埃塞俄比亚南部民族民族地区综合专科医院新生儿重症监护室新生儿黄疸及相关因素治疗效果分析

IF 1.7 Q2 PEDIATRICS
Christian Kebede, Beletech Fentie, Bethelihem Tigabu
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引用次数: 0

摘要

黄疸是一种常见的问题,影响到50-60%的足月婴儿和80%的早产儿。这是一种良性疾病,但有时会引起严重的并发症,最终导致死亡。确定黄疸的治疗结果及其影响因素对于预防与黄疸相关的死亡至关重要。目的:了解2022年埃塞俄比亚SNNPR综合专科医院新生儿重症监护病房收治的新生儿黄疸的治疗效果及其相关因素。方法:于2018年4月至2022年4月进行基于机构的回顾性随访研究。检查数据的完整性,然后输入Epi-data版本4.6,导出到STATA版本17。分类变量的结果以频率和百分比表示,连续变量的结果以平均值和中位数表示。采用二元logistic回归模型估计自变量和结局变量的影响。结果:共审查423张图表,最终分析纳入416张(98%)。几乎91.3% (95% CI: 88.2, 93.7)的新生儿得到改善。与治疗结果显著相关的因素有:居住(AOR = 0.36, 95% CI: 0.2, 0.8);入院来源(AOR = 0.35, 95% CI: 0.2, 0.8);胎龄(AOR = 0.26, 95% CI: 0.1, 0.8);血清总胆红素水平(AOR = 0.40, 95% CI: 0.2, 0.9)。结论和建议:与其他低收入和中等收入国家相比,改善程度较低;应更加重视提高医院的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Treatment Outcome of Jaundice and Its Associated Factors Among Neonates Treated in Neonatal Intensive Care Unit of Comprehensive and Specialized Hospitals of Southern Nations Nationalities and Peoples Region, Ethiopia 2022.

Treatment Outcome of Jaundice and Its Associated Factors Among Neonates Treated in Neonatal Intensive Care Unit of Comprehensive and Specialized Hospitals of Southern Nations Nationalities and Peoples Region, Ethiopia 2022.

Introduction: Jaundice is a common problem that affects up to 50-60% of full-term babies and 80% of preterm babies. It is a benign condition, but sometimes it can cause profound complications and eventually death. Identifying the treatment outcome of jaundice and the factors affecting it is crucial to preventing the death associated with it.

Objective: To determine the treatment outcome of jaundice and its associated factors among neonates treated in neonatal intensive care unit of comprehensive and specialized hospitals of SNNPR, Ethiopia, 2022.

Methods: An institution-based retrospective follow up study was conducted from April 2018 to April 2022. The data was checked for completeness and then entered into Epi-data version 4.6 and exported to STATA version 17. The results were presented in frequencies and percentages for categorical variables as well as mean and median for continuous variables. A binary logistic regression model was used to estimate the effect of an independent variable and the outcome variable.

Results: A total of 423 charts were reviewed, and 416 (98%) were included in the final analysis. Almost 91.3% (95% CI: 88.2, 93.7) of neonates had improved. Factors significantly associated with the treatment outcome were: residence (AOR = 0.36, 95% CI: 0.2, 0.8); origin of admission (AOR = 0.35, 95% CI: 0.2, 0.8); gestational age (AOR = 0.26, 95% CI: 0.1, 0.8); and total serum bilirubin level (AOR = 0.40, 95% CI: 0.2, 0.9).

Conclusion and recommendation: Improvement was lower compared to other low and middle-income countries; more emphasis should be given to improving treatment outcomes in hospitals.

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