Pattern and Neonatal Outcome of the Neonatal Intensive Care Unit in Qassim, Saudi Arabia.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S490593

Abdullah Al-Nafeesah, Ashwaq Al Eed, Abdullrahman Alsalamah, Osama Al-Wutayd, Abdulrahman A Alshoshan, Lamees Abdulaziz Algubllan, Mohammad Alhasoon, Ishag Adam

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引用次数: 0

Abstract

Purpose: Neonatal mortality is one of the main public health problems, especially in developing countries. Limited studies on neonatal mortality exist in Saudi Arabia, particularly in central Saudi Arabia. Therefore, this study aimed to determine the incidence, causes, and associated factors for mortality among neonates admitted to the neonatal intensive care unit (NICU) in a single center in Al-Qassim, Saudi Arabia.

Patients and methods: This retrospective study included 988 neonates admitted to the NICU in Saudi Arabia, between January and December 2023. Data were obtained from the hospital records using a questionnaire composed of sociodemographic data, neonatal and maternal information, and neonatal outcomes. Logistic regression analyses were performed, and the adjusted odds ratio (AOR) and 95% confidence interval (CI) were calculated.

Results: Data from 970 neonates (46.6% female) were collected and included in the analysis. Of the 970 neonates, 291 (30.0%) were preterm births, and 317 (32.7%) were low-birth-weight (LBW) babies. Overall, 417 (43.0%) neonates were delivered via cesarean section. Prematurity (51.7%), hypothermia/hypoglycemia (17.6%), neonatal jaundice (11.4%), congenital malformations (5.4%), respiratory distress syndrome (3.9%) and neonatal sepsis/infection (3.1%) were the main diagnoses at admission. Nineteen (2.0%) neonates died during the time of admission to discharge in the NICU. Univariate analysis showed that preterm birth (OR = 4.12, 95% CI = 1.60‒10.5) and LBW (OR = 5.9, 95% CI = 2.13‒16.77) were associated with increased odds of neonatal mortality. Maternal age, number of children, duration of admission, mode of delivery, and sex of the neonate were not associated with neonatal mortality. In the multivariable logistic regression analysis, LBW (AOR 4.2, 95% CI = 1.24‒14.39) was associated with neonatal mortality.

Conclusion: The current study showed that prematurity, neonatal jaundice, and congenital malformations were the main causes of admission to the NICU. Neonatal mortality is lower than in other regions and is associated with LBW.

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.