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Epidemiologic survey on hospitalized neonates in China

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机构： [1]Department of Pediatrics, China Medical University Affiliated Shengjing Hospital [2]Department of Pediatrics, Central South University AffiliatedXiangya Hospital [3]Department of Pediatrics, Sichuan University Affiliated West China Second Hospital [4]Zhejiang University School of MedicineAffiliated Children’s Hospital [5]Beihai Maternal and Child Health Care Hospital [6]Beihai People’s Hospital [7]Beijing Children’s Hospital EmergencyCenter [8]Capital University of Medical Sciences Affiliated Beijing Obstetrics&Gynecology Hospital [9]Chengdu Children’s Hospital/ChengduChildren’s Emergency Center [10]Chongqing Fifth People’s Hospital [11]Chongqing Fulin District Maternal and Child Health Care Hospital [12]Chongqing Maternal and Child Health Care Hospital [13]Chongqing Medical University Affiliated Children’s Hospital [14]Chongqing Three GorgeCentral Hospital Children Health Care Center [15]Dalian Children’s Hospital [16]Fudan University Affiliated Children’s Hospital [17]Fudan UniversityAffiliated Obstetrics & Gynecology Hospital [18]Gansu Maternal and Child Health Care Hospital [19]Guangdong People’s Hospital [20]Guangi MinzuHospital [21]Guangxi Children’s Hospital [22]Guangxi Maternal and Child Health Care Hospital [23]Guangzhou Children’s Hospital [24]Guangzhou NO.1People’s Hospital [25]Guangzhou NO.2 People’s Hospital [26]Guiyang Maternal and Child Health Care Hospital [27]Haikou Maternal and Child HealthCare Hospital [28]Hainan Maternal and Child Health Care Hospital [29]Hainan Medical College Affiliated Hospital [30]Harbin Medical UniversityAffiliated Second Hospital [31]Hölün Buyer Maternal and Child Health Care Hospital [32]Hubei Maternal and Child Health Care Hospital [33]HunanChildren’s Hospital [34]Hunan Maternal and Child Health Care Hospital [35]Hunan People’s Hospital [36]Inner Mongolia Maternal and Child HealthCare Hospital [37]Jiamusi University Affiliated First Hospital [38]Jiaozuo Maternal and Child Health Care Hospital [39]Jiaxi Children’s Hospital [40]JilinUniversity First Hospital [41]Jinan University Affiliated First Hospital [42]Kaifeng Children’s Hospital [43]Kashi First People’s Hospital [44]Korla Maternaland Child Health Care Hospital [45]Lanzhou University First Hospital [46]Leshan People’s Hospital [47]Luoyang Maternal and Child Health Care Center [48]Mudanjiang Maternal and Child Health Care Hospital [49]Nanchang Third Hospital [50]Nanchang University Affiliated First Hospital [51]QingdaoChildren’s Hospital [52]Qingdao First People’s Hospital [53]Sanya People’s Hospital [54]Shanxi Second Textile Hospital [55]Shenzhen Bao’an DistrictMaternal and Child Health Care Hospital [56]Shenzhen People’s Hospital [57]Sichuan People’s Hospital [58]Songshan District Maternal and Child HealthCare Center of Chifeng City [59]Tai’an Maternal and Child Health Care Hospital [60]Tianjin Children’s Hospital [61]Tongji Hospital [62]Urumqi Maternaland Child Health Care Hospital [63]Wenchang Qingling Maternal and Child Health Care Hospital [64]Wuhan Children’s Hospital [65]Xi’an CentralHospital [66]Xi’an Children’s Hospital [67]Xi’an Jiaotong University School of Medicine Affiliated First Hospital [68]Xi’an Medical College AffiliatedHospital [69]Xiangtan Central Hospital [70]Xiangtan Maternal and Child Health Care Hospital [71]Xinjiang Medical University Affiliated First Hospital [72]Xinjiang Uyghur Autonomous Region Maternal and Child Health Care Hospital [73]Xinjiang Uyghur Autonomous Region People’s Hospital [74]XinyuXingang Central Hospital [75]Yulin Maternal and Child Health Care Hospital [76]Yunnan First People’s Hospital [77]Zhengzhou Children’s Hospital [78]Zhengzhou University Affiliated Third Hospital [79]Zunyi Maternal and Child Health Care Hospital, China

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关键词： Epidemiological survey hospitalization neonates

摘要：

Objective: To carry out a nationwide epidemiologic survey on the neonates in urban hospitals with an attempt to understand the disease spectrum and treatment outcomes of hospitalized neonates in China. Methods: The clinical data of 43,289 hospitalized neonates from 86 hospitals in 47 Chinese cities 22 provinces) between January 1, 2005 and December 31, 2005 were retrospectively analyzed. Results: The male: female ratio was 1.73: 1. Premature infants accounted for 26.2% of the hospitalized neonates, which was higher than that reported in 2002 (19.7%). The top three diseases during the neonatal period were jaundice, pneumonia, and hypoxic-ischemic encephalopathy. The incidences of pneumonia, meconium aspiration syndrome, and bilirubin encephalopathy in term infants were higher than those in premature infants, while the incidences of asphyxia, respiratory distress syndrome, and pulmonary hemorrhage in term infants were lower than those in premature infants. The incidences of asphyxia, small for gestational age infant, and wet lung were higher in neonates whose mother had pregnancy induced hypertension. The outcomes of these hospitalized neonates included: recovered, 63.9%; improved, 27.3%; discharged due to the family's own decisions, 7.6%, and died, 1.2%. Nearly half (46.4%) of the neonatal death occurred within 24 hrs after admission. Conclusion: The incidence of premature birth shows an increasing trend among hospitalized neonates. Since the neonatal deaths mainly occur within 24 hrs after admission, monitoring during this period should be enhanced.

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大类 | 4 区医学

小类 | 4 区儿科

第一作者：

第一作者机构： [1]Department of Pediatrics, China Medical University Affiliated Shengjing Hospital

通讯机构： [*1]Department of Pediatrics, Central SouthUniversity Affiliated Xiangya Hospital. No. 87, Xiangya Rd, Changsha 410008, China

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Epidemiologic survey on hospitalized neonates in China

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