%0 Journal Article
%T Neonatal References: Epidemiology and Prognosis in a Malian Context
%A Fatoumata L. F. Diakit¨¦
%A Dj¨¦n¨¨ba Konat¨¦
%A Nouhoum L. Traor¨¦
%A Noel Banou
%A Lala N. Sidib¨¦
%A Oumar Coulibaly
%A Belco Maiga
%A Karamoko Sacko
%A Fousseyni Traor¨¦
%A Abdoul K. Doumbia
%A Hawa G. Diall
%A Leila Maiga
%A Ibrahim Ahamadou
%A Alou Traor¨¦
%A Adama Kon¨¦
%A Guediouma Demb¨¦l¨¦
%A Djita Ba-Sidib¨¦
%A Pierre Togo
%A Adama Demb¨¦l¨¦
%A El Mouloud Ciss¨¦
%A Abdoul A. Diakit¨¦
%A Boubacar Togo
%A Mariam Sylla
%A Fatoumata Dicko-Traor¨¦
%J Open Journal of Pediatrics
%P 479-489
%@ 2160-8776
%D 2021
%I Scientific Research Publishing
%R 10.4236/ojped.2021.113045
%X Neonatal mortality remains a public health problem in Mali. The neonatal
referral is a systemic factor determining the neonatal prognosis. This work was
initiated to determine the frequency of neonatal referrals and to determine
their prognosis. <b><span style=\"font-family:Verdana;\">Patients and Methods: </span></b><span style=\"font-family:Verdana;\">A cross-sectional study was
carried out from November 1, 2019 to January 31, 2020 in the neonatology
service of the pediatrics department of the Gabriel Toure University Hospital
in Bamako. All newborns referred by another health structure in the country
were included in this stud. All newborns referred by another health structure
in the country were included in this study. To determine the risk factors
related to the neonatal referral, we performed univariate and multivariate
analyzes to determine the odds ratios and fitted with a significant p
probability if p &lt;</span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span><span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">0.05 and the 95% confidence interval. </span><b><span style=\"font-family:Verdana;\">Results:</span></b><span style=\"font-family:Verdana;\"> The frequency of
referrals was 54.3%.</span></span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">Newborns came from basic structures in 19.3% of cases, from tertiary
structures in 6.7%.</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">The main reason for transfer was prematurity (40.2%) followed by
perinatal anoxia (15.3%), malformations (15.3%), respiratory distress (15.2%)
and infection neonatal (9.1%). The ambulance was the primary means of transfer
in 71.3%.</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">In 80% of cases the transfer had been made within the first 24 hours of
life. On admission, a third of the newborns (31.1%) were less than 1500</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">g,
hypothermic in 43.8% and febrile in
%K Neonatal References
%K Epidemiology
%K Prognosis
%K Malian Context
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=111931