Gedefaw Gezahagn Demsu, Abate Asnake Tadesse, Worku Degalem Tilahun, Ayenew Mulugeta Endalamaw, Daka Dawit Tesfaye
Department of Neonatal Health Nursing, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia
Department of Pediatrics and Neonatal Health Nursing, College of Health and Medical Science, School of Nursing, Haremiya University, Harar, Ethiopia.
BMJ Open. 2025 Feb 5;15(2):e087995. doi: 10.1136/bmjopen-2024-087995.
To determine the length of hospital stay and related factors in newborns with perinatal asphyxia in comprehensive specialised hospitals in Northwest Ethiopia.
A multicentre institutional-based cross-sectional study.
Tertiary hospitals in Northwest Amhara Regional State, Northwest Ethiopia, from 1 to 30 December 2023.
A total of 609 neonates with perinatal asphyxia were admitted to the neonatal intensive care unit of selected public hospitals in Northwest Amhara from September 2018 to October 2023.
Length of hospital stay and associated factors in newborns with perinatal asphyxia were noted.
A total of 609 newborns with perinatal asphyxia were included in this study. The mean hospital stay for the newborns was 13.9 days (coef=13.9, 95% CI 13.43 to 14.38), with minimum and maximum hospital stays of 4-28 days, respectively. Neonatal sepsis, AKI, hypoxic ischaemic encephalopathy, fetal macrosomia and prolonged labour were significantly associated with a longer hospital stay in neonates with perinatal asphyxia.
The current study indicated that the mean length of hospital stay in newborns with perinatal asphyxia was 13.9 days. Contributing factors to prolonged hospital stays include neonates with neonatal sepsis, prolonged second-stage labour, acute neonatal kidney injury stages 2 and 3 hypoxic ischaemic encephalopathy and fetal macrosomia. The length of hospital stay for neonates with perinatal asphyxia can be reduced by implementing appropriate standards of care.
确定埃塞俄比亚西北部综合专科医院中围产期窒息新生儿的住院时间及相关因素。
一项基于多中心机构的横断面研究。
2023年12月1日至30日，埃塞俄比亚西北部阿姆哈拉地区州的三级医院。
2018年9月至2023年10月期间，共有609例围产期窒息新生儿入住阿姆哈拉西北部选定公立医院的新生儿重症监护病房。
记录围产期窒息新生儿的住院时间及相关因素。
本研究共纳入609例围产期窒息新生儿。新生儿的平均住院时间为13.9天（系数=13.9，95%CI 13.43至14.38），最短和最长住院时间分别为4 - 28天。新生儿败血症、急性肾损伤、缺氧缺血性脑病、巨大儿和产程延长与围产期窒息新生儿的住院时间延长显著相关。
当前研究表明，围产期窒息新生儿的平均住院时间为13.9天。导致住院时间延长的因素包括患有新生儿败血症的新生儿、第二产程延长、急性新生儿肾损伤2期和3期、缺氧缺血性脑病和巨大儿。通过实施适当的护理标准，可以缩短围产期窒息新生儿的住院时间。
