2019年埃塞俄比亚西部沃莱加东部医院新生儿重症监护病房收治新生儿的新生儿近死亡情况及相关因素
Neonatal near miss and associated factors among neonates admitted to neonatal intensive care unit of hospitals in East Wollega, Western Ethiopia, 2019.
作者信息
Gutema Edosa Amente, Getachew Erena Motuma, Kasaye Habtamu Kebebe
机构信息
Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Department of Public Health, Wollega University, Institute of Health Science, Nekemte, Ethiopia.
出版信息
SAGE Open Med. 2022 Jul 21;10:20503121221107463. doi: 10.1177/20503121221107463. eCollection 2022.
BACKGROUND
Neonatal near miss is an infant who nearly died but survived from birth to 28 days. Neonatal period is the most vulnerable time for child's healthiness and continued existence. Globally, about 2.5 million children died in their first month of life and 7000 die/day.
OBJECTIVE
To assess neonatal near miss and associated factors among neonates admitted to intensive care unit at hospitals in East Wollega, West Ethiopia, 2019.
METHODS
Quantitative, facility-based cross-sectional study was conducted from 15 July to 30 August 2019 on 403 neonates admitted to neonatal intensive care unit of hospitals. After ethical clearance, five recruited and trained nurses collected the data with pretested structured questionnaire. Neonates sampled were selected using systematic random sampling. Data entered into Epi-info version 7.1 and exported to SPSS Version 24. Binary logistic regression was performed, and adjusted odds ratio with P-value ⩽ 0.05 at 95% confidence interval was used as statistically significant.
RESULTS
All, 403, study participants were included in this study, yielding 100% response rate. From these, 196 (48.60%) neonates were near miss. In multivariable logistic regression, mother who lived in rural area (adjusted odds ratio = 3.84, 95% confidence interval = (1.78, 8.31)), cesarean section (adjusted odds ratio = 10.68, 95% confidence interval = (2.95, 38.71)), and neonates referred to hospitals (adjusted odds ratio = 3.32, 95% confidence interval = (3.27, 12.01)). Also, female neonates (adjusted odds ratio = 2.99, 95% confidence interval = (1.45, 6.14)) and multiple birth (adjusted odds ratio = 3.07, 95% confidence interval = (1.32, 7.16)) were significantly associated with neonatal near miss.
CONCLUSION
Neonatal near miss found to be high compared to previously existing research in Brazil. Health institutions, health professionals, and concerned bodies on plan and implementation of neonatal care need to consider these factors during pregnancy, delivery, and for neonates immediate after birth and in neonatal intensive care unit.
背景
新生儿濒临死亡是指那些几乎死亡但从出生存活至28天的婴儿。新生儿期是儿童健康和持续生存最脆弱的时期。在全球范围内，约有250万儿童在出生后的第一个月内死亡，每天有7000人死亡。
目的
评估2019年埃塞俄比亚西部沃莱加东部医院重症监护病房收治的新生儿中濒临死亡情况及相关因素。
方法
2019年7月15日至8月30日，对医院新生儿重症监护病房收治的403例新生儿进行了基于机构的定量横断面研究。在获得伦理批准后，5名招募并经过培训的护士使用预先测试的结构化问卷收集数据。采用系统随机抽样方法选取样本新生儿。数据录入Epi-info 7.1版本并导出至SPSS 24版本。进行二元逻辑回归分析，以95%置信区间内调整后的比值比及P值≤0.05作为具有统计学意义。
结果
本研究纳入了全部403名研究参与者，应答率为100%。其中，196例（48.60%）新生儿濒临死亡。在多变量逻辑回归分析中，居住在农村地区的母亲（调整后的比值比=3.84，95%置信区间=(1.78, 8.31)）、剖宫产（调整后的比值比=10.68，95%置信区间=(2.95, 38.71)）以及转诊至医院的新生儿（调整后的比值比=3.32，95%置信区间=(3.27, 12.01)）。此外，女性新生儿（调整后的比值比=2.99，95%置信区间=(1.45, 6.14)）和多胞胎（调整后的比值比=3.07，95%置信区间=(1.32, 7.16)）与新生儿濒临死亡显著相关。
结论
与巴西先前的研究相比，发现新生儿濒临死亡的比例较高。卫生机构、卫生专业人员以及参与新生儿护理计划和实施的相关机构，在孕期、分娩期间以及新生儿出生后即刻和在新生儿重症监护病房时，需要考虑这些因素。
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