Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic
Background: With the identification of COVID-19 disease in China, a pandemic began that affected health-care systems. The Neonatal Intensive Care Unit (NICU) of the Hospital de Ginecobstetricia del Centro Médico Nacional de Occidente experienced an increase in patient flow as part of the COVID-19 st...
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| Format: | Article |
| Language: | English |
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Permanyer
2024-01-01
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| Series: | Boletín Médico del Hospital Infantil de México |
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| Online Access: | https://www.bmhim.com/frame_eng.php?id=417 |
| _version_ | 1797256781546651648 |
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| author | David Rodríguez-Medina Luis M. Avalos-Huizar Wendy Bolio-Pontigo Ma. Guadalupe Soto-Castañeda Julio C. Cárdenas-Valdez Claudia K. Medina-Ríos |
| author_facet | David Rodríguez-Medina Luis M. Avalos-Huizar Wendy Bolio-Pontigo Ma. Guadalupe Soto-Castañeda Julio C. Cárdenas-Valdez Claudia K. Medina-Ríos |
| author_sort | David Rodríguez-Medina |
| collection | DOAJ |
| description | Background: With the identification of COVID-19 disease in China, a pandemic began that affected health-care systems. The Neonatal Intensive Care Unit (NICU) of the Hospital de Ginecobstetricia del Centro Médico Nacional de Occidente experienced an increase in patient flow as part of the COVID-19 strategy of the Instituto Mexicano del Seguro Social (IMSS). This study aimed to analyze the impact of the COVID-19 pandemic on neonatal care and mortality indicators in our unit. Methods: We conducted a retrospective study to compare the number of hospital births, pre-term newborns (PTNB), NICU admissions, and deaths. Changes in frequencies between 2019 and 2021 were analyzed using Poisson distribution. Changes in PTNB births, proportion of admissions, and deaths/NICU discharges were analyzed by z-test for two proportions. Results: Between 2019 and 2021, the number of births increased by more than 2-fold. NICU admissions increased from 770 in 2019 to 1045 in 2021 (p < 0.01). The ratio of deaths/discharge from the service was 16.9% in 2019 and 13.1% in 2021 (p = 0.02). Conclusions: Mortality indicators in the NICU decreased from 2019 to 2021, even with the increase in the number of patients admitted during the COVID-19 pandemic.
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| first_indexed | 2024-04-24T22:27:12Z |
| format | Article |
| id | doaj.art-7331079561d84380a562b4692b501c86 |
| institution | Directory Open Access Journal |
| issn | 0539-6115 |
| language | English |
| last_indexed | 2024-04-24T22:27:12Z |
| publishDate | 2024-01-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Boletín Médico del Hospital Infantil de México |
| spelling | doaj.art-7331079561d84380a562b4692b501c862024-03-19T23:15:52ZengPermanyerBoletín Médico del Hospital Infantil de México0539-61152024-01-0181110.24875/BMHIM.M23000039Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemicDavid Rodríguez-Medina0Luis M. Avalos-Huizar1Wendy Bolio-Pontigo2Ma. Guadalupe Soto-Castañeda3Julio C. Cárdenas-Valdez4Claudia K. Medina-Ríos5Unidad de Cuidados Intensivos Neonatales, Hospital de Gineco obstetricia, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, MexicoDivisión de Neonatología, Hospital de Gineco obstetricia, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, MexicoUnidad de Cuidados Intensivos Neonatales, Hospital de Gineco obstetricia, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, MexicoDirección General, Hospital de Gineco obstetricia, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, MexicoDirección Médica, Hospital de Gineco obstetricia, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, MexicoDepartamento de Neonatología, Hospital de Gineco obstetricia, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, MexicoBackground: With the identification of COVID-19 disease in China, a pandemic began that affected health-care systems. The Neonatal Intensive Care Unit (NICU) of the Hospital de Ginecobstetricia del Centro Médico Nacional de Occidente experienced an increase in patient flow as part of the COVID-19 strategy of the Instituto Mexicano del Seguro Social (IMSS). This study aimed to analyze the impact of the COVID-19 pandemic on neonatal care and mortality indicators in our unit. Methods: We conducted a retrospective study to compare the number of hospital births, pre-term newborns (PTNB), NICU admissions, and deaths. Changes in frequencies between 2019 and 2021 were analyzed using Poisson distribution. Changes in PTNB births, proportion of admissions, and deaths/NICU discharges were analyzed by z-test for two proportions. Results: Between 2019 and 2021, the number of births increased by more than 2-fold. NICU admissions increased from 770 in 2019 to 1045 in 2021 (p < 0.01). The ratio of deaths/discharge from the service was 16.9% in 2019 and 13.1% in 2021 (p = 0.02). Conclusions: Mortality indicators in the NICU decreased from 2019 to 2021, even with the increase in the number of patients admitted during the COVID-19 pandemic. https://www.bmhim.com/frame_eng.php?id=417Newborn. Neonatal intensive care. Statistical distributions. Coronavirus infections. |
| spellingShingle | David Rodríguez-Medina Luis M. Avalos-Huizar Wendy Bolio-Pontigo Ma. Guadalupe Soto-Castañeda Julio C. Cárdenas-Valdez Claudia K. Medina-Ríos Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic Boletín Médico del Hospital Infantil de México Newborn. Neonatal intensive care. Statistical distributions. Coronavirus infections. |
| title | Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic |
| title_full | Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic |
| title_fullStr | Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic |
| title_full_unstemmed | Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic |
| title_short | Changes in Neonatal Intensive Care Unit statistics during the COVID-19 pandemic |
| title_sort | changes in neonatal intensive care unit statistics during the covid 19 pandemic |
| topic | Newborn. Neonatal intensive care. Statistical distributions. Coronavirus infections. |
| url | https://www.bmhim.com/frame_eng.php?id=417 |
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