P479 Epidemiological study of the recorded births, admissions to the intermediate neonatal intensive care unit and transfers, in relation to demographic and other factors (2016–2017)

Introduction The Intermediate Neonatal Intensive Care Unit (I.N.C.U), which pertains to our Pediatric-Department, represents a stressful environment (for newborns), their families, and the staff alike. Aim Comparative record of all the newborns admitted to (I.N.C.U), (regardless of their origin), to present an overview of the patients’ summary (in relation to demographic and other factors), to comment on the cases of the newborns transferred to the regional Tertiary Hospital (TH). Material-method Informations from medical-records and the electronic database. Results In 2016, 611 births were recorded in the Obstetrics/Gynecology Department(O/G-D) of our Hospital and 131 admissions in (I.N.C.U)(21.4%):64.1% of them were Males, 35.9% Females. Causes of admission were, (descending order): Infections 41(31.3%), Jaundice 29(22.1%), Difficulty breathing 14(10.7%), Prematurity 12(9.2%), Perinatal stress 11(8, 4%), Feeding etc.The admissions came from the O/G-D 98(74.80%) of our Hospital, the Private Maternal Hospitals (PMHs) 9(6.9%), while the remaining 24 (18.3%) were come from their homes. Out of the 131 neonates admitted, 25(19.03%) were transferred, (18 of them to the TH-Larissa and 7 of these, in other THs. 6(24%) on Diffused O2, 2(8%) in a Head-Box,17(68%) without O2. In 2017, 603 births were recorded in the O/G-D.There were 131 neonate admissions (I.N.C.U)(21.7%):65% of them (M), 35% (F). 60 (45%) of them had no social insurance. Causes of admission were, (descending order): Infections 34(26%), Shortness of breath 30(23%), Jaundice 23(17.6%), Prematurity 12(9.2%), Perinatal stress 9(6.9%),Subdural hematoma 4(3.05%), syndromes-Feeding-Surgical-problems etc. 96(73.3%,%) admissions came from the O/G-D, 19(14.5%%) from the PMHs, while 16(12.2%) were come from their homes. Out of the 131 neonates admitted, 33 (25.2%) were transferred, 31 (93.3) of which to the TH-Larissa: 3 (9.7%) were intubated, 5 (16.1%) on Diffused O2:12 (38.7%) in a Head-Box and 11 (35.5%) without supportive O2. 2 cases, were transferred to other THs,without O2. Conclusions In our I.N.C.U, the care provided to the newborns and the overall support offered to their families are complex and variant. The medical staff handled the incidents properly, minimizing the need of transfer to a TH. Neonates that required transfer were mostly boys (p:0.037, Pearson chi-Square), with respiratory problems, prematurity, birth defects or infections. Most of the newborns(52.6%) of the (PMH), arrived in a critical condition, thus requiring urgent transfer to a TH.