Chekole Bogale, Terefe Tamene Fetene, Tenaw Shegaw Geze, Zewudie Bitew Tefera, GebreEyesus Fisha Alebel, Kassaw Amare, Gelaw Walle Belete, Aynalem Mewahegn Agerie, Tadesse Betelihem, Mesfin Yibeltal, Argaw Muche, Abebe Haimanot, Tesfa Shegaw, Tamene Zeleke Fentahun
Department of Nursing, College of Medicine and Health Science, Wolkite University Southwest, Wolkite, Ethiopia.
Department of Midwifery, College of Medicine and Health Science, Wolkite University Southwest, Wolkite, Ethiopia.
SAGE Open Nurs. 2023 Jul 18;9:23779608231187480. doi: 10.1177/23779608231187480. eCollection 2023 Jan-Dec.
Many 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.
In 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.
The 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.
The 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.
许多国家需要加快其进展以实现新生儿死亡的可持续发展目标。在埃塞俄比亚，新生儿死亡率仍然很高。因此，本研究旨在评估古拉格地区公立医院新生儿重症监护病房收治的新生儿的死亡预测因素和住院时间。
在本研究中，对2019年6月1日至2021年6月30日期间古拉格地区选定公立医院新生儿重症监护病房收治的375名新生儿进行了基于机构的回顾性随访研究。研究人员使用Epi-Data 3.1进行数据录入，然后将其导出到STATA 14版本进行分析。分别使用Kaplan-Meier生存曲线和对数秩检验来估计和比较分类变量的生存时间。
在2305人日的随访中，研究人员观察到约85例死亡（22.7%，95%置信区间：18.7，27.2）。中位生存时间为14天。总体发病密度率为每1000人日观察到36.9例（95%置信区间：29.8，45.6）。围产期窒息（调整后危险比：2.9[置信区间：1.8；4.8]）、剖宫产作为分娩方式（调整后危险比：1.1[置信区间；1.01；1.15]）、母亲年龄大于或等于35岁（调整后危险比：1.1[95%置信区间：1.01，1.15]）和双胎妊娠（调整后危险比：2.3[95%置信区间：1.2，4.3]）是新生儿死亡的预测因素。
与其他研究相比，新生儿的存活率较高。因此，为减轻新生儿死亡负担，医疗保健提供者应特别关注双胎妊娠、剖宫产分娩的新生儿以及有围产期窒息问题的新生儿。
