Page 288 - Abstract Book KONIKA 18

Neonatology

P-NEO-006
Common Neonatal Problems in Fatima Hospital, Ketapang, West Kalimantan

1
Amelia Handoko , Ferryna Novianita 2
General Practitioner and Department of Child Health , Fatima Hospital, Ketapang, West Borneo, Indonesia
2
1
Abstract
Background Referring neonates requiring advance facilities in Ketapang were difficult considering patient
stability during long transfer duration, not to mention te financial burden altogether. Despite limitations,
various neonatal disease were handled utilizing current available resources, human and equipments.
Information on admission and mortality patterns of hospitalized neonates will help to identify gaps and
a basis for making intervention hence enabling optimal neonatal care. Objective To review the indication
and clinical profile of neonatal admissions at Fatima Hospital, Ketapang. Methods This was a descriptive
study obtained from records of neonates admitted from January-December 2020. Data extracted included:
demographic characteristics, birth weight, morbidities, length of stay, and outcomes. Results A total of
444 neonates patients were observed during study period with average length of stay 4,7 days. Neonatal
sepsis (40.1%), jaundice (30.4%), followed by respiratory distress syndrome/RDS (9%) were the main
indications for neonatal admission. The overall mortality rate of neonates admitted was 5.8%. The study
shows RDS (34.6%), sepsis (23.07%) and birth asphyxia (19.2%) were the leading causes of neonatal death.
Conclusion Appropriate equipment to manage respiratory problems with mandatory training to healthcare
providers focusing on preventing perinatal infection and delivering effective resuscitation are highly encourage
to achieve more favorable neonatal outcome.

Keywords: neonatal; mortality; morbidity

P-NEO-007 (Prime e-Poster)
Association of Clinical Risk Index for Babies II Scores with Mortality
of Premature Babies in the NICU of H. Adam Malik Medan Hospital

Sylvia Triana, Guslihan Dasa Tjipta, Tina Christina L. Tobing
Department of Child Health,Faculty of Medicine Universitas Sumatera Utara/Haji Adam Malik General Hospital,
Medan, North Sumatera, Indonesia
Abstract
Background Prematurity is the most common cause of neonatal death in the world and the second leading
cause of death for children under 5 years old after pneumonia. It is very important to assess the severity
of disease and the risk of mortality in neonates in the NICU. Clinical Risk Index for Babies II (CRIB
II) score is an assessment of initial mortality risk and illness severity when the infant is admitted to the
NICU. Objective To determine the correlation between CRIB II scores and mortality in premature babies.
Methods A prospective cohort observational study on 30 premature babies under 32 weeks of gestation age
and hospitalized in NICU from September 2020 to March 2021. The CRIB II scoring was based on birth
weight, gestational age, temperature, base excess (BE), gender carried out in the first 24 hours after birth.
The association between the CRIB II score and the mortality of premature babies was assessed by the Chi
square test. Results The mean of non survivor CRIB II score and BE was 10.5 (SD 3.54) and 17.17 (SD
5.45). The diagnostic value of the CRIB II score in predicting mortality was analyzed by using a ROC curve
with an AUC of 82.3% (P=0.005. The cut off value of the CRIB II score was 8 with 80% sensitivity, 65%
specificity, 70% accuracy. Significant association between the CRIB II score and the mortality of premature
babies (P=0.02) with RR 4 (95%CI 1,012 to 15,809). Conclusion There was a significant association between
the CRIB II score and mortality of premature babies.
Keywords: premature; CRIB II; mortality

240 KONIKA XVIII Abstract Book