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  1. Article ; Online: Preterm Neonates Admitted in the Neonatal Intensive Care Unit at a Tertiary Care Centre: A Descriptive Cross-sectional Study.

    Sharma, Yograj / Pathak, Om Krishna / Poudel, Bipin / Sharma, Asmita / Sapkota, Ram Prasad / Devkota, Kiran

    JNMA; journal of the Nepal Medical Association

    2023  Volume 61, Issue 260, Page(s) 320–324

    Abstract: Introduction: Preterm birth, one of the leading causes of admissions to the Neonatal intensive care unit, is a major contributor to neonatal morbidity and mortality in developing countries. This study aimed to find out the prevalence of premature ... ...

    Abstract Introduction: Preterm birth, one of the leading causes of admissions to the Neonatal intensive care unit, is a major contributor to neonatal morbidity and mortality in developing countries. This study aimed to find out the prevalence of premature neonates admitted to the Neonatal Intensive Care Unit of a tertiary care centre.
    Methods: This descriptive cross-sectional study was conducted from clinical records of preterm neonates (born before 37 completed weeks of gestation) admitted in the Neonatal Intensive Care Unit from 16 July 2020 to 14 July 2021. Following ethical approval from the Institutional Review Committee (Reference number: 077/78-018), the patient's clinical characteristics and systemic morbidities were recorded. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated.
    Results: Among 646 admissions, the prevalence of preterm neonates was found to be 147 (22.75%) (19.52-25.98, 95% Confidence Interval). The male: female ratio was 1.53:1. The median gestational age and birth weight were 33 weeks (Range: 24-36 weeks) and 1680 g respectively. A total of 73 (49.65%) delivery was followed by premature rupture of membrane. The morbidity due to respiratory problems was highest at 127 (86.39%), followed by metabolic at 104 (70.74%) and sepsis at 91 (61.90%). The renal system was the least affected 5 (3.40%).
    Conclusions: The prevalence of preterm neonates in the neonatal intensive care unit was higher than in other studies done in similar settings.
    Keywords: morbidity; neonatal; neonatal intensive care unit; premature birth.
    MeSH term(s) Pregnancy ; Infant, Newborn ; Humans ; Male ; Female ; Intensive Care Units, Neonatal ; Cross-Sectional Studies ; Tertiary Care Centers ; Premature Birth ; Retrospective Studies ; Pregnancy Complications
    Language English
    Publishing date 2023-04-01
    Publishing country Nepal
    Document type Journal Article
    ZDB-ID 2209910-4
    ISSN 1815-672X ; 0028-2715
    ISSN (online) 1815-672X
    ISSN 0028-2715
    DOI 10.31729/jnma.8126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Usability, acceptability and feasibility of a novel technology with visual guidance with video and audio recording during newborn resuscitation: a pilot study.

    Kc, Ashish / Kong, So Yeon Joyce / Basnet, Omkar / Haaland, Solveig Haukås / Bhattarai, Pratiksha / Gomo, Øystein / Gurung, Rejina / Ahlsson, Fredrik / Meinich-Bache, Øyvind / Axelin, Anna / Malla, Honey / Basula, Yuba Nidhi / Pathak, Om Krishna / Pokharel, Sunil Mani / Subedi, Hira / Myklebust, Helge

    BMJ health & care informatics

    2022  Volume 29, Issue 1

    Abstract: Objective: Inadequate adherence to resuscitation for non-crying infants will have poor outcome and thus rationalise a need for real-time guidance and quality improvement technology. This study assessed the usability, feasibility and acceptability of a ... ...

    Abstract Objective: Inadequate adherence to resuscitation for non-crying infants will have poor outcome and thus rationalise a need for real-time guidance and quality improvement technology. This study assessed the usability, feasibility and acceptability of a novel technology of real-time visual guidance, with sound and video recording during resuscitation.
    Setting: A public hospital in Nepal.
    Design: A cross-sectional design.
    Intervention: The technology has an infant warmer with light, equipped with a tablet monitor, NeoBeat and upright bag and mask. The tablet records resuscitation activities, ventilation sound, heart rate and display time since birth. Healthcare providers (HCPs) were trained on the technology before piloting.
    Data collection and analysis: HCPs who had at least 8 weeks of experience using the technology completed a questionnaire on usability, feasibility and acceptability (ranged 1-5 scale). Overall usability score was calculated (ranged 1-100 scale).
    Results: Among the 30 HCPs, 25 consented to the study. The usability score was good with the mean score (SD) of 68.4% (10.4). In terms of feasibility, the participants perceived that they did not receive adequate support from the hospital administration for use of the technology, mean score (SD) of 2.44 (1.56). In terms of acceptability, the information provided in the monitor, that is, time elapsed from birth was easy to understand with mean score (SD) of 4.60 (0.76).
    Conclusion: The study demonstrates reasonable usability, feasibility and acceptability of a technological solution that records audio visual events during resuscitation and provides visual guidance to improve care.
    MeSH term(s) Infant ; Infant, Newborn ; Humans ; Pilot Projects ; Cross-Sectional Studies ; Feasibility Studies ; Technology ; Health Personnel
    Language English
    Publishing date 2022-12-01
    Publishing country England
    Document type Journal Article
    ISSN 2632-1009
    ISSN (online) 2632-1009
    DOI 10.1136/bmjhci-2022-100667
    Database MEDical Literature Analysis and Retrieval System OnLINE

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