{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T08:11:47Z","timestamp":1698739907313},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,4,24]],"date-time":"2013-04-24T00:00:00Z","timestamp":1366761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"ET Cabinet of Research"},{"name":"Centre for International Child Health, Melbourne, Australia"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2013,6]]},"abstract":"Aim<\/jats:title>The aim of this study was to undertake a retrospective review of admissions and discharges to the neonatal unit at the N<\/jats:styled-content>ational H<\/jats:styled-content>ospital G<\/jats:styled-content>uido V<\/jats:styled-content>aladares, D<\/jats:styled-content>ili, in order to gain insight into the epidemiology of hospitalised neonates in E<\/jats:styled-content>ast T<\/jats:styled-content>imor, as the information cannot be obtained from the hospital health management information system.<\/jats:p><\/jats:sec>Method<\/jats:title>Data were sourced from unit registers for 3 years, 2008\u20132010 inclusive. Demographic characteristics and diagnoses were related to the risk of dying using stepwise multivariate logistic regression and adjusting for potential confounders of age, sex and weight.<\/jats:p><\/jats:sec>Results<\/jats:title>Two thousand eighty\u2010eight babies were admitted to the unit over the study period. Over a quarter of babies weighed <2.5\u2009kg on admission. Almost half were admitted from emergency or outpatient departments and only 27% were admitted within their first week of life. The most common reasons for admission were sepsis and respiratory disease (38 and 22%, respectively). Overall mortality was 11.4%, mainly attributed to prematurity (28%), infection (26%) and asphyxia (24%). Home birth, male gender, very low weight, young age and a short duration of hospitalisation were independently associated with an increased risk of death. Half of all babies weighing <1.5\u2009kg died. Two\u2010thirds of deaths occurred within 2 days of admission.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The study provides, for the first time, an insight into the admissions and outcomes of the largest neonatal unit in E<\/jats:styled-content>ast T<\/jats:styled-content>imor. It is a baseline from which improvements to the quality of clinical care and data collection can be made.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12209","type":"journal-article","created":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T02:57:15Z","timestamp":1366858635000},"page":"452-457","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Three years of neonatal morbidity and mortality at the national hospital in D<\/scp>ili, E<\/scp>ast T<\/scp>imor"],"prefix":"10.1111","volume":"49","author":[{"given":"Ingrid Kirsten","family":"Bucens","sequence":"first","affiliation":[{"name":"Department of Paediatrics National Hospital Guido Valadares Dili East Timor"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Reid","sequence":"additional","affiliation":[{"name":"Western Australian Institute for Medical Research University of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aniceto Cardoso","family":"Barreto","sequence":"additional","affiliation":[{"name":"Department of Paediatrics National Hospital Guido Valadares Dili East Timor"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas","family":"Dwivedi","sequence":"additional","affiliation":[{"name":"TAIS Dili East Timor"},{"name":"JSI Research & Training Inc. 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