From: Improved referral and survival of newborns after scaling up of intensive care in Suriname
Period 1 (N = 320) (July 2014–March 2015) | Period 2 (N = 281) (April 2015–December 2015) | Relative Risk (95% CI) | P-value | ||||
---|---|---|---|---|---|---|---|
N | % | N | % | ||||
Overall mortality | Total at AHP (per 1000 live births)a | 23.4 | 13.2 | 0.56 (0.36–0.90) | 0.02 | ||
Total at facility | 55/320 | 17.2 | 30/281 | 10.7 | 0.62 (0.41–0.94) | 0.02 | |
Total early neonatal mortality | 29/320 | 9.1 | 18/281 | 6.4 | 0.70 (0.40–1.24) | 0.23 | |
Total late neonatal mortality | 26/320 | 8.1 | 12/281 | 4.3 | 0.53 (0.27–1.02) | 0.06 | |
Inborn | 42/284 | 14.8 | 20/217 | 9.2 | 0.62 (0.38–1.03) | 0.07 | |
Outborn | 13/36 | 36.1 | 10/64 | 15.6 | 0.43 (0.21–0.89) | 0.02 | |
Newborns with NICU level care | 52/159 | 32.7 | 29/172 | 16.9 | 0.52 (0.35–0.77) | <0.01 | |
Gestational age-specific mortality | <28 weeks | 6/16 | 37.5 | 8/13 | 61.5 | 1.64 (0.76–3.53) | 0.20 |
28–32 weeks | 12/48 | 25.0 | 5/47 | 10.6 | 0.43 (0.16–1.11) | 0.08 | |
33–36 weeks | 14/114 | 12.3 | 4/100 | 4.0 | 0.33 (0.11–0.96) | 0.04 | |
≥37 weeks | 20/132 | 15.2 | 8/110 | 7.3 | 0.48 (0.22–1.05) | 0.07 | |
Missing | 3 | 5 | |||||
Birth weight-specific mortality | <1000 g | 10/26 | 38.5 | 8/23 | 34.8 | 0.90 (0.43–1.90) | 0.79 |
≥1000–1499 g | 13/48 | 27.1 | 6/33 | 18.2 | 0.67 (0.28–1.59) | 0.36 | |
≥1500 g | 30/242 | 12.4 | 16/221 | 7.2 | 0.58 (0.33–1.04) | 0.07 | |
Missing | 2 | 0 | |||||
Cause-specific mortality | Sepsisb | 19/96 | 19.8 | 8/109 | 7.3 | 0.37 (0.17–0.81) | 0.01 |
Early-onset sepsis | 10/44 | 22.7 | 3/59 | 5.1 | 0.22 (0.07–0.77) | 0.02 | |
Late-onset sepsis | 9/52 | 17.3 | 5/50 | 10.0 | 0.58 (0.21–1.61) | 0.29 | |
Perinatal asphyxia | 12/38 | 31.6 | 2/30 | 6.7 | 0.21 (0.51–0.87) | 0.03 | |
Prematurity complicationsc | 7/157 | 4.5 | 5/148 | 3.4 | 0.76 (0.25–2.34) | 0.63 | |
Congenital malformationsd | 12/42 | 28.6 | 9/35 | 25.7 | 0.90 (0.43–1.88) | 0.78 | |
Othere | 5 | 6 |