Spectrum of Disease and Outcome in Neonates admitted in NICU in Federal Government Polyclinic (FGPC), Islamabad According to ICD-11

Abstract

Objective: To determine the spectrum of diseases and outcome of neonates admitted in NICU of Federal Government Polyclinic (PGMI), according to ICD-11.  

Methodology: This cross-sectional retrospective study was conducted in neonatal intensive care unit of Federal Government Polyclinic (FGPC), Islamabad for a period of 12 months from 1st January 2022 to 31st December 2022 and included 894 neonates inborn and outpatient admitted in the study period. Demographic and clinical data about neonates (age, gender, weight, disease and outcome) was collected from hospital records and was analyzed by SPSS version 23 and tabulated according to the international classification of diseases 11(ICD-11) of WHO.

Results: During the study period 894 neonates were admitted.795(88.9%) were discharged, 83(9.3%) neonates expired.538(60.2%) were males and 354(39.6%) were females. The common causes of admission in NICU were disorders related to length of gestation or fetal growth263(29.4%), respiratory disorders 243(27.2%), infections of newborn231(25.8%) and hemorrhagic or hematological disorders 59(6.65). The common causes of mortality in NICU were disorders related to length of gestation or fetal growth48(5.4%), respiratory disorders 16(1.8%), infections of newborn 11(1.2%) and developmental anomalies5(0.6%).

Conclusion: Disorders related to length of gestation or fetal growth, respiratory disorders and infections of new born are the common causes of admission and mortality in the NICU. The morbidity and mortality data should be presented by International classification of diseases so that there is a uniform language internationally, helping in identifying and analyzing health trends and in turn reducing morbidity and mortality of neonates.