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LETTER TO EDITOR
Year : 2013  |  Volume : 2  |  Issue : 1  |  Page : 52

Mortality rate of one neonatal intensive care unit in Tehran, Iran


1 Najmiyeh Hospital, Baqiyatallah University of Medical Sciences, Tehran, Iran
2 Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3 Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
4 Chemical Injuries Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

Date of Web Publication20-Mar-2013

Correspondence Address:
Amin Saburi
Chemical Injuries Research Center, Baqiyatallah University of Medical Sciences, Mollasadra St, Vanak Sq, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4847.109252

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How to cite this article:
Jaberi Z, Gholami-Fesharaki M, Rahmati-Najarkolaei F, Saburi A. Mortality rate of one neonatal intensive care unit in Tehran, Iran. J Clin Neonatol 2013;2:52

How to cite this URL:
Jaberi Z, Gholami-Fesharaki M, Rahmati-Najarkolaei F, Saburi A. Mortality rate of one neonatal intensive care unit in Tehran, Iran. J Clin Neonatol [serial online] 2013 [cited 2022 Aug 9];2:52. Available from: https://www.jcnonweb.com/text.asp?2013/2/1/52/109252

Sir,

Neonatal intensive care unit (NICU) is a department of tertiary health care which provide special and subspecial therapeutic care for complicated neonate and with this reason it seems that mortality rate might be higher than other medical care unit. [1] Tracking the trend of NICU's mortality rate is of particular importance to evaluation of health status of a country.

In a cross-sectional study using the medical records data; we investigated the 10-year trend of mortality rate in NICU of Najmiyeh University Hospital, Tehran, Iran between 2001 and 2010. Over the periods 368, 470, 485, 884, 747, 520, 600, 720, 668 and 735 newborns has been admitted to the NICU and of which 25 (7%), 36 (8%), 56 (12%), 44 (5%), 43 (6%), 49 (9%), 40 (7%), 34 (5%), 32 (5%) and 31 (4%) expired in this unit, respectively. Regarding to the therapeutic, technical and technological improvement, NICU mortality rate was decreased year by year. The global mortality rate in this period was 6.2% (95% confidence interval 5.6-6.9%).

Infant mortality rate is reported 3.18 in 1000 births in Iran although the higher neonatal mortality rate in NICU was reported by another studies. [2],[3],[4] International organizations such as World Health Organization (WHO) and United Nations Children's Fund (UNICEF) consider applicable standards essential for providing effective health services in hospitals and health centers. On the other hand, birth of a premature neonate and also staying in NICU is associated with separation from family and hospitalization which can burden a lot of stress to the parents. [5] Nevertheless, various factors should be considered to interpret the variation of mortality rate in NICU such as improvement of triage process, decreasing the cost of procedure and in result increasing in availability and low-severity admissions varied among hospitals. [1],[2],[3] Therefore, it is necessary to create a national standards recipe of nursing and medical care for NICUs in Iran.

 
  References Top

1.Zupancic JA, Richardson DK. Characterization of the triage process in neonatal intensive care. Pediatrics 1998;102:1432-6.  Back to cited text no. 1
[PUBMED]    
2.Golchin M, Heidari H, Ziai S, Salehi S. Creating national care standards for neonatal intensive care units in 2007. Iran J Nurs Midwifery Res 2010;15:54-9.  Back to cited text no. 2
    
3.Rosenthal GE, Sirio CA, Shepardson LB, Harper DL, Rotondi AJ, Cooper GS. Use of intensive care units for patients with low severity of illness. Arch Intern Med 1998;158:1144-51.  Back to cited text no. 3
[PUBMED]    
4.Javanmardi Z, Beigi M, Nouhpisheh E, Memarzadeh M, Radan MR. The reported causes for neonatal death in hospitals of Isfahan province in 2005. Iran J Nurs Midwifery Res 2008;13:87-9.  Back to cited text no. 4
    
5.Borimnejad L, Nasrin M, Fatemi SN, Hamid H. Maternal stressor agents with premature infants in neonatal intensive care units. Iran J Crit Care Nurs 2011;4:39-44.  Back to cited text no. 5
    



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