aspiration pneumonia.By comparing the former 4 years and the later 4 years,these five disease occurred a lot in these two periods.Newborns patients increase one time 4 years after newborn ward building in 2007 per year.(2) The main disease constituent ratio greatly changed.Hyperbilirubinemia increases obviously in non-infectious disease.The constituent ratio increase from 27.05% in the earlier 4 years to 48.37% in the later years(χ2=349.800,P0.01);The ratio of premature infants increases from 5.57% to 8.57%(χ2=24.005,P0.01);the ratio of infectious disease decrease from 37.45% to 22.41%(χ2=217.001,P0.01).(3)The total mortality of newborns is 5.8‰,which decreases from 8.5‰ in the earlier 4 years to 4.1‰ in the later 4 years(χ2=6.545,P0.05);the main reasons of death are premature infants,asphyxia,traumatic intracranial haemorrhage and pneumonia.Conclusions After setting up newborn ward,the treatment of newborn disease strengthen with receiving increasing patients.With the improvement of medical conditions,newborn disease spectrum has obviously changed;the incidence of hyperbilirubinemia is high;the numbers of premature infants are huge;the ratio of infectious disease decreases;the mortality of newborns decreases obviously.Strengthening of healthcare during perinatal period,implement of cooperation between obstetrics and pediatrics and well management of high-risk infants may have positive effect to newborns disease.
【CateGory Index】: R722.1
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