Neonatal Mortality, Trends, and Risk Factors in a Tertiary Israeli Neonatal Intensive Care Unit: A 13-Year Retrospective Analysis.

IF 0.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Israel Medical Association Journal Pub Date : 2026-04-01

Sivahn Goldstein, Samir Abu-Rabia, Yael Simpson Lavy, Sagee Nissimov, Calanit Hershkovich-Shporen

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引用次数: 0

Abstract

Background: This study provides valuable insight on the importance of antenatal follow-up, despite advances in medical capabilities.

Objectives: To provide current information on mortality rates and causes including demographic parameters.

Methods: A total of 3362 infants were admitted to the neonatal intensive care unit at Kaplan Medical Center between 2009 and 2021. Retrospective data were extracted from a computerized prospective database and further divided to two groups: 2009-2014 and 2015-2021. For sequential variables, we calculated the mean, standard deviation, and median. For categorical variables we calculated the prevalence and performed a chi-square test. The sequential variables did not show a normal distribution according to the Shapiro-Wilk test. Therefore, the A-parameter Mann-Whitney test was used. Results were considered significant when the P-value < 0.05.

Results: A decrease in the death rate was found, but when evaluating the infants who died, a decrease in full antenatal follow-up from 55.2% to 31.5% was seen (P-value = 0.06).

Conclusions: Despite advancements in medical knowledge and capabilities, an association was found between increased mortality and reduced antenatal follow-up.

本刊更多论文

以色列三级新生儿重症监护病房的新生儿死亡率、趋势和危险因素：13年回顾性分析

背景：本研究提供了有价值的见解产前随访的重要性，尽管医疗能力的进步。目标：提供有关死亡率及其原因的最新信息，包括人口统计参数。方法：2009年至2021年间，共有3362名婴儿入住Kaplan医疗中心新生儿重症监护室。回顾性数据从计算机前瞻性数据库中提取，并进一步分为两组：2009-2014和2015-2021。对于顺序变量，我们计算了平均值、标准差和中位数。对于分类变量，我们计算患病率并进行卡方检验。根据夏皮罗-威尔克检验，序列变量不呈正态分布。因此，采用a参数Mann-Whitney检验。当p值< 0.05时，认为结果显著。结果：死亡率下降，但在评估死亡婴儿时，全产前随访从55.2%下降到31.5% （p值= 0.06）。结论：尽管医学知识和能力有所进步，但发现死亡率增加与产前随访减少之间存在关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Israel Medical Association Journal 医学-医学：内科

CiteScore

2.20

自引率

12.50%

发文量

审稿时长

3-8 weeks

期刊介绍： The Israel Medical Association Journal (IMAJ), representing medical sciences and medicine in Israel, is published in English by the Israel Medical Association. The Israel Medical Association Journal (IMAJ) was initiated in 1999.