Objective: To evaluate the predictors of mortality in extramural neonate. Study Design: Observational study. Place and Duration of Study: Tertiary care teaching hospital of central India for duration of one year. Material and Methods: All extramural referral neonates admitted were included in the study. Demographic, maternal and neonatal variables were analyzed. Results: The mortality rate was 33.40% with male predominance. On univariate analysis, male sex (p=0.03), neonates born to parents of lower socioeconomic class (p=0.01), preterm birth (p<0.001), very low/extremely low birth weight (p<0.001), who did not cry immediately after birth &required resuscitation (p<0.001), neonates of primigravida (p=0.05), un-booked mothers (p=0.04), mothers with pre-gestational diabetes (p=0.005) were at risk of mortality. Neonates who presented with lethargy, hypothermia, respiratory distress, convulsions, cyanosis, apnea and prolonged capillary refill time had significantly higher mortality. Low socioeconomic status of parent (OR 0.59, CI 0.42-0.85, p=0.004), preterm birth(OR 0.61, CI 0.40-0.92, p=0.01), very low/extremely low birth weight(OR1.48, CI 1.18-1.87, p=0.001), hypothermia (OR 1.60, CI 1.05-2.41, p=0.02), convulsion (OR 3.03, CI 1.93-4.77, p<0.001), lethargy (OR 2.88, CI 1.63-5.10, p<0.001) and prolonged capillary refill time (OR2.79, CI 1.84-4.23, p<0.001) were the independent risk factors of mortality on multivariate regression analysis. Conclusion: Low socioeconomic status of parent, preterm birth, low birth weight, hypothermia, convulsion, lethargy and prolonged capillary refill time were the independent risk factors of mortality in out-born neonate.
MESHRAM RAJKUMAR, BHONGADE SWAPNIL, GAJIMWAR VISHAL S. (2020) Predictors of Mortality in Extramural Neonate at Limited Resource Setting: A Prospective Observational Study, Pakistan Pediatric Journal, Volume 44, Issue 2.