Survival Status, Length of Stay, and Predictors of Mortality Among Neonates Admitted in the Neonatal Intensive Care Unit of Gurage Zone Public Hospitals

被引:3
作者
Chekole, Bogale [1 ]
Terefe, Tamene Fetene [1 ,5 ]
Tenaw, Shegaw Geze [2 ]
Zewudie, Bitew Tefera [1 ]
GebreEyesus, Fisha Alebel [1 ]
Kassaw, Amare [3 ]
Walle, Belete Gelaw [4 ]
Mewahegn, Agerie Aynalem [1 ]
Tadesse, Betelihem [1 ]
Mesfin, Yibeltal [2 ]
Argaw, Muche [2 ]
Abebe, Haimanot [1 ]
Tesfa, Shegaw [1 ]
Zeleke, Fentahun Tamene [2 ]
机构
[1] Wolkite Univ Southwest, Coll Med & Hlth Sci, Dept Nursing, Wolkite, Ethiopia
[2] Wolkite Univ Southwest, Coll Med & Hlth Sci, Dept Midwifery, Wolkite, Ethiopia
[3] Debre Tabor Univ, Coll Med & Hlth Sci, Dept Pediat Nursing, Debre Tabor, Ethiopia
[4] Wolaita Sodo Univ, Coll Med & Hlth Sci, Dept Pediat Nursing, Wolaita sodo, Ethiopia
[5] Injibara Univ, Coll Med & Hlth Sci, Dept Pediat & child Hlth nursing, Injibara, Ethiopia
关键词
mortality; neonates; predictors; survival; CESAREAN DELIVERY; UNIVERSITY; OUTCOMES; PRETERM; ENUGU; TWINS;
D O I
10.1177/23779608231187480
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
BackgroundMany countries need to accelerate their progress to achieve the sustainable development goal target of neonatal death. It is still high in Ethiopia. Thus, this study aimed to assess the mortality predictors and length of hospital stay among Neonates admitted to the Neonatal Intensive Care Unit of Gurage zone public Hospitals. MethodIn this study, a facility-based retrospective follow-up study was applied among 375 neonates admitted to the NICU of selected public hospitals in the Gurage zone from June 1, 2019 to June 30, 2021. The researchers used Epi-Data entry 3.1 for the data entry and then exported it to STATA version 14 for analysis. The Kaplan-Meier survival curve and log-rank test were used to estimate and compare the survival time of categorical variables, respectively. ResultThe researchers observed about 85 (22.7% with 95%CI: 18.7, 27.2) deaths from the 2305 person-days follow-up. The median survival time was 14 days. The overall incidence density rate was 36.9 per 1000 person-days observed (95%CI: 29.8, 45.6). Perinatal asphyxia (AHR: 2.9[CI: 1.8; 4.8]), cesarean section as a mode of delivery (AHR: 1.1[CI; 1.01; 1.15]), maternal age of greater or equal to 35 years (AHR: 1.1[95% CI: 1.01, 1.15]), and twin pregnancy (AHR: 2.3[95% CI: 1.2, 4.3]) were predictors of neonatal mortality. ConclusionThe survival rate of neonates was higher compared to other studies. So, to reduce the burden of neonatal mortality, health care providers should give special attention to twin pregnancies, neonates delivered via cesarean section, and neonates with a problem of perinatal asphyxia.
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页数:10
相关论文
共 41 条
[21]   The associations of parity and maternal age with small-for-gestational-age, preterm, and neonatal and infant mortality: a meta-analysis [J].
Kozuki, Naoko ;
Lee, Anne C. C. ;
Silveira, Mariangela F. ;
Sania, Ayesha ;
Vogel, Joshua P. ;
Adair, Linda ;
Barros, Fernando ;
Caulfield, Laura E. ;
Christian, Parul ;
Fawzi, Wafaie ;
Humphrey, Jean ;
Huybregts, Lieven ;
Mongkolchati, Aroonsri ;
Ntozini, Robert ;
Osrin, David ;
Roberfroid, Dominique ;
Tielsch, James ;
Vaidya, Anjana ;
Black, Robert E. ;
Katz, Joanne .
BMC PUBLIC HEALTH, 2013, 13
[22]   Predictors for neonatal death in the rural areas of Shaanxi Province of Northwestern China: a cross-sectional study [J].
Li, Chao ;
Yan, Hong ;
Zeng, Lingxia ;
Dibley, Michael J. ;
Wang, Duolao .
BMC PUBLIC HEALTH, 2015, 15
[23]   Neonatal outcomes with caesarean delivery at term [J].
Liston, F. A. ;
Allen, V. M. ;
O'Connell, C. M. ;
Jangaard, K. A. .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2008, 93 (03) :F176-F182
[24]  
Mashako RM, 2019, J Pediatr Neonatal Care, V9, P58
[25]   Incidence and predictors of neonatal mortality among neonates admitted in Amhara regional state referral hospitals, Ethiopia: prospective follow up study [J].
Mengistu, Banchigizie Adane ;
Yismaw, Ayenew Engida ;
Azene, Zelalem Nigussie ;
Mihret, Muhabaw Shumye .
BMC PEDIATRICS, 2020, 20 (01)
[26]   The large contribution of twins to neonatal and post-neonatal mortality in The Gambia, a 5-year prospective study [J].
Miyahara, Reiko ;
Jasseh, Momodou ;
Mackenzie, Grant Austin ;
Bottomley, Christian ;
Hossain, M. Jahangir ;
Greenwood, Brian M. ;
D'Alessandro, Umberto ;
Roca, Anna .
BMC PEDIATRICS, 2016, 16
[27]  
Moges S., 2021, MORTALITY ITS PREDIC
[28]  
Monden CWS, 2017, LANCET GLOB HEALTH, V5, pE673, DOI [10.1016/S2214-109X(17)30197-3, 10.1016/s2214-109x(17)30197-3]
[29]   The impact of young maternal age at birth on neonatal mortality: Evidence from 45 low and middle income countries [J].
Neal, Sarah ;
Channon, Andrew Amos ;
Chintsanya, Jesman .
PLOS ONE, 2018, 13 (05)
[30]   Cesarean delivery and associated socioeconomic factors and neonatal survival outcome in Kenya and Tanzania: analysis of national survey data [J].
Ochieng Arunda, Malachi ;
Agardh, Anette ;
Asamoah, Benedict Oppong .
GLOBAL HEALTH ACTION, 2020, 13 (01)