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Table 2 Mortality of newborns treated at the facility before and after the transition

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    
  1. AHP Academic Hospital Paramaribo, NICU neonatal intensive care unit
  2. aIncluding deaths at the delivery room (13 before and 6 after the transition)
  3. bIncludes: newborns with clinical suspicion, treated with antibiotics for 7 days, raised c-reactive protein levels, and positive blood culture
  4. cIncludes: respiratory insufficiency or pneumothorax with RDS and extreme prematurity, necrotizing enterocolitis; intraventricular hemorrhage
  5. dIncludes: diaphragmatic hernia, congenital heart defects, gastro-intestinal anomalies and neurological malformations
  6. eIncludes: persistent pulmonary hypertension of the neonate (PPHN), pneumothorax, cardiac tamponade, and kernicterus